Evidence map›Paper›PMID 37149059›Full record

Observational studyUrology2023

Patients' Experiences With the Removal of a Ureteral Stent: Insights From In-depth Interviews With Participants in the USDRN STENTS Qualitative Cohort Study.

Carrie Dombeck, Charles D Scales, Kevin McKenna, Teresa Swezey, Jonathan D Harper, Jodi A Antonelli, Alana C Desai, H Henry Lai, Rebecca McCune, Michele Curatolo and 7 more

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Urology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
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

17 authors at 8 institutions in 1 country.

Carrie DombeckDepartment of Population Health Sciences, Duke University School of Medicine, Durham, NC.
Charles D ScalesDepartment of Population Health Sciences, Duke University School of Medicine, Durham, NC; Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC; Department of Surgery (Urology), Duke Surgical Center for Outcomes Research & Equity in Surgery, Duke University School of Medicine, Durham, NC. Electronic address: chuck.scales@duke.edu.
Kevin McKennaDepartment of Population Health Sciences, Duke University School of Medicine, Durham, NC.
Teresa SwezeyDepartment of Population Health Sciences, Duke University School of Medicine, Durham, NC.
Jonathan D HarperDepartment of Urology, University of Washington, Seattle, WA.
Jodi A AntonelliDepartment of Surgery (Urology), Duke Surgical Center for Outcomes Research & Equity in Surgery, Duke University School of Medicine, Durham, NC.
Alana C DesaiDepartment of Surgery (Urologic Surgery), Washington University in St. Louis, St. Louis, MO.
H Henry LaiDepartment of Surgery (Urologic Surgery), Washington University in St. Louis, St. Louis, MO; Department of Anesthesiology, Washington University in St. Louis, St. Louis, MO.
Rebecca McCuneChildren's Hospital of Philadelphia, Philadelphia, PA.
Michele CuratoloDepartment of Anesthesiology & Pain Medicine, University of Washington, Seattle, WA.
Hussein R Al-KhalidiDuke Clinical Research Institute, Duke University School of Medicine, Durham, NC; Department of Biostatistics and Bioinformatics, Duke University School of Medicine, Durham, NC.
Naim M MaaloufDepartment of Internal Medicine and Charles and Jane Pak Center for Mineral Metabolism and Clinical Research, University of Texas Southwestern Medical Center, Dallas, TX.
Peter P ReeseDepartment of Medicine, University of Pennsylvania, Philadelphia, PA.
Hunter WessellsDepartment of Urology, University of Washington, Seattle, WA.
Ziya KirkaliNational Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD.
Amy CorneliDepartment of Population Health Sciences, Duke University School of Medicine, Durham, NC; Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC.
NIDDK Urinary Stone Disease Research Network
Duke University · USUniversity of Washington · USWashington University in St. Louis · USChildren's Hospital of Philadelphia · USClinical Research Institute · USNational Institute of Diabetes and Digestive and Kidney Diseases · USThe University of Texas Southwestern Medical Center · USUniversity of Pennsylvania · US

Funding

Urinary Stone Disease Research Network: Scientific Data Research CenterU01DK110988 · NIDDK · DUKE UNIVERSITY · PI AL-KHALIDI, HUSSEIN, SCALES, CHARLES D · 2016 to 2020
$6.9M
Optimizing Fluid Therapy and Stent Management in Children and Adults with NephrolithiasisU01DK110994 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI MAALOUF, NAIM M · 2016 to 2024
$5.3M
Harnessing Behavior to Decrease Urinary Stone Disease Morbidity Research ProjectU01DK110961 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI REESE, PETER PHILIP, TASIAN, GREGORY EDWARD · 2016 to 2024
$5.3M
Extension of Urinary Stone Disease Research Network (USDRN) at Washington UniversityU01DK110986 · NIDDK · WASHINGTON UNIVERSITY · PI LAI, HING HUNG HENRY · 2016 to 2024
$5.2M
UW USDRN Clinical CenterU01DK110954 · NIDDK · UNIVERSITY OF WASHINGTON · PI HARPER, JONATHAN D., WESSELLS, HUNTER · 2016 to 2024
$4.9M
Urinary Stone Disease Research Network: Scientific Data Research CenterU24DK110988 · NIDDK · DUKE UNIVERSITY · PI AL-KHALIDI, HUSSEIN, SCALES, CHARLES D · 2022 to 2024
$4.1M
NIDDK NIH HHS U01 DK110954NIDDK NIH HHS U01 DK110961NIDDK NIH HHS U01 DK110986NIDDK NIH HHS U01 DK110988NIDDK NIH HHS U01 DK110994NIDDK NIH HHS U24 DK110988
6 · The paper itself

Abstract

objectiveTo describe the experiences of patients undergoing stent removal in the USDRN Study to Enhance Understanding of Stent-Associated Symptoms (STENTS), a prospective, observational cohort study of patients with short-term ureteral stent placement post-ureteroscopy.

methodsWe conducted a qualitative descriptive study using in-depth interviews. Participants reflected on (1) painful or bothersome aspects of stent removal, (2) symptoms immediately after removal, and (3) symptoms in the days following removal. Interviews were audio-recorded, transcribed, and analyzed using applied thematic analysis.

resultsThe 38 participants interviewed were aged 13-77 years, 55% female, and 95% White. Interviews were conducted 7-30 days after stent removal. Almost all participants (n = 31) described that they experienced either pain or discomfort during stent removal, but for most (n = 25) pain was of short duration. Many participants (n = 21) described anticipatory anxiety related to the procedure, and several (n = 11) discussed discomfort arising from lack of privacy or feeling exposed. Interactions with medical providers often helped put participants at ease, but also increased discomfort for some. Following stent removal, several participants described lingering pain and/or urinary symptoms, but these largely resolved within 24 hours. A few participants described symptoms persisting for more than a day post stent removal.

conclusionThese findings on patients' experiences during and shortly after ureteral stent removal, particularly the psychological distress they experienced, identify opportunities for improvement in patient care. Clear communication from providers about what to expect with the removal procedure, and the possibility of delayed pain, may help patients adapt to discomfort.

Indexed as

UreterCohort StudiesDevice RemovalFemaleHumansMalePainProspective StudiesStentsUreteroscopy

Identifiers

PMID37149059
PMCPMC10530092
OpenAlexW4368347884

What OpenQuestion holds

Textmetadata
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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.