Early Removal of Ureteral Stent After Kidney Transplant Could Decrease Incidence of Urinary Tract Infection: A Systematic Review and Meta-Analysis

医学 支架 优势比 泌尿系统 入射(几何) 荟萃分析 相对风险 随机对照试验 外科 泌尿科 输尿管 内科学 科克伦图书馆 置信区间 光学 物理
作者
Yunhan Wang,Yue Yang,Hanchao Zhang,Yang Wang
出处
期刊:Experimental and Clinical Transplantation [Baskent University Publishers]
卷期号:20 (1): 28-34 被引量:1
标识
DOI:10.6002/ect.2021.0183
摘要

In this systematic review and meta-analysis, our aim was to explore the optimal timing of ureteric stent removal after kidney transplant.For our analyses, we searched the Cochrane Central Register of Controlled Trials, PubMed, and Embase databases for all randomized clinical trials that evaluated the timing of stent removal after kidney transplant. Patients with early versus late stent removal were compared.Seven eligible studies published from 2012 to 2018, which included 1277 patients, were found to be within the scope of our study. Significant differences were shown between early versus late stent removal groups with regard to development of urinary tract infections (relative risk of 0.42; 95% CI, 0.26-0.685; P < .001). In a further subgroup analysis of incidence of urinary tract infection with consideration of heterogeneity, early stent removal was also favored (relative risk at 2 and 3 weeks of 0.36 and 0.35, respectively; P < .001 for both). However, with regard to incidence of major urologic complications, there were no significant differences between early and late stent removal (odds ratio at 2 and 3 weeks of 2.79 and 1.97, respectively; P = .18 and P = .26, respectively). There were also no significant differences between groups in risk of development of urinary leakage (odds ratio at 2 weeks of 3.02, P = .18; and relative risk at 3 weeks of 2.00, P = .27). With regard to ureteral stenosis, only 3 cases were reported in the late stent removal group.Our study demonstrated that early ureteral stent removal (that is, not later than 3 weeks) could significantly decrease the incidence of urinary tract infections without affecting incidence of major urological complications. We suggest that the appropriate timing of stent removal should be within 14 to 21 days.

科研通智能强力驱动
Strongly Powered by AbleSci AI
科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
刚刚
感动的老虎完成签到,获得积分10
1秒前
道交法完成签到,获得积分10
2秒前
一天一个苹果儿完成签到 ,获得积分10
4秒前
曼冬完成签到,获得积分10
4秒前
SYLH应助失眠的血茗采纳,获得10
4秒前
细心的向日葵完成签到,获得积分10
5秒前
sainanTang发布了新的文献求助10
5秒前
结算发布了新的文献求助10
8秒前
9秒前
qc完成签到,获得积分10
9秒前
10秒前
研友_LBRNbL完成签到 ,获得积分10
10秒前
含蓄文博完成签到 ,获得积分10
11秒前
科研小垃圾完成签到,获得积分10
12秒前
Xiaoyan完成签到,获得积分10
12秒前
WANG发布了新的文献求助10
14秒前
失眠的血茗完成签到,获得积分10
14秒前
14秒前
14秒前
玛琳卡迪马完成签到,获得积分10
16秒前
tong童完成签到 ,获得积分10
17秒前
马騳骉完成签到,获得积分10
17秒前
小奕完成签到,获得积分10
18秒前
美丽完成签到 ,获得积分10
19秒前
可靠的亦竹完成签到 ,获得积分10
19秒前
缓慢海蓝完成签到 ,获得积分10
19秒前
挽风风风风应助sainanTang采纳,获得10
20秒前
迷你的秋双完成签到,获得积分10
21秒前
gqb完成签到,获得积分10
21秒前
希望天下0贩的0应助小燚采纳,获得10
22秒前
Avatar完成签到,获得积分10
22秒前
maque4004完成签到,获得积分10
22秒前
程新亮完成签到 ,获得积分10
23秒前
PSCs完成签到,获得积分10
24秒前
小黄不慌完成签到,获得积分10
24秒前
六初完成签到 ,获得积分10
25秒前
小丛雨完成签到,获得积分10
26秒前
小燚完成签到 ,获得积分10
26秒前
结算完成签到,获得积分10
27秒前
高分求助中
Aspects of Babylonian celestial divination : the lunar eclipse tablets of enuma anu enlil 1500
中央政治學校研究部新政治月刊社出版之《新政治》(第二卷第四期) 1000
Hopemont Capacity Assessment Interview manual and scoring guide 1000
Classics in Total Synthesis IV: New Targets, Strategies, Methods 1000
Mantids of the euro-mediterranean area 600
Mantodea of the World: Species Catalog Andrew M 500
Insecta 2. Blattodea, Mantodea, Isoptera, Grylloblattodea, Phasmatodea, Dermaptera and Embioptera 500
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 内科学 物理 纳米技术 计算机科学 基因 遗传学 化学工程 复合材料 免疫学 物理化学 细胞生物学 催化作用 病理
热门帖子
关注 科研通微信公众号,转发送积分 3434871
求助须知:如何正确求助?哪些是违规求助? 3032199
关于积分的说明 8944583
捐赠科研通 2720149
什么是DOI,文献DOI怎么找? 1492192
科研通“疑难数据库(出版商)”最低求助积分说明 689725
邀请新用户注册赠送积分活动 685877