Evidence map›Paper›PMID 38780633›Full record

ArticleUrolithiasis2024

Bilateral ureteral stones; factors affecting treatment decision.

Orhun Sinanoglu, Salih Yildirim, Ferhat Yakup Suceken, Fatih Bicaklioglu, Mehmet Erhan Aydin, Mehmet Uslu, Ozgur Arikan, Kemal Sarica

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Urolithiasis, 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
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.

  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.

Orhun SinanogluDepartment of Urology, Sancaktepe Sehit Prof Dr Ilhan Varank Training and Research Hospital, Istanbul, Turkey. orhundr@hotmail.com.
Salih YildirimDepartment of Urology, Sancaktepe Sehit Prof Dr Ilhan Varank Training and Research Hospital, Istanbul, Turkey.
Ferhat Yakup SucekenDepartment of Urology, Umraniye Training and Research Hospital, Istanbul, Turkey.
Fatih BicakliogluDepartment of Urology, Kartal Lutfi Kirdar Training and Research Hospital, Istanbul, Turkey.
Mehmet Erhan AydinDepartment of Urology, Eskisehir City Hospital, Eskisehir, Turkey.
Mehmet UsluDepartment of Urology, Kafkas University Medical School, Kars, Turkey.
Ozgur ArikanDepartment of Urology, Istanbul Medeniyet University Goztepe Suleyman Yalcin City Hospital, Istanbul, Turkey.
Kemal SaricaDepartment of Urology, Sancaktepe Sehit Prof Dr Ilhan Varank Training and Research Hospital, Istanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate certain factors that may affect the decision-making process for the rational management approach in cases presenting with bilateral ureteral stones.

methodsA total of 153 patients presenting with bilateral ureteral stones from 6 centers were evaluated and divided in three groups. Group 1 (n:21) Patients undergoing DJ stent insertion in one ureter and ureterorenoscopic (URS) lithotripsy for the contralateral ureteral stone. Group 2 (n:91), URS lithotripsy for both ureteral stones and Group 3 (n:41) patients undergoing bilateral DJ stent insertion. The outcomes of the procedures and the relevant patient as well as stone related factors have been comparatively evaluated in three groups.

resultsWhile associated UTI rates and serum creatinine levels were significantly higher in bilateral DJ group, previous URS history was found to be significantly higher in cases undergoing bilateral URS than those undergoing bilateral DJ stenting. URS was performed significantly more often in cases with lower ureteral stones and DJ stenting seems to be more rational approach in upper ureteral stones. In patients with lower ureteral stones, larger and harder stones, endourologists tended to perform URS as the first option.

conclusionsDecision making for a rational approach in cases with bilateral ureteral stones my be challenging. Our findings demonstated that serum creatinine levels, associated UTI, location and the hardness of the stone and previous ureteroscopy anamnesis could be important factors in making a decision between JJ stenting and ureteroscopic stone extraction in emergency conditions.

Indexed as

Clinical Decision-MakingLithotripsyStentsUreteral CalculiUreteroscopyAdultAgedCreatinineFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeUrinary Tract InfectionsCreatinineBilateralDJ stentStoneUreteralUreterorenoscopy

Identifiers

PMID38780633

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.