ArticleWorld journal of urology2025
Maximizing safety in stone disease: the impact of strict As Low As Reasonably Achievable (ALARA) principle adherence on radiation exposure and clinical outcomes.
Article in World journal of urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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.
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.
Who cites it
2 citing papers in PubMed.
- Tackling complex kidney stones in children: the role of vacuum-assisted mini-PCNL - a single-center study.World journal of urology · 2026Article
- Direct-in-scope suction with a 5.1Fr large working channel ureteroscope: what stone dust size for effective evacuation during laser lithotripsy? An in vitro analysis by PEARLS and section of EAU Endourology.World journal of urology · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
15 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe As Low As Reasonably Achievable (ALARA) principle aims to minimize radiation exposure for patients and staff. This study evaluates ALARA's impact on patient radiation exposure and clinical outcomes in endourological procedures.
methodsThis retrospective study analyzed 755 patients undergoing endourological procedures (percutaneous nephrolithotomy (PCNL), ureteroscopy (URS), shock wave lithotripsy (SWL), and JJ insertion and replacement), divided into limited- versus strict-ALARA adherence groups. We assessed radiation exposure (dose area product (DAP) and fluoroscopy time (FT)) and clinical outcomes (operative time (OT), stone free rate (SFR), complications).
resultsSignificant DAP reductions were achieved with ALARA: 90.2% (PCNL), 92.9% (URS), 63.6% (SWL), 95.1% (JJ insertion), and 94.6% (JJ replacement) (all p < 0.001). FT also decreased significantly: 58.4% (PCNL), 64.7% (URS), 18.2% (SWL), 60.3% (JJ insertion), and 62.4% (JJ replacement) (all p < 0.001). In the ALARA group, median DAP values and FT were: PCNL (3440.0 mGycm
conclusionTo our knowledge, this is the first multi-modality analysis linking strict ALARA adherence to exposure reduction and unchanged clinical outcomes across PCNL, URS, SWL, and stenting. Prospective, randomized trials should validate these novel results.
Indexed as
Identifiers
41364187What OpenQuestion holds
Registered trials
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.