Evidence map›Paper›PMID 41024960›Full record

ArticleWorld journal of nephrology2025

Safety, feasibility, and efficacy of surgical intervention for Urolithiasis in patients with chronic kidney disease: A systematic review.

Shiv C Navriya, Om K Yadav, Ankit Shettar, Mahendra Singh, Jaydeep Jain, Shashank Kumar, Deepak P Bhirud, Gautam R Choudhary, Arjun S Sandhu

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In one paragraph

Article in World journal of nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

2 citing papers in PubMed.

  1. Article
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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

9 authors.

Shiv C NavriyaDepartment of Urology, All India Institute of Medical Sciences, Jodhpur 342008, Rājasthān, India.
Om K YadavDepartment of Urology, All India Institute of Medical Sciences, Jodhpur 342008, Rājasthān, India.
Ankit ShettarDepartment of Urology, All India Institute of Medical Sciences, Jodhpur 342008, Rājasthān, India.
Mahendra SinghDepartment of Urology, All India Institute of Medical Sciences, Jodhpur 342008, Rājasthān, India. drmahi1118@gmail.com.
Jaydeep JainDepartment of Urology, All India Institute of Medical Sciences, Jodhpur 342008, Rājasthān, India.
Shashank KumarDepartment of Urology, All India Institute of Medical Sciences, Jodhpur 342008, Rājasthān, India.
Deepak P BhirudDepartment of Urology, All India Institute of Medical Sciences, Jodhpur 342008, Rājasthān, India.
Gautam R ChoudharyDepartment of Urology, All India Institute of Medical Sciences, Jodhpur 342008, Rājasthān, India.
Arjun S SandhuDepartment of Urology, All India Institute of Medical Sciences, Jodhpur 342008, Rājasthān, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUrolithiasisposes challenges in patients with chronic kidney disease (CKD), necessitating careful consideration of surgical interventions due to potential complications.

aimTo assess the safety, feasibility, and efficacy of surgical interventions for urolithiasis in CKD patients.

methodsSystematic review adhering to PRISMA guidelines. Comprehensive searches of PubMed, Scopus, Cochrane Library, Web of Science, and Embase were conducted for studies published from January 2014 to June 2024. Studies involving adult patients (≥ 18 years) with CKD undergoing surgical interventions for urolithiasis, including randomized controlled trials, cohort studies, case-control studies, and observational studies. Studies involving pediatric patients, those not specifically addressing CKD patients, review articles, commentaries, and editorials. Despite an extensive search, only six studies met the strict inclusion criteria, reflecting the limited available data on this topic. This limitation has been acknowledged and discussed.

resultsA total of 6 studies met the inclusion criteria, encompassing a diverse range of surgical interventions such as percutaneous nephrolithotomy (PCNL), ureteroscopy (URS), and extracorporeal shock wave lithotripsy (ESWL). Perioperative and postoperative complications varied across studies, with bleeding, infection, and acute kidney injury being the most common. The risk of complications was higher in patients with advanced CKD. Technical success rates were generally high, but feasibility was influenced by patient-specific factors such as CKD stage and comorbidities. Modifications to standard surgical techniques were often necessary. Stone-free rates and recurrence rates varied, with PCNL generally achieving higher stone-free rates compared to URS and ESWL. Long-term outcomes on renal function were inconsistent, highlighting the need for individualized treatment plans.

conclusionSurgical interventions for urolithiasis in CKD patients are associated with significant risks but can be effective in achieving stone clearance and symptom relief. The safety, feasibility, and efficacy of these interventions depend on patient-specific factors, necessitating a tailored approach. Further high-quality studies are needed to develop standardized guidelines and improve clinical outcomes in this complex patient population.

Indexed as

Chronic kidney diseaseComplicationsEfficacyFeasibilityRenal functionSafetyStone clearanceSurgical interventionSystematic reviewUrolithiasis

Identifiers

PMID41024960
PMCPMC12476740

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