Evidence map›Paper›PMID 41836765›Full record

ArticleFrontiers in bioengineering and biotechnology2026

The

Ke Hu, Yu Zhang, Xinmiao Ma, Shouhua Han, Tianyang Zhou, Zhipeng Hou, Xiancheng Li

Abstract read
In one paragraph

Article in Frontiers in bioengineering and biotechnology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Ke Hu *Department of Urology, The Second Hospital of Dalian Medical University, Dalian, Liaoning, China.
Yu Zhang *Department of Urology, The Second Hospital of Dalian Medical University, Dalian, Liaoning, China.
Xinmiao Ma *Department of Urology, The Second Hospital of Dalian Medical University, Dalian, Liaoning, China.
Shouhua HanResearch Center for Biomedical Materials, Engineering Research Center of Ministry of Education for Minimally Invasive Gastrointestinal Endoscopic Techniques, Shengjing Hospital of China Medical University, Shenyang, China.
Tianyang ZhouDivision of Hepatobiliary and Pancreatic Surgery, Department of General Surgery, The Second Hospital of Dalian Medical University, Dalian, Liaoning, China.
Zhipeng HouResearch Center for Biomedical Materials, Engineering Research Center of Ministry of Education for Minimally Invasive Gastrointestinal Endoscopic Techniques, Shengjing Hospital of China Medical University, Shenyang, China.
Xiancheng LiDepartment of Urology, The Second Hospital of Dalian Medical University, Dalian, Liaoning, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ureteral stent placement is a commonly executed clinical intervention for the treatment of upper urinary tract diseases. However, conventional non-degradable stents necessitate secondary extraction and are associated with complications such as infections, stone formation, and irritative symptoms when left indwelling for extended durations. To mitigate these risks, we introduce a novel three-layer gradient degradable ureteral stent (PTGGDG) developed from copolymers of TMC and GA [P(TMC-co-GA), abbreviated as PTG] using a multilayer impregnation technique. The structural design comprises PTG6040, PTG5050, and PTG4060 layers arranged from the inner layer to the outer layer. The present study systematically explored the relationship between the molecular chemical structure of the stent and its macroscale performance under varying proportions. The findings of this study demonstrate that PTGGDG exhibits a tensile strength of 34.69 MPa, coupled with exceptional flexibility, thus substantiating its compliance with the stringent mechanical support criteria stipulated for ureteral stents. The degradation behavior of PTG ureteral stents was rigorously assessed in artificial urine (AU) and aspergillus oryzae lipase-PBS (AP) environments. By modulating the PGA content in the formulation, the stents exhibited controllable degradation rates and maintained satisfactory morphological stability. In the present study, the stent was found to undergo predominantly hydrolytic degradation driven by GA, with the gradient structure extending functional support and minimising abrupt structural failure over a degradation period of 42 days. The PTGGDG stent undergoes preferential degradation of the outer layer in the AU due to the rapid degradation of its PTG4060 component. The middle layer's PTG5050 plays a buffering role in this process. The inner layer's PTG6040 degrades more slowly, ensuring a smooth lumen flow and allowing the degradation fragments to be discharged with artificial urine. This prevents obstruction of the ureteral stent fragments. In AP, the predominant form of erosion was enzymatic, driven by TMC, resulting in a degradation timeframe of 13 days. This gradient design is promising as it maintains urinary luminal patency while facilitating degradation in accordance with clinical requirements, thereby keeping urine pH within physiological ranges and providing insights for the optimization of materials and structural integrity in degradable ureteral stents.

Indexed as

enzymatic degradationGAgradient degradationhydrolytic degradationTMCureteral stent

Identifiers

PMID41836765
PMCPMC12979396

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.