Evidence map›Paper›PMID 35455648›Full record

ReviewJournal of personalized medicine2022

Endoscopic Combined Intrarenal Surgery Versus Percutaneous Nephrolithotomy for Complex Renal Stones: A Systematic Review and Meta-Analysis.

Yung-Hao Liu, Hong-Jie Jhou, Meng-Han Chou, Sheng-Tang Wu, Tai-Lung Cha, Dah-Shyong Yu, Guang-Huan Sun, Po-Huang Chen, En Meng

Registry-linked trialOpen access · goldAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Journal of personalized medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06085794 (Comparative Study Between Standard PCNL and Endoscopic Combined Intrarenal Surgery), which is not on this map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 4% 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.

NCT06085794 naunknown statusnot on this map

Comparative Study Between Standard PCNL and Endoscopic Combined Intrarenal Surgery (ECIRS) in the Galdakaomodified Supine Valdivia (GMSV) Position for Complex Nephrolithiasis in Obese Patients

TypeinterventionalSponsorAin Shams UniversityRan2022 to 2024Enrolled100ConditionsRenal StoneArmsEndoscopic combined intrarenal surgery, Percutaneous nephrolithotomy
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Pooled it
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  14. Single-Center Experience with Swiss LithoClastDiagnostics (Basel, Switzerland) · 2023
    Article
  15. Article
  16. Current role of endoscopic combined intrarenal surgery in the management of renal stones: A scoping review.Indian journal of urology : IJU : journal of the Urological Society of India
    Article
  17. Endoscopic Combined Intrarenal Surgery: best practices and future perspectives.International braz j urol : official journal of the Brazilian Society of Urology
    Review
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

9 authors at 2 institutions in 1 country.

Yung-Hao LiuDepartment of Surgery, Division of Urology, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan.ORCID 0000-0001-8254-114X
Hong-Jie JhouDepartment of Neurology, Changhua Christian Hospital, Changhua 500, Taiwan.ORCID 0000-0003-3304-4643
Meng-Han ChouDepartment of Surgery, Division of Urology, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan.
Sheng-Tang WuDepartment of Surgery, Division of Urology, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan.
Tai-Lung ChaDepartment of Surgery, Division of Urology, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan.
Dah-Shyong YuDepartment of Surgery, Division of Urology, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan.
Guang-Huan SunDepartment of Surgery, Division of Urology, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan.
Po-Huang ChenDepartment of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan.ORCID 0000-0002-0280-6417
En MengDepartment of Surgery, Division of Urology, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan.ORCID 0000-0002-1262-5361
Tri-Service General Hospital · TWChanghua Christian Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndoscopic combined intrarenal surgery (ECIRS) adds ureteroscopic vision to percutaneous nephrolithotomy (PCNL), which can be helpful when dealing with complex renal stones. Yet, there is still no consensus on the superiority of ECIRS. We aimed to critically analyze the available evidence of studies comparing efficacy, safety, bleeding risk, and efficiency of ECIRS and PCNL.

methodsWe searched for studies comparing efficacy (initial and final stone-free rate), safety (postoperative fever, overall and severe complications), efficiency (operative time and hospital stay) and bleeding risk between ECIRS and PCNL. Meta-analysis was performed.

resultsSeven studies (919 patients) were identified. ECIRS provided a significantly higher initial stone-free rate, higher final stone-free rate, lower overall complications, lower severe complications, and lower rate of requiring blood transfusion. There was no difference between the two groups in terms of postoperative fever, hemoglobin drop, operative time, and hospital stay. In the subgroup analysis, both minimally invasive and conventional ECIRS were associated with a higher stone-free rate and lower complication outcomes.

conclusionsWhen treating complex renal stones, ECIRS has a better stone-free rate, fewer complications, and requires fewer blood transfusions compared with PCNL. Subgroups either with minimally invasive or conventional intervention showed a consistent trend.

Indexed as

complex renal stonesefficiencyendoscopic combined intrarenal surgerypercutaneous nephrolithotomysafetystone-free rates

Identifiers

PMID35455648
PMCPMC9028407
OpenAlexW4220744492

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Registered trials

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.