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Comparison of High, Intermediate, and Low Frequency Shock Wave Lithotripsy for Urinary Tract Stone Disease: Systematic Review and Network Meta-Analysis

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  • Dong Hyuk Kang
  • Kang Su Cho
  • Won Sik Ham
  • Hyungmin Lee
  • Jong Kyou Kwon
  • Young Deuk Choi
  • Joo Yong Lee

Abstract

Objectives: To perform a systematic review and network meta-analysis of randomized controlled trials (RCTs) to determine the optimal shock wave lithotripsy (SWL) frequency range for treating urinary stones, i.e., high-frequency (100–120 waves/minute), intermediate-frequency (80–90 waves/minute), and low-frequency (60–70 waves/minute) lithotripsy. Materials and Methods: Relevant RCTs were identified from electronic databases for meta-analysis of SWL success and complication rates. Using pairwise and network meta-analyses, comparisons were made by qualitative and quantitative syntheses. Outcome variables are provided as odds ratios (ORs) with 95% confidence intervals (CIs). Results: Thirteen articles were included in the qualitative and quantitative synthesis using pairwise and network meta-analyses. On pairwise meta-analyses, comparable inter-study heterogeneity was observed for the success rate. On network meta-analyses, the success rates of low- (OR 2.2; 95% CI 1.5–2.6) and intermediate-frequency SWL (OR 2.5; 95% CI 1.3–4.6) were higher than high-frequency SWL. Forest plots from the network meta-analysis showed no significant differences in the success rate between low-frequency SWL versus intermediate-frequency SWL (OR 0.87; 95% CI 0.51–1.7). There were no differences in complication rate across different SWL frequency ranges. By rank-probability testing, intermediate-frequency SWL was ranked highest for success rate, followed by low-frequency and high-frequency SWL. Low-frequency SWL was also ranked highest for low complication rate, with high- and intermediate-frequency SWL ranked lower. Conclusions: Intermediate- and low-frequency SWL have better treatment outcomes than high-frequency SWL when considering both efficacy and complication.

Suggested Citation

  • Dong Hyuk Kang & Kang Su Cho & Won Sik Ham & Hyungmin Lee & Jong Kyou Kwon & Young Deuk Choi & Joo Yong Lee, 2016. "Comparison of High, Intermediate, and Low Frequency Shock Wave Lithotripsy for Urinary Tract Stone Disease: Systematic Review and Network Meta-Analysis," PLOS ONE, Public Library of Science, vol. 11(7), pages 1-22, July.
    • Handle: RePEc:plo:pone00:0158661
    DOI: 10.1371/journal.pone.0158661
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    References listed on IDEAS

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    1. Doo Yong Chung & Kang Su Cho & Dae Hun Lee & Jang Hee Han & Dong Hyuk Kang & Hae Do Jung & Jong Kyou Kown & Won Sik Ham & Young Deuk Choi & Joo Yong Lee, 2015. "Impact of Colic Pain as a Significant Factor for Predicting the Stone Free Rate of One-Session Shock Wave Lithotripsy for Treating Ureter Stones: A Bayesian Logistic Regression Model Analysis," PLOS ONE, Public Library of Science, vol. 10(4), pages 1-12, April.
    2. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    3. Sofia Dias & Nicky J. Welton & Alex J. Sutton & Deborah M. Caldwell & Guobing Lu & A. E. Ades, 2013. "Evidence Synthesis for Decision Making 4," Medical Decision Making, , vol. 33(5), pages 641-656, July.
    4. Georgia Salanti & Cinzia Del Giovane & Anna Chaimani & Deborah M Caldwell & Julian P T Higgins, 2014. "Evaluating the Quality of Evidence from a Network Meta-Analysis," PLOS ONE, Public Library of Science, vol. 9(7), pages 1-14, July.
    5. Binod Neupane & Danielle Richer & Ashley Joel Bonner & Taddele Kibret & Joseph Beyene, 2014. "Network Meta-Analysis Using R: A Review of Currently Available Automated Packages," PLOS ONE, Public Library of Science, vol. 9(12), pages 1-17, December.
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    1. Doo Yong Chung & Dong Hyuk Kang & Kang Su Cho & Won Sik Jeong & Hae Do Jung & Jong Kyou Kwon & Seon Heui Lee & Joo Yong Lee, 2019. "Comparison of stone-free rates following shock wave lithotripsy, percutaneous nephrolithotomy, and retrograde intrarenal surgery for treatment of renal stones: A systematic review and network meta-ana," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-24, February.

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