Evidence map›Paper›PMID 34228166›Full record

ArticlePediatric surgery international2021

Comparative analysis of suturing technique in pediatric pyeloplasty on surgical outcomes.

Bruce Gao, Walid Farhat, Fadi Zu'bi, Michael Chua, Mitchell Shiff, Rusul Al-Kutbi, Martha Pokarowski, Jessica Ming, Justin Kim, Joana Dos Santos and 1 more

Abstract read
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In one paragraph

Article in Pediatric surgery international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.3field-weighted citation impact, top 18% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 2 countries.

Bruce GaoDivision of Urology, Department of Surgery, University of Toronto, Toronto, Canada. bmgao@ucalgary.ca.ORCID http://orcid.org/0000-0002-0290-4316
Walid FarhatDepartment of Urology, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Fadi Zu'biDivision of Pediatric Urology, The Hospital for Sick Children, Toronto, Canada.
Michael ChuaDivision of Pediatric Urology, The Hospital for Sick Children, Toronto, Canada.
Mitchell ShiffDivision of Pediatric Urology, The Hospital for Sick Children, Toronto, Canada.
Rusul Al-KutbiDivision of Pediatric Urology, The Hospital for Sick Children, Toronto, Canada.
Martha PokarowskiDivision of Pediatric Urology, The Hospital for Sick Children, Toronto, Canada.
Jessica MingDivision of Urology, Department of Surgery, University of New Mexico, Albuquerque, NM, USA.
Justin KimDivision of Urology, Department of Surgery, University of Toronto, Toronto, Canada.
Joana Dos SantosDivision of Pediatric Urology, The Hospital for Sick Children, Toronto, Canada.
Martin KoyleDivision of Pediatric Urology, The Hospital for Sick Children, Toronto, Canada.
Hospital for Sick Children · CAUniversity of Toronto · CAUniversity of New Mexico · USUniversity of Wisconsin–Madison · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePyeloplasty for ureteropelvic junction obstruction is the gold standard for surgical repair. There are currently no reports outlining optimal suturing technique. This paper compares the effect of suturing technique in dismembered pediatric pyeloplasty (open and laparoscopic) on post-operative outcomes.

methodsA non-concurrent cohort study assessed different suturing techniques in both open and laparoscopic dismembered pyeloplasty performed two senior urologists at a tertiary referral pediatric center. Cases were stratified according to different suturing techniques for ureteropelvic anastomosis and subgroup analysis was performed according to open or laparoscopic approach.

resultsA total of 185 renal units were evaluated. The overall comparative analysis of different anastomotic suturing techniques and clustered analysis according to open and laparoscopic approach showed no significant differences on post-operative complication rate, leakage, stenosis, redo-pyeloplasties, operative time and hospital stay. There was a significant difference between suturing techniques on stent duration, age and weight of the patient. There was no effect of suture type or size on post-operative complication rate, leakage, UPJ stenosis and redo pyeloplasty rates, however, sample sizes were small.

conclusionSuturing technique has no significant effect on the surgical outcomes assessed regardless of open or laparoscopic technique.

Indexed as

LaparoscopyUreterUreteral ObstructionChildCohort StudiesHumansKidney PelvisTreatment OutcomeUrologic Surgical ProceduresKidneyOutcomePyeloplastySutures

Identifiers

PMID34228166
OpenAlexW3179298791

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.