ArticleAmerican journal of translational research2022
Holmium laser lithotripsy reduces complications and relieves postoperative pain in elderly patients with urinary calculi.
Article in American journal of translational research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.
- Effectiveness of Pneumatic versus Laser Lithotripsy for Upper Tract Urolithiasis: A Systematic Review and Meta-Analysis.Urologia internationalis · 2025Pooled it
- Intravenous anesthesia with high-flow nasal cannula improves recovery in elderly undergoing ureteroscopic lithotripsy: a prospective controlled study.BMC anesthesiology · 2025Trial
- Clinical superiority of 3D-assisted percutaneous nephrolithotomy in treating complex upper urinary tract calculi: a single-center study.American journal of translational research · 2024Article
- High ASA Physical Status and Low Serum Uric Acid to Creatinine Ratio are Independent Risk Factors for Postoperative Delirium Among Older Adults Undergoing Urinary Calculi Surgery.Clinical interventions in aging · 2023Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate the effectiveness of ureteroscopic holmium laser lithotripsy (HLL) and pneumatic lithotripsy (PL) in elderly patients with ureteral calculi.
methodsIn this retrospective study, clinical data of 220 elderly patients with urinary calculi hospitalized in Zhumadian Central Hospital from March 2018 to December 2019 were analyzed. Among the 220, 104 patients were treated with PL (PL group) and the other 116 were treated with HLL (HLL group). The two groups of patients were compared regarding surgical conditions, postoperative complications, physiologic stress response, pain level, and restoration of cognitive and renal function.
resultsCompared with the PL group, the HLL group had significantly shorter surgical duration, earlier time to first ambulation, shorter hospital stay, lower intraoperative bleeding, and higher stone-free rate. No significant differences were observed between two groups in complications. The norepinephrine (NE), cortisol (COR) and C-reactive protein (CRP) levels were all reduced postsurgically, but those in the HLL group were lower than those for PL. The VAS and MMSE scores in the HLL group were lower than those in the PL group at 6, 12, 36 and 48 hours after surgery. The blood urea nitrogen (BUN) and serum creatinine (SCr) levels decreased after surgery, and the decrease was greater in the HLL group. The WHOQOL-BREF scores in HLL group were higher than those of the PL group (P<0.05).
conclusionUreteroscopic HLL was shownhighly effective in promoting postoperative rehabilitation and reducing postoperative complications, pain, and physiological stress response, as well as crushing stones, with little impact on cognitive function.
Indexed as
Identifiers
36105046PMC9452355W4295897816What OpenQuestion holds
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.