Evidence map›Paper›PMID 39110242›Full record

ReviewWorld journal of urology2024

Consensus statement addressing controversies and guidelines on pediatric urolithiasis.

S Güven, T Tokas, A Tozsin, B Haid, T S Lendvay, S Silay, V C Mohan, J R Cansino, S Saulat, M Straub and 23 more

Erratum issuedAbstract readConsensus StatementReview
In one paragraph

Review in World journal of urology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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

  1. Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

33 authors.

S GüvenDepartment of Urology, Necmettin Erbakan University Meram School of Medicine, Konya, Turkey. selcukguven@hotmail.com.
T TokasDepartment of Urology, University General Hospital of Heraklion, Athens, Greece.
A TozsinDepartment of Urology, Trakya University School of Medicine Hospital, Edirne, Turkey.
B HaidOrdensklinikum Linz, Barmherzige Scwestern Hospital, Linz, Austria.
T S LendvayDepartment of Urology, University of Washington, Seattle Children's Hospital, Seattle, WA, USA.
S SilayIstanbul Medipol University, Istanbul, Turkey.
V C MohanPreeti Urology Hospital, Hyderabad, Telangana, India.
J R CansinoHospital Universitario La Paz, Madrid, Spain.
S SaulatDepartment of Urology, Tabba Kidney Institute, Karachi, Pakistan.
M StraubDepartment of Urology, Technical University Munich, Munich, Germany.
A Bujons TurUrology Department, Fundación Puigvert, Universidad Autónoma de Barcelona, Barcelona, Spain.
B AkgülDepartment of Urology, Trakya University School of Medicine Hospital, Edirne, Turkey.
J SamotyjekPediatric Surgery and Urology Clinic CMKP in Dziekanów Leśny, Dziekanów Leśny, Poland.
L LusuardiDepartment of Urology, Paracelsus Medical University Salzburg University Hospital, Urology, Salzburg, Austria.
S FerrettiDepartment of Urology, University of Modena and Reggio Emilia, Modena, Italy.
O F CavdarDepartment of Urology, Necmettin Erbakan University Meram School of Medicine, Konya, Turkey.
G OrtnerDepartment of Urology, General Hospital Hall I.T, Tirol, Austria.
S SultanDepartment of Urology, Menoufia University Hospitals, Shebeen El Kom, Egypt.
S ChoongInstitute of Urology, University College Hospital, London, UK.
S MicaliDepartment of Urology, University of Modena and Reggio Emilia, Modena, Italy.
I SaltirovDepartment of Urology and Nephrology at Military Medical Academy, Sofia, Bulgaria.
A SezerPediatric Urology Clinic, Konya City Hospital, Konya, Turkey.
C NetschAsklepios Klinik BarmbekAbteilung Für Urologie, Hamburg, Germany.
E de LorenzisDepartment of Urology, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
O O CakirKing's College London, Guy's and St. Thomas' NHS Foundation Trust, King's Health Partners, London, UK.
G ZengDepartment of Urology and Guangdong Key Laboratory of Urology, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
A S GozenDepartment of Urology, Medius Clinic, Ostfildern, Germany.
G BianchiDepartment of Urology, University of Modena and Reggio Emilia, Modena, Italy.
B JurkiewiczPediatric Surgery and Urology Clinic CMKP in Dziekanów Leśny, Dziekanów Leśny, Poland.
T KnollKlinikum Sindelfingen-Boeblingen, Sindelfingen, Germany.
J RassweilerDepartment of Urology and Andrology, Danube Private University, Krems, Austria.
K AhmedKing's College London, Guy's and St. Thomas' NHS Foundation Trust, King's Health Partners, London, UK.
K SaricaSancaktepe Sehit Prof. Dr. Ilhan Varank Research and Training Hospital, Istanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe aimed to investigate controversial pediatric urolithiasis issues systematically, integrating expert consensus and comprehensive guidelines reviews.

methodsTwo semi-structured online focus group meetings were conducted to discuss the study's need and content, review current literature, and prepare the initial survey. Data were collected through surveys and focus group discussions. Existing guidelines were reviewed, and a second survey was conducted using the Delphi method to validate findings and facilitate consensus. The primary outcome measures investigated controversial issues, integrating expert consensus and guideline reviews.

resultsExperts from 15 countries participated, including 20 with 16+ years of experience, 2 with 11-15 years, and 4 with 6-10 years. The initial survey identified nine main themes, emphasizing the need for standardized diagnostic and treatment protocols and tailored treatments. Inter-rater reliability was high, with controversies in treatment approaches (score 4.6, 92% agreement), follow-up protocols (score 4.8, 100% agreement), and diagnostic criteria (score 4.6, 92% agreement). The second survey underscored the critical need for consensus on identification, diagnostic criteria (score 4.6, 92% agreement), and standardized follow-up protocols (score 4.8, 100% agreement).

conclusionThe importance of personalized treatment in pediatric urolithiasis is clear. Prioritizing low-radiation diagnostic tools, effectively managing residual stone fragments, and standardized follow-up protocols are crucial for improving patient outcomes. Integrating new technologies while ensuring safety and reliability is also essential. Harmonizing guidelines across regions can provide consistent and effective management. Future efforts should focus on collaborative research, specialized training, and the integration of new technologies in treatment protocols.

Indexed as

UrolithiasisChildConsensusDelphi TechniqueHumansESWLGuidelinesMetabolic evaluationPCNLPediatric urolithiasisUreteroscopy

Identifiers

PMID39110242
PMCPMC11306500

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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.