Evidence map›Paper›PMID 41622804›Full record

ArticleJournal of endourology2026

Phenotyping of Idiopathic Calcium Oxalate Stone Formers Reveals Risk Factors for Papillary Lesions and Chronic Renal Function.

Daniel G Wong, Elaine Worcester, Tarek El-Achkar, Fredric Coe, James Lingeman, James C Williams

Abstract read
In one paragraph

Article in Journal of endourology, 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

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

1 citing paper in PubMed.

  1. Review
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

6 authors.

Daniel G WongDivision of Urological Surgery, Washington University in St. Louis, St. Louis, Missouri, USA.
Elaine WorcesterDepartment of Medicine, Division of Nephrology, University of Chicago, Chicago, Illinois, USA.
Tarek El-AchkarDepartment of Urology, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Fredric CoeDepartment of Medicine, Division of Nephrology, University of Chicago, Chicago, Illinois, USA.
James LingemanDepartment of Urology, Indiana University School of Medicine, Indianapolis, Indiana, USA.
James C WilliamsDepartment of Urology, Indiana University School of Medicine, Indianapolis, Indiana, USA.

Funding

STONE FORMATION IN GENETIC HYPERCALCIURIAP01DK056788 · NIDDK · UNIVERSITY OF CHICAGO · PI ASHKAR, TAREK MAURICE · 2000 to 2021
$22.5M
NIDDK NIH HHS P01 DK056788
6 · The paper itself

Abstract

backgroundIdiopathic calcium oxalate stone formers (ICSFs) are a heterogeneous group. Randall's plaque (RP) and ductal plugs are two common papillary features observed in ICSFs. These papillary phenotypes, implicated in early stone formation, may be susceptible to different risk factors and have differing long-term health outcomes such as stone events and kidney function. We investigate these outcomes using clinical data from a well-characterized cohort of ICSFs undergoing endoscopic stone removal.

methodsICSFs undergoing stone removal procedures were consented for the study between August 2005 and May 2023. Papillae were imaged endoscopically per standard protocol. Two 24-hour urine tests were collected postoperatively while patients were off stone prevention medications. Chart review was performed for comorbidities, serum laboratories, and medication usage related to stone formation.

resultsWe identify three distinct phenotypes. Of 106 ICSFs, 37 had high plugging without plaque, 44 had high plaque without plugging, and 25 had low plaque and low plugging. High plugging ICSFs had lower estimated glomerular filtration rate (eGFR), increased history of prior urinary tract infection (UTI), and more prior stone events than ICSFs with high plaque or neither feature. Multivariable regression revealed plugging as a significant predictor of eGFR when correcting for age, gender, prior UTIs, and prior stone events.

conclusionsPlugging appears to be an important predictor for eGFR and multiple stone events. Prior UTIs appear to have a significant effect on plugging. RP did not appear to influence stone events or kidney function.

Indexed as

Calcium OxalateKidney CalculiRenal Insufficiency, ChronicAdultFemaleGlomerular Filtration RateHumansMaleMiddle AgedPhenotypeRisk FactorsCalcium OxalatecalculipapillaRandall’s plaque

Identifiers

PMID41622804
PMCPMC13646752

What OpenQuestion holds

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Registered trials

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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.