Evidence map›Paper›PMID 37880847›Full record

ArticleYonsei medical journal2023

Prediction of Stent Failure for Malignant Ureteral Obstruction in Non-Urological Cancer.

Ji Eun Heo, Dae Young Jeon, Jongsoo Lee, Hyun Ho Han, Won Sik Jang

Abstract read
In one paragraph

Article in Yonsei medical journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  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

5 authors.

Ji Eun HeoDepartment of Urology, Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-4184-8468
Dae Young JeonDepartment of Urology, Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-7928-5659
Jongsoo LeeDepartment of Urology, Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-9984-1138
Hyun Ho HanDepartment of Urology, Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-6268-0860
Won Sik JangDepartment of Urology, Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea. sindakjang@yuhs.ac.ORCID https://orcid.org/0000-0002-9082-0381

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo analyze prognostic factors associated with ureteral stent failure and to develop a prediction model for malignant ureteral obstruction (MUO) in patients with non-urological cancers. MATERIALS AND

methodsWe retrospectively reviewed patients with non-urological cancers who underwent ureteral stenting or percutaneous nephrostomy (PCN) for MUO between 2006 and 2014. Variables predicting stent failure were identified using Cox regression analysis.

resultsOf the 743 patients, 468 (63.0%) underwent ureteral stenting only, and 275 (37.0%) underwent PCN owing to technical (n=215) or functional (n=60) stent failure. The median overall survival was 4 [interquartile range (IQR) 1-11] months, and the median interval duration to stent failure was 2 (IQR 0-7) months. In univariate analysis, lower gastrointestinal cancer, previous radiotherapy to the pelvis, bladder invasion, lower ureteral obstruction, and low previous estimated glomerular filtration rate (eGFR) (<30 mL/min/1.73 m²) were significantly associated with a decreased survival rate. In multivariate analysis, bladder invasion and previous eGFR were significant predictors. With these two predictors, we divided patients into three groups based on their presence: low-risk (neither factor; n=516), intermediate-risk (one factor; n=206), and high-risk (both factors; n=21). The median stent failure-free survival rates of patients in the low-, intermediate-, and high-risk groups were 26 (8-unreached), 1 (0-18), and 0 (0-0) months, respectively (

conclusionIn cases of ureteral obstruction caused by non-urological cancers, patients with bladder invasion and a low eGFR showed poor stent failure-free survival. Therefore, PCN should be considered the primary procedure for these patients.

Indexed as

NeoplasmsUreteral ObstructionHumansRetrospective StudiesRisk FactorsStentsPercutaneous nephrostomysurvivalureteral obstructionurinary diversion

Identifiers

PMID37880847
PMCPMC10613761

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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.