Evidence map›Paper›PMID 39379754›Full record

SynthesisInternational urology and nephrology2025

Prophylactic ureteral stent in colorectal surgery: a meta-analysis and systematic review.

Bernardo Fontel Pompeu, Camila Tur de Arruda Ribeiro, Eric Pasqualotto, Lucas Monteiro Delgado, Lucas Soares de Souza Pinto Guedes, Sergio Mazzola Poli de Figueiredo, Leonardo Borges, Fernanda Bellotti Formiga

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in International urology and nephrology, 2025. 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.

Bernardo Fontel Pompeu *Department of Colorectal Surgery, Heliopolis Hospital, São Paulo, Brazil. bernardo.pompeu@online.uscs.edu.br.ORCID http://orcid.org/0009-0009-2960-3810
Camila Tur de Arruda Ribeiro *Department of General Surgery, Heliopolis Hospital, São Paulo, Brazil.ORCID http://orcid.org/0009-0004-5988-360X
Eric PasqualottoFederal University of Santa Catarina, Florianópolis, Brazil.ORCID http://orcid.org/0000-0002-6484-1162
Lucas Monteiro DelgadoFederal University of Minas Gerais - UFMG, Belo Horizonte, Brazil.ORCID http://orcid.org/0009-0001-7687-3073
Lucas Soares de Souza Pinto GuedesUniversity of São Caetano do Sul - USCS, São Caetano do Sul, Brazil.ORCID http://orcid.org/0009-0008-8437-9682
Sergio Mazzola Poli de FigueiredoDepartment of Surgery, University of North Carolina, Chapel Hill, NC, USA.ORCID http://orcid.org/0000-0003-2986-8164
Leonardo BorgesDepartment of Urology, Albert Einstein Hospital, São Paulo, Brazil.ORCID http://orcid.org/0000-0003-4009-7428
Fernanda Bellotti FormigaDepartment of Colorectal Surgery, Heliopolis Hospital, São Paulo, Brazil.ORCID http://orcid.org/0000-0001-7225-7145

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAccidental ureteric injury during colorectal surgery is a rare but dreadful event. It is associated with a higher risk of urinary tract infection (UTI) and acute kidney injury (AKI). Prophylactic placement of double J stents could improve ureteral identification and decrease the chance of accidental ureteral injury.

methodsWe searched MEDLINE, Cochrane, Central Register of Clinical Trials, and Web of Science for studies published until March 2024. Odds ratios (ORs) with 95% confidence intervals (CIs) were pooled with a random-effects model. Statistical significance was defined as p < 0.05. Heterogeneity was assessed using the Cochran Q test and I

resultsEleven observational studies were included, comprising 71,784 patients. Among them, 11,723 (16.4%) were submitted to a prophylactic ureteral stent while 59,961 (83.6%) were not. There was no significant difference in ureteral injury between the groups (0.66% vs 0.8%; OR 1.45; 95% CI 0.43-4.87; p = 0.552; I

conclusionIn colorectal surgery, prophylactic ureteral stents were associated with increased AKI and operative time. No significant difference was observed in ureteral injury, UTI, hematuria, length of hospital stays, and reoperation.

Indexed as

Colorectal SurgeryIntraoperative ComplicationsStentsUreterAcute Kidney InjuryHumansPostoperative ComplicationsColorectal neoplasm cancerColorectal surgeryDiverticulitisMinimally invasive surgeryUreteral stent

Identifiers

PMID39379754

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.