Evidence map›Paper›PMID 37909598›Full record

SynthesisActa cirurgica brasileira2023

Diameter of ureteral access sheath and ureteral stenosis development: a systematic review.

Tamires Battistini Pissaia, Mikhael Belkovsky, Carlo Camargo Passerotti, Everton Luiz de Almeida Artifon, Jose Pinhata Otoch, José Arnaldo Shiomi da Cruz

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Acta cirurgica brasileira, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

6 authors.

Tamires Battistini PissaiaUniversidade Nove de Julho - Urology Department - São Paulo (SP) - Brazil.ORCID http://orcid.org/0009-0009-9289-1835
Mikhael BelkovskyUniversidade de São Paulo - Medical School - Surgical Technique Department - São Paulo (SP) - Brazil.ORCID http://orcid.org/0000-0002-6599-7548
Carlo Camargo PasserottiHospital Alemão Oswaldo Cruz - Prostate Institute - Urology Department - São Paulo (SP) - Brazil.ORCID http://orcid.org/0000-0003-3023-6797
Everton Luiz de Almeida ArtifonUniversidade de São Paulo - Medical School - Surgical Technique Department - São Paulo (SP) - Brazil.ORCID http://orcid.org/0000-0003-1900-8777
Jose Pinhata OtochUniversidade de São Paulo - Medical School - Surgical Technique Department - São Paulo (SP) - Brazil.ORCID http://orcid.org/0000-0002-8293-1508
José Arnaldo Shiomi da CruzUniversidade Nove de Julho - Urology Department - São Paulo (SP) - Brazil.ORCID http://orcid.org/0000-0003-4203-3196

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeUreteral access sheaths (UAS) are widely used in ureteroscopy. UAS are believed to pose a significant risk for ureteral stenosis due to ureteral mucosal compression, but little evidence supports this claim. Our systematic review aimed to investigate the relationship between different UAS diameters and stenosis risk.

methodsA systematic search was conducted in PubMed, Embase, Web of Science, Scopus, and Cochrane, from its inception to May 2023. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Cochrane guidelines were followed. χ2 test was performed to compare the prevalence within the groups.

resultsSix nonrandomized trials and one randomized, with a total of 962 patients, were included. The overall incidence of ureteral stenosis of 0.9%. UAS sizes were: 9.5/11.5Fr, 10/12Fr, 11/13Fr, 12/14Fr, and 14/16Fr. Within each subgroup, the incidence of ureteral stenosis was: 0.4, 8, 0, 1, and 1% (p = 0.099). No trend for stenosis was observed among larger UAS.

conclusionsIn this systematic review, no relationship between UAS diameter and incidence of ureteral stenosis was observed. Nonetheless, additional randomized controlled trials are required to support this finding.

Indexed as

UreterConstriction, PathologicHumansUreteroscopy

Identifiers

PMID37909598
PMCPMC10637340

What OpenQuestion holds

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Registered trials

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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.