Evidence map›Paper›PMID 41317237›Full record

ArticleInternational urology and nephrology2026

Evaluating the incidence of nephrolithiasis surgery before and after parathyroidectomy.

Ashley Li, David Song, Madelaine J Rangel, Kelvin Lim, Jathin Bandari, Rajat K Jain, Alessandra Moore, Jacob Moalem, Scott O Quarrier

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in International urology and nephrology, 2026. 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

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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

9 authors.

Ashley LiDepartment of Urology, University of Rochester Medical Center, 601 Elmwood Ave, Box 656, Rochester, NY, 14604, USA.ORCID http://orcid.org/0009-0007-4041-0556
David SongSchool of Medicine and Dentistry, University of Rochester, Rochester, NY, USA.
Madelaine J RangelSchool of Medicine and Dentistry, University of Rochester, Rochester, NY, USA.
Kelvin LimDepartment of Urology, University of Rochester Medical Center, 601 Elmwood Ave, Box 656, Rochester, NY, 14604, USA.
Jathin BandariDepartment of Urology, University of Rochester Medical Center, 601 Elmwood Ave, Box 656, Rochester, NY, 14604, USA.
Rajat K JainDepartment of Urology, University of Rochester Medical Center, 601 Elmwood Ave, Box 656, Rochester, NY, 14604, USA.ORCID http://orcid.org/0000-0003-0453-5574
Alessandra MooreSection of Endocrine Surgery, University of Rochester Medical Center, Rochester, NY, USA.
Jacob MoalemSection of Endocrine Surgery, University of Rochester Medical Center, Rochester, NY, USA.
Scott O QuarrierDepartment of Urology, University of Rochester Medical Center, 601 Elmwood Ave, Box 656, Rochester, NY, 14604, USA. scott_quarrier@urmc.rochester.edu.ORCID http://orcid.org/0000-0002-2546-5264

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePrimary hyperparathyroidism (PHPT) patients who undergo parathyroidectomy (PTX) have significantly reduced rates of kidney stone events based on imaging and patient-reported history. However, there has been limited knowledge on the impact of PTX on stone disease requiring surgical intervention. The aim of this study was to compare the incidence of kidney stone surgery before and after PTX.

methodsPHPT patients who underwent PTX from 2015-2023 at our institution were retrospectively reviewed. We evaluated the incidence of kidney stone treatment by shockwave lithotripsy (SWL), ureteroscopy (URS) and percutaneous nephrolithotomy (PCNL) based on CPT codes. Univariate and multivariate analyses were performed to compare the incidence rate before and after PTX.

resultsWe included 1554 patients who underwent PTX and identified 101 kidney stone surgeries. Patients were 75% female, 16% non-white race and had a median age of 63 years (IQR 55-71) at the time of PTX. The median follow-up time was 5.2 years before and 3.3 years after PTX. The incidence of kidney stone surgery in patients pre- vs post-PTX was 80 events/7668 person-years (1.0%) vs 21 events/5318 person-years (0.4%) respectively, (p < 0.0001). Thus, the incidence rate of requiring stone surgery decreased by 2.64 times following PTX (95% CI 1.62-4.50, p < 0.0001). The cases of URS and SWL decreased whereas the cases of PCNL increased (p < 0.02).

conclusionThe incidence of stone disease requiring surgical intervention significantly decreased following PTX. It remains critical to screen recurrent stone formers for PHPT, as surgical correction with PTX may help reduce subsequent stone surgeries and associated comorbidities.

Indexed as

Hyperparathyroidism, PrimaryKidney CalculiNephrolithiasisParathyroidectomyAgedFemaleHumansIncidenceLithotripsyMaleMiddle AgedRetrospective StudiesHyperparathyroidismKidney stoneNephrolithiasisParathyroid hormoneUrinary calculiUrolithiasis

Identifiers

PMID41317237

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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.