Use of the ureteral access sheath during ureteroscopy: A systematic review and meta-analysis

PloS One
Jian HuangWenqi Wu

Abstract

The debate still rages on for the usefulness of ureteral access sheath (UAS). Therefore, a meta-analysis to discuss the effects of applying UAS during ureteroscopy was performed. The protocol for the review is available on PROSPERO (CRD42017052327). A literature search was conducted up to November, 2017 using the Web of science, PUBMED, EMBASE and Cochrane Library. The quality of articles was assessed by the Jadad scale and Newcastle Ottawa Scale (NOS). Egger's test and the trim-and-fill method were used to evaluate publication bias. Effect sizes were calculated by pooled odds ratio (ORs) and mean differences (MDs). Sensitivity analyses and subgroup analyses were performed to explore the origin of heterogeneity. Eight trials with a total of 3099 patients and 3127 procedures were identified. Results showed no significant difference in stone-free rate (SFR) (OR = 0.83, 95% CI 0.52-1.33, P = 0.45), intraoperative complications (OR = 1.16, 95% CI 0.81-7.69, P = 0.88), operative time (MD = 4.09, 95% CI -15.08-23.26, P = 0.68) and hospitalization duration (MD = -0.13, 95% CI -0.32-0.06, P = 0.18). However, the incidence of postoperative complications was higher in UAS group (OR = 1.46, 95% CI 1.06-2.00, P = 0.02). Evidence from meta-...Continue Reading

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Citations

Nov 22, 2019·World Journal of Urology·Vincent De ConinckOlivier Traxer
Dec 24, 2018·International Journal of Urology : Official Journal of the Japanese Urological Association·Joseph Km LiChi-Fai Ng
Apr 3, 2020·Irish Journal of Medical Science·Eoin MacCraithNiall F Davis
May 29, 2020·World Journal of Urology·Roshan M PatelRalph V Clayman
Nov 27, 2020·Current Opinion in Urology·Ugo Giovanni FalagarioLuigi Cormio
Jun 23, 2021·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Erman DamarOmer Faruk Bozkurt

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