Evidence map›Paper›PMID 40656356›Full record

ArticleCureus2025

Efficacy of Tranexamic Acid in Reducing Blood Loss During Percutaneous Nephrolithotomy: An Interventional Study.

Meenal Meharwal, Rajeev Sarpal, Shikhar Agarwal, Meghali Dhebane, Jitendra Prasad Ray, Rishin Dutta, Divyanshu Joshi

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. 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.

Meenal MeharwalGeneral Surgery, Swami Rama Himalayan University, Dehradun, IND.
Rajeev SarpalUrology, Swami Rama Himalayan University, Dehradun, IND.
Shikhar AgarwalUrology, Swami Rama Himalayan University, Dehradun, IND.
Meghali DhebanePathology, Swami Rama Himalayan University, Dehradun, IND.
Jitendra Prasad RayGeneral Surgery, Swami Rama Himalayan University, Dehradun, IND.
Rishin DuttaUrology, Swami Rama Himalayan University, Dehradun, IND.
Divyanshu JoshiUrology, Swami Rama Himalayan University, Dehradun, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn interventional study was conducted in the Department of Urology at a tertiary care center in Dehradun, India, to assess the efficacy of tranexamic acid (TXA) in reducing blood loss during percutaneous nephrolithotomy (PCNL). MATERIALS AND

methodsA total of 99 patients with renal calculi were recruited for this study over a period of 18 months. Subjects were selected from patients presenting with a history of flank pain in the Outpatient Department (OPD). Written informed consent for the inclusion of patient data in the study was obtained from all participants. The study was undertaken after obtaining ethical clearance from the Institutional Ethics Committee.

resultsIn this study, there was no statistical difference in gender between the groups receiving TXA and those not receiving it (p-value = 0.492). The mean age of the recruited cases in both groups was between 42 and 43 years. This study recorded calyceal puncture sites, irrigating fluid used, and pre- and postoperative hemoglobin and packed cell volume (PCV) values to calculate blood loss. Additionally, body mass index (BMI), co-morbidities, stone size, ease of puncture and dilatation, and operative time were recorded as other variables for both groups. There was no mortality observed in any of the patients postoperatively. Blood loss was much lower in patients receiving TXA.

conclusionTXA is safe and effective in reducing blood loss during PCNL.

Indexed as

blood lossefficacypercutaneous nephrolithotomy (pcnl)safetytranexamic acid (txa)

Identifiers

PMID40656356
PMCPMC12256033

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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.