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Cochrane Database of Systematic Reviews

Litotripsia extracorpórea por ondas de choque (LEOCh) versus nefrolitotomía percutánea (NLPC) o cirugía intrarrenal retrógrada (CIRR) para los cálculos renales

Esta versión no es la más reciente

Información

DOI:
https://doi.org/10.1002/14651858.CD007044.pub3Copiar DOI
Base de datos:
  1. Cochrane Database of Systematic Reviews
Versión publicada:
  1. 24 noviembre 2014see what's new
Tipo:
  1. Intervention
Etapa:
  1. Review
Grupo Editorial Cochrane:
  1. Grupo Cochrane de Riñón y trasplante

Copyright:
  1. Copyright © 2014 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.

Cifras del artículo

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Contraer

Autores

  • Attasit Srisubat

    Correspondencia a: Institute of Medical Research and Technology Assessment, Dept of Medical Services, Ministry of Public Health, Nonthaburi, Thailand

    [email protected]

    [email protected]

  • Somkiat Potisat

    Institute of Medical Research and Technology Assessment, Dept of Medical Services, Ministry of Public Health, Nonthaburi, Thailand

  • Bannakij Lojanapiwat

    Department of Surgery, Chiangmai University, Chiangmai, Thailand

  • Vasun Setthawong

    Department of Surgery, Lerdsin Hospital, Bangrak, Thailand

  • Malinee Laopaiboon

    Department of Biostatistics and Demography, Faculty of Public Health, Khon Kaen University, Khon Kaen, Thailand

Contributions of authors

  • Writing of protocol and review: AS, SP, BL, VS, ML

  • Screening of titles and abstracts: AS, SP, VS

  • Assessment for inclusion: BL, VS

  • Risk of bias assessment: AS, SP

  • Data extraction: AS, SP

  • Data entry into RevMan: ML

  • Data analysis: ML

Sources of support

Internal sources

  • Department of Medical Services, Ministry of Public Health, Thailand.

  • Faculty of Medicine, Chiangmai University, Thailand.

  • Department of Surgery, Lerdsin Hospital, Thailand.

  • Faculty of Public Health, Khon Kaen University, Thailand.

External sources

  • Thailand Research Fund (Senior Research Scholar), Thailand.

Declarations of interest

None known.

Acknowledgements

We would like to extend our sincere thanks to the Thai Cochrane Collaboration for their continued support and suggestions. Our great appreciation also goes to the referees who helped us during the preparation of this review. In addition, we are grateful to Professor Dr Wachira Kochakan for his kind advice.

Version history

Published

Title

Stage

Authors

Version

2023 Aug 01

Extracorporeal shock wave lithotripsy (ESWL) versus percutaneous nephrolithotomy (PCNL) or retrograde intrarenal surgery (RIRS) for kidney stones

Review

Vasun Setthawong, Attasit Srisubat, Somkiat Potisat, Bannakij Lojanapiwat, Porjai Pattanittum

https://doi.org/10.1002/14651858.CD007044.pub4

2014 Nov 24

Extracorporeal shock wave lithotripsy (ESWL) versus percutaneous nephrolithotomy (PCNL) or retrograde intrarenal surgery (RIRS) for kidney stones

Review

Attasit Srisubat, Somkiat Potisat, Bannakij Lojanapiwat, Vasun Setthawong, Malinee Laopaiboon

https://doi.org/10.1002/14651858.CD007044.pub3

2009 Oct 07

Extracorporeal shock wave lithotripsy (ESWL) versus percutaneous nephrolithotomy (PCNL) or retrograde intrarenal surgery (RIRS) for kidney stones

Review

Attasit Srisubat, Somkiat Potisat, Bannakij Lojanapiwat, Vasun Setthawong, Malinee Laopaiboon

https://doi.org/10.1002/14651858.CD007044.pub2

2009 Jul 08

Extracorporeal shock wave lithotripsy (ESWL) for kidney stones

Protocol

Attasit Srisubat, Somkiat Potisat, Bannakij Lojanapiwat, Vasun Setthawong, Malinee Laopaiboon

https://doi.org/10.1002/14651858.CD007044

Differences between protocol and review

With the introduction of RevMan 5 and the new risk of bias assessment criteria, the quality items that we assessed were different from those stated in the protocol. Sequence generation, allocation concealment, blinding, completeness of follow‐up and selective reporting were used to assess study quality. Quality of life data and cost‐effectiveness of the interventions were included in the update review.

Keywords

MeSH

Medical Subject Headings Check Words

Humans;

PICO

Population
Intervention
Comparison
Outcome

El uso y la enseñanza del modelo PICO están muy extendidos en el ámbito de la atención sanitaria basada en la evidencia para formular preguntas y estrategias de búsqueda y para caracterizar estudios o metanálisis clínicos. PICO son las siglas en inglés de cuatro posibles componentes de una pregunta de investigación: paciente, población o problema; intervención; comparación; desenlace (outcome).

Para saber más sobre el uso del modelo PICO, puede consultar el Manual Cochrane.

Flow chart of study selection procedure
Figuras y tablas -
Figure 1

Flow chart of study selection procedure

Methodological quality summary: review authors' judgements about each methodological quality item for each included study.
Figuras y tablas -
Figure 2

Methodological quality summary: review authors' judgements about each methodological quality item for each included study.

Comparison 1 ESWL versus PCNL, Outcome 1 Success of treatment.
Figuras y tablas -
Analysis 1.1

Comparison 1 ESWL versus PCNL, Outcome 1 Success of treatment.

Comparison 1 ESWL versus PCNL, Outcome 2 Re‐treatment.
Figuras y tablas -
Analysis 1.2

Comparison 1 ESWL versus PCNL, Outcome 2 Re‐treatment.

Comparison 1 ESWL versus PCNL, Outcome 3 Auxiliary procedures.
Figuras y tablas -
Analysis 1.3

Comparison 1 ESWL versus PCNL, Outcome 3 Auxiliary procedures.

Comparison 1 ESWL versus PCNL, Outcome 4 Procedural and operating time.
Figuras y tablas -
Analysis 1.4

Comparison 1 ESWL versus PCNL, Outcome 4 Procedural and operating time.

Comparison 1 ESWL versus PCNL, Outcome 5 Hospital stay.
Figuras y tablas -
Analysis 1.5

Comparison 1 ESWL versus PCNL, Outcome 5 Hospital stay.

Comparison 2 ESWL versus RIRS, Outcome 1 Success of treatment.
Figuras y tablas -
Analysis 2.1

Comparison 2 ESWL versus RIRS, Outcome 1 Success of treatment.

Comparison 2 ESWL versus RIRS, Outcome 2 Re‐treatment.
Figuras y tablas -
Analysis 2.2

Comparison 2 ESWL versus RIRS, Outcome 2 Re‐treatment.

Comparison 2 ESWL versus RIRS, Outcome 3 Procedural and operating time.
Figuras y tablas -
Analysis 2.3

Comparison 2 ESWL versus RIRS, Outcome 3 Procedural and operating time.

Comparison 1. ESWL versus PCNL

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Success of treatment Show forest plot

4

Risk Ratio (M‐H, Random, 95% CI)

Subtotals only

1.1 Success at 1 week

1

32

Risk Ratio (M‐H, Random, 95% CI)

0.18 [0.05, 0.62]

1.2 Success at 4 weeks

1

40

Risk Ratio (M‐H, Random, 95% CI)

0.77 [0.61, 0.98]

1.3 Success at 3 months

3

201

Risk Ratio (M‐H, Random, 95% CI)

0.46 [0.35, 0.62]

1.4 Success at 1 year

2

107

Risk Ratio (M‐H, Random, 95% CI)

0.72 [0.54, 0.95]

1.5 Success at 3 months according to stone size (1‐10 mm)

1

39

Risk Ratio (M‐H, Random, 95% CI)

0.64 [0.45, 0.90]

1.6 Success at 3 months according to stone size (10‐20 mm)

2

86

Risk Ratio (M‐H, Random, 95% CI)

0.30 [0.18, 0.52]

1.7 Success at 3 months according to stone size (21‐30 mm)

2

46

Risk Ratio (M‐H, Random, 95% CI)

0.34 [0.16, 0.72]

1.8 Success of treating lower pole stones ≤ 20 mm

2

155

Risk Ratio (M‐H, Random, 95% CI)

0.49 [0.36, 0.67]

2 Re‐treatment Show forest plot

1

Risk Ratio (M‐H, Random, 95% CI)

Totals not selected

2.1 Overall re‐treatment

1

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

2.2 Re‐treatment according to stone size (1‐10 mm)

1

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

2.3 Re‐treatment according to stone size (11‐20 mm)

1

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

2.4 Re‐treatment according to stone size (21‐30 mm)

1

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

3 Auxiliary procedures Show forest plot

2

Risk Ratio (M‐H, Random, 95% CI)

Subtotals only

3.1 Overall auxiliary procedures

2

184

Risk Ratio (M‐H, Random, 95% CI)

8.33 [1.58, 44.02]

3.2 Auxiliary procedures according to stone size (1‐10 mm)

1

42

Risk Ratio (M‐H, Random, 95% CI)

6.39 [0.35, 116.57]

3.3 Auxiliary procedures according to stone size (11‐20 mm)

1

62

Risk Ratio (M‐H, Random, 95% CI)

6.15 [0.80, 47.07]

3.4 Auxiliary procedures according to stone size (21‐30 mm)

1

20

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

3.5 Auxiliary procedures of lower pole stones (stone size ≤ 20 mm)

2

166

Risk Ratio (M‐H, Random, 95% CI)

8.24 [1.56, 43.40]

4 Procedural and operating time Show forest plot

1

Mean Difference (IV, Random, 95% CI)

Totals not selected

5 Hospital stay Show forest plot

1

Mean Difference (IV, Random, 95% CI)

Totals not selected

Figuras y tablas -
Comparison 1. ESWL versus PCNL
Comparison 2. ESWL versus RIRS

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Success of treatment Show forest plot

1

Risk Ratio (M‐H, Random, 95% CI)

Totals not selected

1.1 Success at 3 months

1

Risk Ratio (M‐H, Random, 95% CI)

0.0 [0.0, 0.0]

2 Re‐treatment Show forest plot

1

Risk Ratio (M‐H, Random, 95% CI)

Totals not selected

3 Procedural and operating time Show forest plot

1

Mean Difference (IV, Random, 95% CI)

Totals not selected

Figuras y tablas -
Comparison 2. ESWL versus RIRS