Evidence map›Paper›PMID 34763687›Full record

ArticleBMC urology2021

Preoperative hydronephrosis is a predictive factor of ureteral stenosis after flexible ureteroscopy: a propensity scores matching analysis.

Yuefan Shen, Anping Xiang, Sihai Shao

Open access · goldAbstract read
In one paragraph

Article in BMC urology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 12% 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

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3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

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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

3 authors at 1 institution in 1 country.

Yuefan ShenDepartment of Urology, The First People's Hospital of Huzhou, No.158 Guangchanghou Road, Huzhou, Zhejiang Province, China.
Anping XiangDepartment of Urology, The First People's Hospital of Huzhou, No.158 Guangchanghou Road, Huzhou, Zhejiang Province, China.
Sihai ShaoDepartment of Urology, The First People's Hospital of Huzhou, No.158 Guangchanghou Road, Huzhou, Zhejiang Province, China. kipling21@sina.com.
Third People's Hospital of Huzhou · CN

Funding

Huzhou Science and Technology Bureau Public welfare application research project 2019GY23
6 · The paper itself

Abstract

objectivesUreteral stenosis is a serious complication of flexible ureteroscopy. How to predict the possibility of stricture before surgery is an important topic. This research retrospectively studied the influence of preoperative hydronephrosis on ureteral stenosis after flexible ureteroscopy, to explore whether the preoperative hydronephrosis could predict postoperative ureteral stenosis.

methodsWe conducted a retrospective study on patients who received flexible ureteroscopy in our hospital for upper ureteral calculi from January 2015 to June 2018. Patients were followed-up for 36 months after surgery, and intraoperative and postoperative complications were recorded. We divided patients into the mild hydronephrosis group and moderate to severe hydronephrosis group. Preoperative clinical baseline data of the patients were adjusted by propensity matching score analysis. Differences of intraoperative ureteral injury, operative time, postoperative ureteral stricture, and SFR one month after surgery was statistically analyzed. Kaplan-Meier's method and Log-rank test were used to compare the differences in the cumulative incidence of ureteral stenosis between the two groups. Cox regression was used to compare the hazard ratio of ureteral stenosis between the two groups.

resultsA total of 447 patients with 469 sides surgery were included, including 349 sides in the mild hydronephrosis group and 120 sides in the moderate to severe hydronephrosis group. Twenty-nine patients with 30 sides developed ureteral stenosis. Before and after propensity, the incidence of ureteral stricture matching analysis was 6.4% and 8%, respectively. There were statistical differences in ureteral stricture and injury, but the statistical differences in SFR and operation time were inconsistent. Kaplan-Meier showed a significant difference in the cumulative incidence of ureteral stenosis between the two groups.

conclusionsPatients with moderate to severe hydronephrosis before surgery were more likely to have an intraoperative ureteral injury and postoperative ureteral stricture after FRUS. Preoperative hydronephrosis is an important predictor of ureteral stricture.

Indexed as

Preoperative PeriodConstriction, PathologicFollow-Up StudiesHumansHydronephrosisIntraoperative ComplicationsKaplan-Meier EstimatePostoperative ComplicationsPropensity ScoreProportional Hazards ModelsRetrospective StudiesRisk FactorsUreteral CalculiUreteral DiseasesUreteral ObstructionUreteroscopyFlexible ureteroscopyHydronephrosisPropensity scores matching analysisUpper ureteral stonesUreteral stenosis

Identifiers

PMID34763687
PMCPMC8582168
OpenAlexW3211824442

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LicenceCC BY
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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.