Evidence map›Paper›PMID 36754879›Full record

ArticleWorld journal of urology2023

Active stone removal is a safe option for ocotogenarians and nonagenarians with nephrolithiasis.

Klaus Eredics, Martin Drerup, Mehmet Özsoy, Clemens Wehrberger, Matthias Lenz, Christian Ramesmayer, Philipp Stolzlechner, Johannes Zanier, Claudia E Falkensammer, Ivan Handjiev and 2 more

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In one paragraph

Article in World journal of urology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
2.3field-weighted citation impact, top 11% 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

11 citing papers in PubMed, 3 syntheses or guidelines pooled it, 9 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 2 countries.

Klaus EredicsDepartment of Urology, Paracelsus Medizinische Privatuniversität Salzburg, Strubergasse 21, 5020, Salzburg, Austria. klaus.eredics@gmail.com.ORCID http://orcid.org/0000-0002-3676-5262
Martin DrerupDepartment of Urology, Paracelsus Medizinische Privatuniversität Salzburg, Strubergasse 21, 5020, Salzburg, Austria.
Mehmet ÖzsoyUROMED KompetenzZentrum Urologie, Neubaugürtel 47/OG5, 1150, Vienna, Austria.
Clemens WehrbergerDepartment of Urology, Klinik Donaustadt, Langobardenstraße 122, 1220, Vienna, Austria.
Matthias LenzDepartment of Urology, Universitätsklinikum Krems an der Donau, Mitterweg 10, 3500, Krems an der Donau, Austria.
Christian RamesmayerDepartment of Urology, Paracelsus Medizinische Privatuniversität Salzburg, Strubergasse 21, 5020, Salzburg, Austria.
Philipp StolzlechnerDepartment of Urology, Tauernklinikum Zell am See, Paracelsusstraße 8, 5700, Zell am See, Austria.
Johannes ZanierDepartment of Urology, Medizinische Universität Innsbruck, Christoph-Probst-Platz 1, Innrain 52 A, Fritz-Pregl-Straße 3, 6020, Innsbruck, Austria.
Claudia E FalkensammerDepartment of Urology, Klinik Favoriten, Kundratstraße 3, 1100, Vienna, Austria.
Ivan HandjievDepartment of Urology, Klinikum Klagenfurt am Wörthersee, Feschnigstraße 11, 9020, Klagenfurt am Wörthersee, Austria.
Andreas WasserscheidDepartment of Urology, Landesklinikum Baden-Mödling, Waltersdorferstraße 75, 2500, Baden bei Vienna, Austria.
Stephan SeklehnerDepartment of Urology, Paracelsus Medizinische Privatuniversität Salzburg, Strubergasse 21, 5020, Salzburg, Austria.
Paracelsus Medical University · ATDonauspital · ATInnsbruck Medical University · ATKlinikum Klagenfurt · ATTauern Hospital Zell am See · ATUniversitätsklinikum Krems · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the contemporary in-hospital management of octogenarians and nonagenarians with renal calculi. MATERIAL AND

methodsA multicentric retrospective evaluation of patients aged ≥ 80 years hospitalized with kidney stones between 01/2000 and 12/2019. Stone and patient related data were collected, including stone size and location, geriatric status and comorbidities. Surgical treatment patterns and outcome were assessed.

resultsA total of 299 patients (57% female) with kidney stones were analyzed. Mean age was 84.7 years. Patients were largely multimorbid (ASA ≥ 3 in 70%) and about 25% were classified as frail. Active stone treatment was performed in 65% and 35% were treated with urinary diversion (stent or nephrostomy). Prognostic factors for receiving an active stone treatment were age < 90 years, male sex, stone size and quantity, and performance status. Mean overall survival was 23.7 months and when stratified to treatment mean survival were 21 months after urinary diversion, 28 months after URS, 29 months after PCNL and 45 months after SWL.

conclusionAge, frailty and performance-status as well as stone size and quantity are predictors for active stone treatment. Octogenarians and nonagenarians, who are considered fit for surgery, tend to live long enough to profit from active stone treatment.

Indexed as

Kidney CalculiLithotripsyAgedAged, 80 and overFemaleHumansMaleNonagenariansRetrospective StudiesTreatment OutcomeUreteroscopyElderly patientsGeriatric patientsKidney stonesNephrolithiasisNonagenariansOctogenariansOutcome

Identifiers

PMID36754879
OpenAlexW4319455828

What OpenQuestion holds

Textmetadata
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.