Cochrane · systematic review · CD013445
Percutaneous nephrolithotomy versus retrograde intrarenal surgery for treatment of renal stones in adults
Soderberg, L, Ergun, O, Ding, M, 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
7
current version
GRADE rated
5
No studies
2
Included studies
NR
No studies 2 · 28.6%Ungraded 0 · 0%Very low 0 · 0%Low 4 · 57.1%Moderate 1 · 14.3%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
Percutaneous nephrolithotomy versus retrograde intrarenal surgery for treatment of renal stones in adults
Population: adults with renal stones
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Stone‐free rate Assumed MCID: 5% Percutaneous nephrolithotomy vs retrograde intrarenal surgery | RR 1.13 [1.08, 1.18] | 39 studies · 4088 participants | Low Downgraded: risk of bias, inconsistency, publication bias |
Major complications Assumed MCID: 2% Percutaneous nephrolithotomy vs retrograde intrarenal surgery | RR 0.86 [0.59, 1.25] | 34 studies · 3649 participants | Moderate Downgraded: risk of bias |
Need for secondary interventions Assumed MCID: 5% Percutaneous nephrolithotomy vs retrograde intrarenal surgery | RR 0.31 [0.17, 0.55] | 21 studies · 2005 participants | Low Downgraded: risk of bias, inconsistency |
Unplanned medical visits Assumed MCID: 5% Percutaneous nephrolithotomy vs retrograde intrarenal surgery | no estimate extracted | NR | No studies |
Hospital length of stay Assumed MCID: 1 day Percutaneous nephrolithotomy vs retrograde intrarenal surgery | no estimate extracted | 26 studies · 2804 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Ureteral stricture or injury Assumed MCID: 2% Percutaneous nephrolithotomy vs retrograde intrarenal surgery | RR 0.93 [0.39, 2.21] | 13 studies · 1574 participants | Low Downgraded: risk of bias, publication bias |
Quality of life Assumed MCID: NA Percutaneous nephrolithotomy vs retrograde intrarenal surgery | no estimate extracted | NR | No studies |