Cochrane · systematic review · CD012607
Totally tubeless, tubeless, and tubed percutaneous nephrolithotomy for treating kidney stones
Wilhelm, K, Hein, S, Kunath, F, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library
UrologyAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
14
current version
GRADE rated
14
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 6 · 42.9%Low 5 · 35.7%Moderate 3 · 21.4%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Tubeless PNL compared to standard PNL for treating kidney stones
Population: treating kidney stones
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Severe adverse events MCID: 50 per 1000 Tubeless PNL vs standard PNL | RR 1.53 [0.14, 16.46] | 2 studies · 46 participants | Very low Downgraded: risk of bias, imprecision |
Postoperative pain (day 1) Tubeless PNL vs standard PNL | no estimate extracted | 4 studies · 186 participants | Low Downgraded: risk of bias, inconsistency |
Operating time (minutes) MCID: 15 min Tubeless PNL vs standard PNL | no estimate extracted | 3 studies · 81 participants | Moderate Downgraded: risk of bias |
Length of hospital stay (days) MCID: 0.5 days Tubeless PNL vs standard PNL | no estimate extracted | 6 studies · 238 participants | Low Downgraded: risk of bias, inconsistency |
Blood transfusion MCID: 10 per 1000 Tubeless PNL vs standard PNL | RR 0.64 [0.16, 2.52] | 4 studies · 161 participants | Very low Downgraded: risk of bias, imprecision |
Sepsis or fever MCID: 50 per 1000 Tubeless PNL vs standard PNL | RR 0.5 [0.05, 4.75] | 2 studies · 82 participants | Very low Downgraded: risk of bias, imprecision |
Readmission (first 30 days) MCID: 50 per 1000 Tubeless PNL vs standard PNL | RR 1 [0.07, 14.21] | 1 study · 24 participants | Very low Downgraded: risk of bias, imprecision |
Totally tubeless PNL compared to standard PNL for treating kidney stones
Population: treating kidney stones
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Severe adverse events MCID: 50 per 1000 Totally tubeless PNL vs standard PNL | RR 0.49 [0.19, 1.25] | 2 studies · 174 participants | Low Downgraded: risk of bias, imprecision |
Postoperative pain (day 1) Totally tubeless PNL vs standard PNL | no estimate extracted | 1 study · 50 participants | Low Downgraded: risk of bias, imprecision |
Operating time (minutes) MCID: 15 min Totally tubeless PNL vs standard PNL | no estimate extracted | 2 studies · 174 participants | Moderate Downgraded: risk of bias, inconsistency |
Length of hospital stay (days) MCID: 0.5 days Totally tubeless PNL vs standard PNL | no estimate extracted | 4 studies · 274 participants | Moderate Downgraded: risk of bias |
Blood transfusion MCID: 10 per 1000 Totally tubeless PNL vs standard PNL | RR 0.62 [0.26, 1.48] | 4 studies · 274 participants | Very low Downgraded: risk of bias, imprecision |
Sepsis or fever MCID: 50 per 1000 Totally tubeless PNL vs standard PNL | RR 0.33 [0.01, 7.97] | 1 study · 90 participants | Low Downgraded: risk of bias, imprecision |
Readmission (first 30 days) MCID: 50 per 1000 Totally tubeless PNL vs standard PNL | no estimate extracted | 1 study · 50 participants | Very low Downgraded: risk of bias, imprecision |