Evidence map›Paper›PMID 39990078›Full record

ArticleAsian journal of urology2025

Worldwide variations in the knowledge and use of fluoroscopy during percutaneous nephrolithotomy-should we do better? A survey by the European Association of Urology Section for Uro-Technology and the International Alliance of Urolithiasis.

Otaš Durutovic, Guohua Zeng, Bhaskar Somani, Simon Choong, Giorgio Mazzon, Di Gu, Zeeshan Hameed, T P Rajeev, Bogomir Milojevic, Davide Brusa and 8 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Asian journal of urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

18 authors.

Otaš DurutovicClinic of Urology, University Clinical Centre of Serbia, Belgrade, Serbia.
Guohua ZengDepartment of Urology, Minimally Invasive Surgery Center, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Bhaskar SomaniDepartment of Urology, University Hospital Southampton NHS Trust, Southampton, UK.
Simon ChoongThe Institute of Urology, University College London Hospitals, London, UK.
Giorgio MazzonDepartment of Urology, AULSS7 Pedemontana, Bassano Del Grappa, Italy.
Di GuDepartment of Urology, Minimally Invasive Surgery Center, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Zeeshan HameedFather Muller Medical College, Manglore, India.
T P RajeevMedicty Superspeciality Hospital, Guwahati, India.
Bogomir MilojevicClinic of Urology, University Clinical Centre of Serbia, Belgrade, Serbia.
Davide BrusaDepartment of Urology, Azienda Ospedaliera Universitaria Integrata Verona, University of Verona, Verona, Italy.
Tiago Ribeiro OliveiraDepartment of Urology, Lisbon North University Hospitals, Lisbon, Portugal.
Sergio PereiraDepartment of Urology, Lisbon North University Hospitals, Lisbon, Portugal.
Nariman GadzhievDepartment of Urology, Saint Petersburg State University Hospital, Saint Petersburg, Russia.
Ali Serdar GozenDepartment of Urology, SLK Kliniken, Heilbronn, Baden-Wuttemberg, Germany.
Evangelos LiatsikosDepartment of Urology, University of Patras, Patras, Greece.
Panagiotis KallidonisNational and Kapodistrian University of Athens, Athens, Greece.
Uros BumbasirevicClinic of Urology, University Clinical Centre of Serbia, Belgrade, Serbia.
Andreas SkolarikosNational and Kapodistrian University of Athens, Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aimed to investigate the level of knowledge among urologists of usage of fluoroscopy during percutaneous nephrolithotomy. Methods: We conducted an anonymous internet-based survey addressed to the EAU Section of Uro-Technology and the International Alliance of Urolithiasis members with particular interest in the stone treatment at all levels of expertise. The final version of the questionnaire included 31 questions, evaluated the level of knowledge on X-ray utilization and exposure, and identified correlations between geographic areas, levels of seniority, surgical volumes, and awareness on radiation protection. Results: In total, 586 respondents were included. Knowledge of fluoroscopy settings appeared low, particularly among trainees (up to 87.5% were uninformed, Conclusion: Although high and routinary utilization of X-rays, the level of awareness and adhesion to "as low as reasonably achievable" principles among endourologists seems suboptimal in 65.0% of all respondents. Highest volume surgeons, inevitably at higher risk, do not seem to adopt more precautions. More efforts should be addressed to improve these results, reducing the risk related to excessive radiation exposure for both surgical staff and patients in order to minimize health related issues.

Indexed as

“As low as reasonably achievable”FluoroscopyPercutaneous nephrolithotomyRenal stone

Identifiers

PMID39990078
PMCPMC11840322

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.