Evidence map›Paper›PMID 38695907›Full record

ArticleWorld journal of urology2024

Propensity score matched analysis of treatment outcomes in pediatric ureteropelvic junction obstruction: a comparison between horseshoe and non-horseshoe kidneys.

Jiayi Li, Zikun Shao, Zhenzhen Yang, Pei Liu, Ning Sun, Hongcheng Song, Xianghui Xie, Weiping Zhang

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in World journal of urology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 91% 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

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. 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

8 authors at 1 institution in 1 country.

Jiayi Li *Department of Urology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health (NCCH), No. 56, Nanlishi Road, Yuetan Street, Xicheng District, Beijing, 100045, China.
Zikun Shao *Department of Urology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health (NCCH), No. 56, Nanlishi Road, Yuetan Street, Xicheng District, Beijing, 100045, China.
Zhenzhen YangDepartment of Urology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health (NCCH), No. 56, Nanlishi Road, Yuetan Street, Xicheng District, Beijing, 100045, China.
Pei LiuDepartment of Urology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health (NCCH), No. 56, Nanlishi Road, Yuetan Street, Xicheng District, Beijing, 100045, China.
Ning SunDepartment of Urology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health (NCCH), No. 56, Nanlishi Road, Yuetan Street, Xicheng District, Beijing, 100045, China.
Hongcheng SongDepartment of Urology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health (NCCH), No. 56, Nanlishi Road, Yuetan Street, Xicheng District, Beijing, 100045, China.
Xianghui XieDepartment of Urology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health (NCCH), No. 56, Nanlishi Road, Yuetan Street, Xicheng District, Beijing, 100045, China. xiexianghui@bcn.com.cn.
Weiping ZhangDepartment of Urology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health (NCCH), No. 56, Nanlishi Road, Yuetan Street, Xicheng District, Beijing, 100045, China. zhangwp59616406@126.com.ORCID http://orcid.org/0000-0002-6270-7584
Capital Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPediatric hydronephrosis poses distinct challenges, particularly in cases involving horseshoe kidneys (HSK). This retrospective study compares treatment outcomes between HSK and non-horseshoe kidneys (NHSK) in pediatric ureteropelvic junction obstruction (UPJO) patients.

methodsA retrospective cohort study included 35 patients with HSK and 790 patients with NHSK undergoing pyeloplasty. Preoperative, intraoperative, and postoperative parameters were evaluated. Propensity score matching (PSM) balanced patient characteristics in the NHSK group.

resultsIn comparison with NHSK, HSK exhibited a higher crossing vessel incidence (51.6% vs. 5.12%, P < 0.001) and smaller preoperative anteroposterior pelvic diameter (APD). Post 6 and 12 months, NHSK maintained a larger APD, with a higher P/C ratio at 12 months. PSM retained significantly higher crossing vessel incidence in HSK (51.6 vs. 3.61%, P < 0.001). Laparoscopic pyeloplasty (LP) in HSK showed lower postoperative length of stay (LOS). Postoperative ultrasound parameters favored NHSK. In HSK and NHSK with crossing vessels, HSK demonstrated higher complications even post-PSM (38.5% vs. 0%, P = 0.039).

conclusionsThe study emphasizes the importance of recognizing crossing vessels in HSK-related hydronephrosis. Surgical success, although comparable between HSK and NHSK, requires tailored approaches. This investigation contributes valuable insights to pediatric urology, emphasizing personalized management for optimal outcomes.

Indexed as

Fused KidneyKidney PelvisPropensity ScoreUreteral ObstructionChildChild, PreschoolCohort StudiesFemaleHumansHydronephrosisInfantMaleRetrospective StudiesTreatment OutcomeUrologic Surgical ProceduresHorseshoe kidneysPediatric hydronephrosisPropensity score matchingPyeloplasty

Identifiers

PMID38695907
OpenAlexW4396591798

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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.