Evidence map›Paper›PMID 39012390›Full record

SynthesisWorld journal of urology2024

Effect of infundibulopelvic angle on outcomes of ureteroscopy: a systematic review and meta-analysis.

James Leighton, Arran Dingwall, Sophie Whitehead, Angus Luk, Vineet Gauhar, Bhaskar Somani, Robert Geraghty

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis 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 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. 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

7 authors.

James LeightonDepartment of Urology, Freeman Hospital, Freeman Road, Newcastle upon Tyne, UK.
Arran DingwallDepartment of Urology, Freeman Hospital, Freeman Road, Newcastle upon Tyne, UK.
Sophie WhiteheadDepartment of Urology, Freeman Hospital, Freeman Road, Newcastle upon Tyne, UK.
Angus LukDepartment of Urology, Freeman Hospital, Freeman Road, Newcastle upon Tyne, UK.
Vineet GauharDepartment of Urology, Ng Teng Fong General Hospital, Singapore, Singapore.
Bhaskar Somani *Department of Urology, University Hospital Southampton, Tremona Road, Southampton, UK.
Robert Geraghty *Department of Urology, Freeman Hospital, Freeman Road, Newcastle upon Tyne, UK. rob.geraghty@newcastle.ac.uk.ORCID http://orcid.org/0000-0002-9128-5173

Funding

Royal College of Surgeons of England Royal College of Surgeons of England
6 · The paper itself

Abstract

purposeThe infundibulo-pelvic angle (IPA) is reportedly a predictor of successful ureteroscopy for lower pole renal stones, however there is uncertainty at which IPA success is likely. We therefore aimed to perform a meta-analysis and determine at which the angle of likely success and failure.

methodsWe performed a systematic review and meta-analysis as per Cochrane guidelines in accordance to the PRISMA statement. The review was registered with PROSPERO prior to commencement (ID: CRD42022296732). We included studies reporting on outcomes of ureteroscopy for lower pole stones, with IPA. We excluded patients undergoing alternative treatments for lower pole stones, anatomical abnormalities and studies with < 10 patients. We assessed bias with the Newcastle-Ottawa scale. We performed meta-analysis in R, and summarised the findings as per GRADE.

resultsOverall, there were 13 studies included, with 10 included for meta-analysis. These studies covered n = 1964 patients (71% stone free). Overall, the stone free patients had a significantly less acute mean IPA (52

conclusionWith a very low certainty of evidence, we demonstrate that at an IPA of < 30

Indexed as

Kidney CalculiKidney PelvisUreteroscopyHumansTreatment OutcomeInfundibulopelvic angleLower PoleRIRSUreteroscopy

Identifiers

PMID39012390
PMCPMC11252207

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.