Evidence map›Paper›PMID 39398599›Full record

ArticleAmerican journal of translational research2024

Effect of flexible cystoscopy combined with flexible ureteroscopy on short-term outcomes in patients with complex renal stones.

Haibao He, Jianxun Zhang, Wenyan He, An Liu, Lei Liu

Abstract read
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Article in American journal of translational research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Haibao HeDepartment of Urology, Yan'an People's Hospital No. 57 Qilipu Street, Baota District, Yan'an 716000, Shaanxi, China.
Jianxun ZhangDepartment of Urology, Yan'an People's Hospital No. 57 Qilipu Street, Baota District, Yan'an 716000, Shaanxi, China.
Wenyan HeDepartment of Urology, Yan'an People's Hospital No. 57 Qilipu Street, Baota District, Yan'an 716000, Shaanxi, China.
An LiuDepartment of Urology, Yan'an People's Hospital No. 57 Qilipu Street, Baota District, Yan'an 716000, Shaanxi, China.
Lei LiuDepartment of Urology, Yan'an People's Hospital No. 57 Qilipu Street, Baota District, Yan'an 716000, Shaanxi, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the short-term efficacy of combining flexible cystoscopy with flexible ureteroscopy in the treatment of complex renal stones.

methodsThe medical records of 145 patients with complex renal stones admitted to Yan'an People's Hospital from February 2020 to February 2022 were retrospectively analyzed. Among these, 65 patients treated with flexible ureteroscopy alone constituted the control group. The research group consisted of 81 patients receiving both flexible cystoscopy and flexible ureteroscopy. Outcomes compared between the two groups included stone removal rate, operative time, time to ambulation, hospitalization duration, and intraoperative bleeding. Logistic regression analysis was used to assess the risk of stone retention.

resultsIn the research group, the stone removal rate was 85.19% and the residual stone rate was 14.81%, compared to a stone removal rate of 70.77% and a residual rate of 29.23% in the control group, with a statistically significant difference (P<0.05). The research group had a significantly longer operative time than the control group (P<0.05). However, intraoperative bleeding and hospitalization duration were significantly lower in the research group (P<0.05). There was no statistically significant difference in time to ambulation between the groups (P>0.05). Multivariate logistic regression analysis identified multiple stones (OR=3.581, P=0.013) as an independent risk factor for residual stones, while stone location outside the lower calyx (OR=0.305, P=0.021) and treatment with combined flexible cystoscopy and ureteroscopy (OR=0.398, P=0.160) were independent protective factors against residual stones. The area under the curve for predicting stone retention based on the number of stones, stone location, and treatment modality were 0.647, 0.642, and 0.606, respectively.

conclusionThe combination of flexible cystoscopy and flexible ureteroscopy in treating patients with complex renal stones significantly improves the stone clearance rate and postoperative patient recovery.

Indexed as

complex kidney stonesFlexible cystoscopyflexible ureteroscopystone retention

Identifiers

PMID39398599
PMCPMC11470314

What Socratic holds

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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 Socratic graph.