Evidence map›Paper›PMID 35591955›Full record

ReviewCentral European journal of urology2022

Recent scoring systems predicting stone-free status after retrograde intrarenal surgery; a systematic review and meta-analysis.

Oktay Özman, Hacı Murat Akgül, Cem Başataç, Eyüp Burak Sancak, Önder Çınar, Hakan Çakır, Cenk Murat Yazıcı, Haluk Akpınar, Bülent Önal, RIRSearch Study Group

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In one paragraph

Review in Central European journal of urology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

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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

10 authors.

Oktay ÖzmanGaziosmanpasa Training and Research Hospital, Urology Clinic, Istanbul, Turkey.
Hacı Murat AkgülTekirdağ Namık Kemal University, School of Medicine, Department of Urology, Tekirdağ, Turkey.
Cem BaşataçGroup Florence Nightingale Hospitals, Department of Urology, Istanbul, Turkey.
Eyüp Burak SancakÇanakkale Onsekiz Mart University, School of Medicine, Department of Urology, Çanakkale, Turkey.
Önder ÇınarZonguldak Bulent Ecevit University, School of Medicine, Department of Urology, Zonguldak, Turkey.
Hakan ÇakırFulya Acıbadem Hospital, Urology Clinic, Istanbul, Turkey.
Cenk Murat YazıcıTekirdağ Namık Kemal University, School of Medicine, Department of Urology, Tekirdağ, Turkey.
Haluk AkpınarGroup Florence Nightingale Hospitals, Department of Urology, Istanbul, Turkey.
Bülent ÖnalIstanbul University-Cerrahpaşa, Cerrahpaşa Medical Faculty, Department of Urology, Istanbul, Turkey.
RIRSearch Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Several scoring systems and nomograms have been developed to predict the success of retrograde intrarenal surgery. But no meta-analysis for the performance of scoring systems has yet been performed. The aim of this study was to compare predictive ability of recent scoring systems for stone-free rate of retrograde intrarenal surgery. Material and methods: PubMed and Web of Science databases were searched systematically between April and May 2021. The scoring systems which were validated externally or studied at least by two different researcher groups were selected for further analysis. Of 59 records, 14 studies met the inclusion criteria (n = 4137). Area under curve (AUC) values of selected scoring systems were pooled in random or fixed effects. The I Results: Eight, 5, 8, 4 and 3 studies included in meta-analyses for the modified Seoul National University Renal Stone Complexity Score (S-ReSC), R.I.R.S., Resorlu-Unsal Score (RUS), S.T.O.N.E., and Ito's Nomogram, respectively. We found pooled AUC values 0.709 (95% CI 0.670-0.748), 0.704 (95% CI 0.668-0.739), 0.669 (95% CI 0.646 to 0.692), and 0.771 (95% CI 0.724 to 0.818), for first four of them, respectively. Heterogeneity was very high to pool AUC values for Ito's nomogram. Conclusions: Although S.T.O.N.E. score showed higer pooled AUC value, this systematic review and meta-analysis has not revealed superiority of any scoring system. High heterogeneity between studies and dependencies between scoring systems make it difficult to design a comparative statistical model to generalize the findings. Also, limitations aside, neither scoring system has demonstrated good predictive/discriminative performance.

Indexed as

kidney stonenomogramretrograde intrarenal surgeryscoring systemstone

Identifiers

PMID35591955
PMCPMC9074068

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Registered trials

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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.