Long-term Adverse Effects of Extracorporeal Shock-wave Lithotripsy for Nephrolithiasis and Ureterolithiasis: A Systematic Review - 27/04/15
, Benedikt Kranzbühler, Cédric Poyet, Thomas Hermanns, Tullio Sulser, Johann SteurerAbstract |
This study presents a systematic review of the published literature on possible long-term adverse effects after extracorporeal shock wave lithotripsy (ESWL). Although published disagreement exists, this review finds that previous evidence supporting an association between ESWL and long-term adverse effects is weak and that the majority of studies show no evidence for any increase in post-ESWL incidence of arterial hypertension (24 of 30 studies), diabetes mellitus (4 of 6 studies), kidney dysfunction (14 of 14 studies), or infertility (2 of 2 studies). Currently, no strong evidence exists to support the hypothesis that ESWL causes long-term adverse effects.
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| Christian D. Fankhauser had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. Christian D. Fankhauser and Johann Steurer contributed to study concept and design. Christian D. Fankhauser and Benedikt Kranzbühler contributed to acquisition of data. Christian D. Fankhauser, Benedikt Kranzbühler, and Johann Steurer contributed to analysis and interpretation of data. Christian D. Fankhauser and Johann Steurer contributed to drafting of the article. Christian D. Fankhauser, Johann Steurer, Cédric Poyet, Thomas Hermanns, and Tullio Sulser contributed to critical revision of the article for important intellectual content. Johann Steurer supervised the study. None of the authors were involved in obtaining funding and administrative, technical, or material support for the study. |
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| Financial Disclosure: The authors declare that they have no relevant financial interests. |
Vol 85 - N° 5
P. 991-1006 - mai 2015 Retour au numéro
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