Evidence map›Paper›PMID 36930255›Full record

ArticleWorld journal of urology2023

The efficacy of retrograde intra-renal surgery (RIRS) for lower pole stones: results from 2946 patients.

Carlo Giulioni, Daniele Castellani, Bhaskar Kumar Somani, Ben Hall Chew, Thomas Tailly, William Ong Lay Keat, Jeremy Yuen-Chun Teoh, Esteban Emiliani, Chu Ann Chai, Andrea Benedetto Galosi and 6 more

Abstract read
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 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

24 citing papers in PubMed.

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  9. Factors predicting stone-free rates after retrograde intrarenal surgery for lower pole kidney stones A single-center, retrospective analysis.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Carlo GiulioniUrology Unit, Azienda Ospedaliero-Universitaria delle Marche, Polytechnic University of Marche, Ancona, Italy. carlo.giulioni9@gmail.com.ORCID http://orcid.org/0000-0001-9934-4011
Daniele CastellaniUrology Unit, Azienda Ospedaliero-Universitaria delle Marche, Polytechnic University of Marche, Ancona, Italy.
Bhaskar Kumar SomaniDepartment of Urology, University Hospitals Southampton, NHS Trust, Southampton, UK.
Ben Hall ChewDepartment of Urology, University of British Columbia, Vancouver, Canada.
Thomas TaillyDepartment of Urology, University Hospital of Ghent, Ghent, Belgium.
William Ong Lay KeatDepartment of Urology, Penang General Hospital, Penang, Malaysia.
Jeremy Yuen-Chun TeohDepartment of Surgery, Faculty of Medicine, S.H. Ho Urology Centre, The Chinese University of Hong Kong, Hong Kong, China.
Esteban EmilianiUrology Department, Fundación Puigvert, Universidad Autónoma de Barcelona, Barcelona, Spain.
Chu Ann ChaiDepartment of Surgery, Urology Unit, University Malaya, Kuala Lumpur, Malaysia.
Andrea Benedetto GalosiUrology Unit, Azienda Ospedaliero-Universitaria delle Marche, Polytechnic University of Marche, Ancona, Italy.
Deepak RagooriDepartment of Urology, Asian Institute of Nephrology and Urology, Irram Manzil Colony, Hyderabad, Telangana, India.
Yiloren TanidirDepartment of Urology, Marmara University School of Medicine, Istanbul, Turkey.
Saeed Bin HamriDivision of Urology, Department of Surgery, Ministry of the National Guard Health Affairs, King Saud Bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.
Nariman GadzhievEndourology Department, Saint-Petersburg State Medical University, Saint-Petersburg, Russia.
Olivier TraxerDepartment of Urology AP-HP, Sorbonne University, Tenon Hospital, Paris, France.
Vineet GauharDepartment of Urology, Ng Teng Fong General Hospital, Singapore, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the perioperative outcomes of retrograde intra-renal surgery (RIRS) for lower pole stones (LPS) and factors affecting stone-free rate (SFR).

methodsData from 20 centers were retrospectively reviewed. Inclusion criteria were adult patients, normal renal anatomy, and LPS. Exclusion criteria were bilateral surgery, concomitant surgery for ureteral stones. SFR was defined as a single residual fragment (RF) ≤ 2 mm and evaluated 3-months after surgery. A multivariable logistic regression analysis was performed to assess factors associated with RF. Statistical significance was set at p value < 0.05.

results2946 patients were included. Mean age and stone size were 49.9 years 10.19 mm, with multiple LPS in 61.1% of cases. Total operation and laser time were 63.89 ± 37.65 and 17.34 ± 18.39 min, respectively. Mean hospital stay was 3.55 days. Hematuria requiring blood transfusion and fever/urinary infections requiring prolonged antibiotics occurred in 6.1% and 169 5.7% of cases, while sepsis with intensive-care admission in 1.1% of patients. On multivariate analysis, Multiple stones (OR 1.380), stone size (OR 1.865), and reusable ureteroscopes (OR 1.414) were significantly associated with RF, while Thulium fiber laser (TFL) (OR 0.341) and pre-stenting (OR 0.750) were less likely associated with RF.

conclusionsRIRS showed safety and efficacy for LPS with a mean diameter of 10 mm. This procedure can achieve a satisfactory SFR in pre-stented patients with a single and smaller stone, particularly with TFL use.

Indexed as

Kidney CalculiLithotripsyUreteral CalculiAdultHumansLipopolysaccharidesRetrospective StudiesTreatment OutcomeLipopolysaccharidesEndourologyLaser lithotripsyLower polar stonesNephrolithiasisRetrograde intra-renal surgery

Identifiers

PMID36930255
PMCPMC10188567

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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.