Evidence map›Paper›PMID 41806030›Full record

SynthesisWorld journal of urology2026

Thulium fiber laser versus holmium: YAG laser for ureteroscopic lithotripsy of ureteral stones: a systematic review and meta-analysis.

Yiwei Zhang, Lifeng Liu, Xiaoyu Tang, Ziqi He, Zhilong Li, Du Wang, Lin Zhang, Sheng Li

Abstract readMeta-AnalysisSystematic ReviewComparative Study
PubMed Publisher
In one paragraph

Synthesis in World journal of urology, 2026. 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
  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

8 authors.

Yiwei ZhangDepartment of Urology, Cancer Precision Diagnosis and Treatment and Translational Medicine Hubei Engineering Research Center, Zhongnan Hospital of Wuhan University, 430060, Wuhan, China.
Lifeng LiuDepartment of Urology, Cancer Precision Diagnosis and Treatment and Translational Medicine Hubei Engineering Research Center, Zhongnan Hospital of Wuhan University, 430060, Wuhan, China.
Xiaoyu TangDepartment of Urology, Cancer Precision Diagnosis and Treatment and Translational Medicine Hubei Engineering Research Center, Zhongnan Hospital of Wuhan University, 430060, Wuhan, China.
Ziqi HeDepartment of Urology, Renmin Hospital of Wuhan University, 430060, Wuhan, China.
Zhilong LiDepartment of Urology, Cancer Precision Diagnosis and Treatment and Translational Medicine Hubei Engineering Research Center, Zhongnan Hospital of Wuhan University, 430060, Wuhan, China.
Du WangThe Institute of Technological Sciences, Wuhan University, 430071, Wuhan, China. wangdu@whu.edu.cn.
Lin ZhangDepartment of Urology, Cancer Precision Diagnosis and Treatment and Translational Medicine Hubei Engineering Research Center, Zhongnan Hospital of Wuhan University, 430060, Wuhan, China. thezhanglin@whu.edu.cn.
Sheng LiDepartment of Urology, Cancer Precision Diagnosis and Treatment and Translational Medicine Hubei Engineering Research Center, Zhongnan Hospital of Wuhan University, 430060, Wuhan, China. lisheng-znyy@whu.edu.cn.

Funding

Hubei Provincial Key R&D Project 2023BCB001The National Key Research and Development Program of China 2024YFC2421400
6 · The paper itself

Abstract

OBJECTIVE/

backgroundTo evaluate the safety and efficacy of TFL and Ho: YAG laser in URL for Ureteral Stones.

methodsAn electronic search of randomized controlled trials (RCTs) of TFL and Ho: YAG under URL for ureteral stones was conducted in PubMed, Embase, Web of Science (WOS), and Cochrane Library to retrieve relevant studies published from inception to March 21, 2025. Meta-analysis was conducted with software RevMan 5.4.1. The Protocol number is CRD420251021727 ( www.crd.york.ac.uk/PROSPERO ).

results5 RCTs comprised of 441 patients were included. The TFL group had a higher Stone-free rate (SFR) (RR = 1.03, 95% CI 1.01 to 1.06, P = 0.02, analyzed with fixed-effects model) with acceptable heterogeneity (I

conclusionTFL with URL showed significantly higher SFR and shorter operative times than Ho: YAG without increasing complications (Clavien I-III), it also reduced severe retropulsion (grade 2, Likert scale). Nonetheless, these conclusions should be validated through high-quality RCTs with a large sample.

Indexed as

Lasers, Solid-StateLithotripsy, LaserThuliumUreteral CalculiUreteroscopyHumansThuliumHolmium LaserMeta-analysisThulium Fiber LaserUreteral StonesUreteroscopic Lithotripsy

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.