Systematic review and cumulative analysis of the managements for proximal impacted ureteral stones

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dc.authorid0000-0003-0906-4417
dc.authorid0000-0002-1044-6888
dc.contributor.authorDeng, Tuo
dc.contributor.authorChen, Yiwen
dc.contributor.authorLiu, Bing
dc.contributor.authorLaguna, Maria Pilar
dc.contributor.authorde la Rosette, Jean J. M. C. H.
dc.contributor.authorDuan, Xiaolu
dc.contributor.authorWu, Wenqi
dc.contributor.authorZeng, Guohua
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:35:35Z
dc.date.available10.07.201910:49:14
dc.date.available2019-07-10T19:35:35Z
dc.date.issued2019
dc.departmentİstanbul Medipol Üniversitesi, Uluslararası Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalı
dc.description.abstractPurpose: To compare the efficacy and safety of different treatment options for the management of proximal impacted ureteral stones (PIUS). Methods: A systematic literature search using Pubmed, Medline, Embase and Cochrane Library was conducted to obtain studies concerning different managements for PIUS up to Jan 2018. Summary odds ratios (ORs), standard mean differences (SMDs) or weighted mean differences with their 95% confidence intervals (CIs) were calculated to compare the efficacy and safety of all included treatment methods, registered in PROSPERO under number CRD42018092745. Results: A total of 15 comparative studies with 1780 patients were included. Meta-analyses of final stone-free rate (SFR) favored percutaneous nephrolithotomy (PCNL) over ureteroscopic lithotripsy (URL) (OR 10.35; 95% CI 5.26–20.35; P <0.00001), laparoscopic ureterolithotomy over URL (OR 0.11; 95% CI 0.05–0.25; P <0.00001) and URL over extracorporeal shockwave lithotripsy (OR 0.47; 95% CI 0.28–0.77; P = 0.003). As to complications, PCNL had a significantly higher blood transfusion rate (OR 7.47; 95% CI 1.3–42.85; P = 0.02) and a lower ureteral injury rate (OR 0.15; 95% CI 0.04–0.52; P = 0.003) compared with URL. It also shared a significantly lower stone-retropulsion rate (OR 0.03; 95% CI 0.01–0.15; P <0.0001) and higher treatment costs (SMD = 2.71; 95% CI 0.71–4.70; P = 0.008) than URL. Conclusions: Our meta-analysis suggested that PCNL might be the best option for PIUS owing to its higher successful rate. Complications such as hemorrhage could be decreased by the application on mini-PCNL.
dc.description.sponsorshipNational Natural Science Foundation of Guangdong Province China Postdoctoral Science Foundation National Natural Science Foundation of China Collaborative Innovation Project of Guangzhou Education Bureau Guangzhou Science Technology and Innovation Commission Science and Technology Planning Project of Guangdong Provinceen_US
dc.identifier.citationDeng, T., Chen, Y., Liu, B., Laguna, M. P., de la R., J. J., Duan, X., ... Zeng, G. (2019). Systematic review and cumulative analysis of the managements for proximal impacted ureteral stones. World Journal of Urology, 37(8), 1687-1701. https://dx.doi.org/10.1007/s00345-018-2561-7
dc.identifier.doi10.1007/s00345-018-2561-7
dc.identifier.endpage1701
dc.identifier.issn0724-4983
dc.identifier.issn1433-8726
dc.identifier.issue8
dc.identifier.scopusqualityQ1
dc.identifier.startpage1687
dc.identifier.urihttps://hdl.handle.net/20.500.12511/857
dc.identifier.urihttps://dx.doi.org/10.1007/s00345-018-2561-7
dc.identifier.volume37
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer Verlag
dc.relation.ispartofWorld Journal of Urologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectProximal Impacted Ureteral Stones
dc.subjectManagements
dc.subjectSystematic Review
dc.subjectMeta-Analysis
dc.titleSystematic review and cumulative analysis of the managements for proximal impacted ureteral stones
dc.typeArticle

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