Evidence map›Paper›PMID 35118991›Full record

ArticleTurkish journal of urology2022

A multicenter-based critical analysis of laser settings during intrarenal laser lithotripsy by the Turkish academy of urology prospective study group (ACUP study).

Mehmet Giray Sonmez, Selcuk Guven, Altug Tuncel, Ibrahim Karabulut, Ozcan Kilic, Ilker Seckiner, Tzevat Tefik, Gökhan Atis, Giray Ergin, Volkan Tugcu and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Turkish journal of urology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

13 authors.

Mehmet Giray SonmezDepartment of Urology, Necmettin Erbakan University Meram Medical Faculty, Konya, Turkey.
Selcuk GuvenDepartment of Urology, Istanbul Medipol University, Mega Hospitals Complex, Istanbul, Turkey.
Altug TuncelDepartment of Urology, University of Health Sciences, Ankara Numune Research and Training Hospital, Ankara, Turkey.
Ibrahim KarabulutDepartment of Urology, University of Health Sciences, Erzurum Research and Training Hospital, Erzurum, Turkey.
Ozcan KilicDepartment of Urology, Selçuk University Selçuklu Medical School, Konya, Turkey.
Ilker SeckinerDepartment of Urology, Gaziantep University, Gaziantep, Turkey.
Tzevat TefikDepartment of Urology, İstanbul University İstanbul School of Medicine, İstanbul, Turkey.
Gökhan AtisDepartment of Urology, Istanbul Medeniyet University, Göztepe Training and Research Hospital, Istanbul, Turkey.
Giray ErginDepartment of Urology, Koru Hospital, Ankara, Turkey.
Volkan TugcuDepartment of Urology, University of Health Sciences, Bakırköy Sadi Konuk Research and Training Hospital, Istanbul, Turkey.
Bulent ErkurtDepartment of Urology, Istanbul Medipol University, Kosuyolu Hospital, Istanbul, Turkey.
Ahmet MuslumanogluDepartment of Urology, University of Health Sciences, Bağcılar Research and Training Hospital, Istanbul, Turkey.
Kemal SaricaDepartment of Urology, Biruni University Medical School, Medicana Bahçelievler Hospital, Istanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIn this multicenter prospective study, we aimed to evaluate the use of holmium:yttrium-- aluminum-garnet laser during retrograde intrarenal surgery for kidney stones and the relationship between laser-related parameters and procedure-related perioperative parameters. MATERIAL AND

methodsThe 769 patients whose laser setting parameters (fiber thickness, number of shots, frequency (max.), laser power (max.), and total energy) were completely registered were included in this study program. The intraoperative ureteral lesions were evaluated using postureteroscopic lesion scale (PULS) scores and the postoperative complications with the modified Clavien-Dindo classification system.

resultsThe maximum levels of laser power and the frequency were used in the middle calyceal stones; the value of total energy consumed was found to be higher gain in cases with multiple stones (all parameters P < .05). There was a significant positive correlation among (mean number of shots [P < .001, r ¼ 0.46], frequency [P ¼ .009, r ¼ 0.1], maximum power [P < .001, r ¼ 0.11], total energy [P < .001, r ¼ 0.25]), anesthesia time (P < .001, r ¼ 0.42), surgery time (P < .001, r ¼ 0.47), and stone size. The mean number of shots increased (P < .001, r ¼ 0.25), and the frequency level decreased (P < .001, r ¼ -0.17) significantly with increasing Hounsfield unit (HU) values. Again, the mean number of shots and maximum laser power increased in correlation with the increasing hospitalization time (P ¼ .004, r ¼ 0.09 and P ¼ .02, r ¼ 0.07, respectively). In addition, it was observed that higher laser subparameter values and thicker fibers were used in PULS grade 2.

conclusionAs the stone size and HU values increased, laser-setting parameters were found to show significant variability. The increase in different parameters of the laser setting was found to be associated with longer anesthesia time, surgery time, and hospitalization period and increased risk of local trauma with PULS grade.

Identifiers

PMID35118991
PMCPMC9612732

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.