Evidence map›Paper›PMID 36104697›Full record

SynthesisBMC urology2022

Outcomes of ureteroscopy and internal ureteral stent for pregnancy with urolithiasis: a systematic review and meta-analysis.

Xingwei Jin, Boke Liu, Yunqi Xiong, Yuanchun Wang, Weichao Tu, Yuan Shao, Lin Zhang, Dawei Wang

Open access · goldAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC urology, 2022. 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
1.5field-weighted citation impact, top 16% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
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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

8 authors at 4 institutions in 2 countries.

Xingwei Jin *Department of Urology, School of Medicine, Ruijin Hospital, Shanghai Jiaotong University, No. 197 Ruijin Er Road, Shanghai, 200025, China.
Boke Liu *Department of Urology, School of Medicine, Ruijin Hospital, Shanghai Jiaotong University, No. 197 Ruijin Er Road, Shanghai, 200025, China.
Yunqi XiongDepartment of Gynaecology and Obstetrics, Shanghai TCM College Affiliated Shu Guang Hospital, Shanghai, China.
Yuanchun WangMonash Health, Monash Medical Centre, Clayton, VIC, 3168, Australia.
Weichao TuDepartment of Urology, School of Medicine, Ruijin Hospital, Shanghai Jiaotong University, No. 197 Ruijin Er Road, Shanghai, 200025, China.
Yuan ShaoDepartment of Urology, School of Medicine, Ruijin Hospital, Shanghai Jiaotong University, No. 197 Ruijin Er Road, Shanghai, 200025, China.
Lin ZhangSchool of Population Medicine and Public Health, Chinese Academy of Medical Science & Peking Union Medical College, Beijing, 100730, China. tony1982110@gmail.com.
Dawei WangDepartment of Urology, School of Medicine, Ruijin Hospital, Shanghai Jiaotong University, No. 197 Ruijin Er Road, Shanghai, 200025, China. wdwrjhn@163.com.
Ruijin Hospital · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNMonash Health · AUShuguang Hospital · CN

Funding

General Programs of the National Natural Science Foundation of China 81970658Youth Program of Shanghai Ruijin Hospital North 2020ZY06
6 · The paper itself

Abstract

objectivesTo investigate the outcomes of internal ureteral stents in comparison with ureteroscopy (URS) for pregnant women with urolithiasis. DATA SOURCES: Relevant studies published from January 1980 to June 2022 were identified through systematic literature searches of MEDLINE, EMBASE, Web of Science and the Cochrane Library. METHODS OF STUDY SELECTION: A total of 499 studies were initially identified. We included pregnant women in any stages of gestation who underwent double-J (D-J) stent insertion only or ureteroscopy for the treatment of urolithiasis; for a study to be included, the number of participants needed to exceed 10. This systematic review was registered on the PROSPERO website (Reference: CRD42020195607).

resultsA total of 25 studies were identified with 131 cases undergoing serial stenting and 789 cases undergoing URS. The pooled operative success rate was 97% for D-J stent insertion and 99% for URS. Only a few patients passed stones spontaneously after serial D-J stenting. The pooled stone free rate (SFR) in URS operations was about 91%. For internal ureteral stent therapy, the rate of normal fertility outcomes was 99%, although the pooled incidence of complications was approximately 45%. For group receiving URS treatment, the rate of normal fertility outcome was 99% and the pooled incidence of complications was approximately 1%. However, the pooled rate of premature birth and abortion were the similar between the two groups (< 1%); the rate of serious complications was also similar between the two groups.

conclusionsAlthough internal ureteral stents may cause more minor complications, both ureteroscopy and internal ureteral stents showed had low rates of adverse effects on fertility outcomes when used to treat pregnant women with symptomatic urolithiasis. Evidence suggests that URS may have a greater advantage for pregnant patients with urinary stones when conditions permit. Since, it has been proven to be safe and effective, internal ureteral stents could be considered in emergency or other special situations.

Indexed as

UreterUreteral CalculiUrolithiasisFemaleHumansPregnancyStentsUreteroscopyDouble-J stentPregnancyUreteroscopyUrolithiasis

Identifiers

PMID36104697
PMCPMC9476568
OpenAlexW4295706203

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.