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

Autor: Guohua Zeng, Bing Liu, Wenqi Wu, M. Pilar Laguna, Tuo Deng, Jean de la Rosette, Yiwen Chen, Xiaolu Duan
Přispěvatelé: Biomedical Engineering and Physics, Urology, APH - Personalized Medicine, APH - Quality of Care
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: World journal of urology, 37(8), 1687-1701. Springer Verlag
ISSN: 0724-4983
Popis: Purpose: 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
Databáze: OpenAIRE
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