Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

63 questions · 63 findings · 5 reviews · Urology

No studies found 3 · 4.8%GRADE not reported 2 · 3.2%Very low 13 · 20.6%Low 25 · 39.7%Moderate 20 · 31.7%High 0 · 0%

Percutaneous nephrolithotripsy vs tubeless percutaneous nephrolithotripsy

Serious adverse events or complications of treatments

It is very uncertain whether percutaneous nephrolithotripsy changes serious adverse events or complications of treatments compared with tubeless percutaneous nephrolithotripsy (very low certainty).

1 finding from 1 review

Percutaneous nephrolithotomy vs retrograde intrarenal surgery

Ureteral stricture or injury Assumed MCID: 2% · adults with renal stones

Percutaneous nephrolithotomy showed no clear difference in ureteral stricture or injury Assumed MCID: 2% compared with retrograde intrarenal surgery (low certainty).

1 finding from 1 review

Antifibrinolytic therapy - locally-applied tranexamic acid (TXA) mouthwash/solution (SoF eligibility: TXA or EACA; all included trials used topical TXA) vs placebo or usual care

Blood transfusion · Percutaneous nephrolithotomy

Topical TXA probably leads to lower blood transfusion compared with no TXA (placebo or usual care) (moderate certainty).

1 finding from 1 review

Antifibrinolytic therapy - locally-applied tranexamic acid (TXA) mouthwash/solution (SoF eligibility: TXA or EACA; all included trials used topical TXA) vs placebo or usual care

Stone‐free rate · Percutaneous nephrolithotomy

Topical TXA showed no clear difference in stone‐free rate compared with no TXA (placebo or usual care) (low certainty).

1 finding from 1 review

Antifibrinolytic therapy - locally-applied tranexamic acid (TXA) mouthwash/solution (SoF eligibility: TXA or EACA; all included trials used topical TXA) vs placebo or usual care

Thromboembolic events · Percutaneous nephrolithotomy

Topical TXA showed no clear difference in thromboembolic events compared with no TXA (placebo or usual care) (moderate certainty).

1 finding from 1 review