Evidence map›Paper›PMID 33575928›Full record

ArticleUrolithiasis2021

Gender-related differences in the risk factors for repeat stone surgery.

Viacheslav Iremashvili, S Li, S L Dresner, S L Best, S P Hedican, S Y Nakada

Abstract read
PubMed Publisher
In one paragraph

Article in Urolithiasis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Viacheslav IremashviliDepartment of Urology, University of Wisconsin School of Medicine and Public Health, University of Wisconsin Medical Foundation Centennial Building, 1685 Highland Avenue, Madison, WI, 53705, USA. iremashvili@hotmail.com.ORCID http://orcid.org/0000-0003-2000-3316
S LiDepartment of Urology, University of Wisconsin School of Medicine and Public Health, University of Wisconsin Medical Foundation Centennial Building, 1685 Highland Avenue, Madison, WI, 53705, USA.
S L DresnerDepartment of Urology, University of Wisconsin School of Medicine and Public Health, University of Wisconsin Medical Foundation Centennial Building, 1685 Highland Avenue, Madison, WI, 53705, USA.
S L BestDepartment of Urology, University of Wisconsin School of Medicine and Public Health, University of Wisconsin Medical Foundation Centennial Building, 1685 Highland Avenue, Madison, WI, 53705, USA.
S P HedicanDepartment of Urology, University of Wisconsin School of Medicine and Public Health, University of Wisconsin Medical Foundation Centennial Building, 1685 Highland Avenue, Madison, WI, 53705, USA.
S Y NakadaDepartment of Urology, University of Wisconsin School of Medicine and Public Health, University of Wisconsin Medical Foundation Centennial Building, 1685 Highland Avenue, Madison, WI, 53705, USA.
University of Wisconsin Foundation · USUniversity of Wisconsin–Madison · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Our objective was to analyze and compare the associations between potential risk factors for nephrolithiasis and repeat stone surgery in male and female patients. We retrospectively analyzed 1970 patients who had stone surgery at our institution in the period from January 2009 to May 2017, were older than 18 years and had at least 12 months of postoperative follow-up. Our definition of surgical recurrence included repeat surgery on the same renal unit or on the opposite renal unit if the original imaging did not demonstrate significant stones on that side. Uni- and multivariate Cox regression models were built for each gender. We also explored the interactions between gender and other patient's characteristics in their effect on the risk of recurrence. Ureteroscopy was the most common treatment modality for both first (83%) and repeat (87%) procedures. Over a mean follow-up of 4.3 years (median 3.8, interquartile range 2.2-6.0), 413 (21.0%) patients had a surgical recurrence. In multivariate analyses, hypertension, diabetes, Caucasian race and younger age (less than 60 years) were significantly associated with the risk of surgical recurrence only in females. Interaction between these characteristics and gender was significant indicating a larger effect on the risk of surgical recurrence in females compared to males. Our study demonstrated a number of differences in the predictors of repeat surgery for nephrolithiasis between males and females. If confirmed by future studies these differences may be helpful for optimizing nephrolithiasis prevention efforts.

Indexed as

Kidney CalculiLithotripsyFemaleHumansMaleMiddle AgedReoperationRetrospective StudiesRisk FactorsTreatment OutcomeUreteroscopyGenderPercutaneous nephrolithotomyRenal stone recurrenceShock-wave lithotripsyUreteroscopy

Identifiers

PMID33575928
OpenAlexW3126801299

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.