Evidence map›Paper›PMID 36571668›Full record

ArticleInternational urology and nephrology2023

Analysis of the efficacy and risk factors of surgical treatment of recurrent UPJO in adults.

Wenzhi Gao, Lei Zhang, Yuhui He, Tai Tian, Zhihua Li, Liangliang Bai, Ying Shen, Chen Huang, Bing Wang, Peng Zhang and 4 more

Open access · hybridAbstract read
In one paragraph

Article in International urology and nephrology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 13% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
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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

14 authors at 3 institutions in 1 country.

Wenzhi Gao *Department of Urology, Peking University First Hospital, Institute of Urology, Peking University, National Urological Cancer Center, No.8 Xishiku Street, Xicheng District, Beijing, 100034, China.ORCID http://orcid.org/0000-0002-5944-017X
Lei Zhang *Department of Urology, Peking University First Hospital, Institute of Urology, Peking University, National Urological Cancer Center, No.8 Xishiku Street, Xicheng District, Beijing, 100034, China.
Yuhui HeDepartment of Urology, Peking University First Hospital, Institute of Urology, Peking University, National Urological Cancer Center, No.8 Xishiku Street, Xicheng District, Beijing, 100034, China.
Tai TianDepartment of Urology, The Third Hospital of Hebei Medical University, Ziqiang Road, Qiaoxi District, Shijiazhuang City, 050000, Hebei Province, China.
Zhihua LiDepartment of Urology, Peking University First Hospital, Institute of Urology, Peking University, National Urological Cancer Center, No.8 Xishiku Street, Xicheng District, Beijing, 100034, China.
Liangliang BaiDepartment of Urology, The Third Hospital of Hebei Medical University, Ziqiang Road, Qiaoxi District, Shijiazhuang City, 050000, Hebei Province, China.
Ying ShenDepartment of Urology, Peking University First Hospital, Institute of Urology, Peking University, National Urological Cancer Center, No.8 Xishiku Street, Xicheng District, Beijing, 100034, China.
Chen HuangDepartment of Urology, Jian Gong Hospital, Beijing, 100034, China.
Bing WangDepartment of Urology, Peking University First Hospital, Miyun Campus, Beijing, 100034, China.
Peng ZhangDepartment of Urology, Emergency General Hospital, Beijing, 100034, China.
Ninghan FengWuxi No. 2 People's Hospital of Nanjing Medical University, Nanjing Medical University, Jiangsu, 214002, China.
Xuechao LiDepartment of Urology, The Fifth Medical Centre of Chinese PLA General Hospital, Beijing, 100034, China.
Yuexian Guo *Department of Urology, The Third Hospital of Hebei Medical University, Ziqiang Road, Qiaoxi District, Shijiazhuang City, 050000, Hebei Province, China. Guoyuexian@aliyun.com.
Xuesong Li *Department of Urology, Peking University First Hospital, Institute of Urology, Peking University, National Urological Cancer Center, No.8 Xishiku Street, Xicheng District, Beijing, 100034, China. pineneedle@sina.com.
Peking University · CNHebei Medical University · CNWuxi No.2 People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo compare the efficacy of secondary pyeloplasty and balloon dilation and to analyze the risk factors for secondary surgical failure in patients with recurrent uretero-pelvic junction obstruction (UPJO).

methodsWe retrospectively analyzed 65 patients with recurrent UPJO who underwent secondary surgery between September 2011 and March 2019, of whom 33 had complete baseline data and follow-up data. General clinical information, perioperative data, and follow-up results were collected from patients. Risk factors for surgical failure in patients with recurrent UPJO were analyzed using logistic regression.

resultsThe failure rates of secondary pyeloplasty and balloon dilation in secondary surgery were 16.7% and 33.3%, respectively. Univariate analysis showed that ureteral stenosis length and operative time were associated with secondary pyeloplasty and balloon dilatation failure (p < 0.05), and ureteral stenosis length was an independent risk factor for secondary pyeloplasty failure (OR = 0.074, 95% CI: 0.006-0.864, p = 0.038). In the balloon dilation group, treatment failure rates were significantly lower in patients with stenotic segment lengths less than 1 ± 0.32 cm than in patients with stenotic segment lengths greater than 1 ± 0.32 cm (p = 0.019).

conclusionsThe secondary pyeloplasty may provide better benefit. Ureteral stricture length is an independent risk factor for failure of secondary pyeloplasty and a potential risk factor for balloon dilatation. Operation time is a potential risk factor for pyeloplasty and balloon dilatation.

Indexed as

LaparoscopyUreteral ObstructionAdultConstriction, PathologicHumansKidney PelvisRetrospective StudiesRisk FactorsTreatment OutcomeUrologic Surgical ProceduresBalloon dilationPyeloplastyRisk factor analysisSecondary surgeryUretero-pelvic junction obstruction

Identifiers

PMID36571668
PMCPMC10185610
OpenAlexW4312195998

What OpenQuestion holds

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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.