Impact of Tamsulosin on Ureter Stone Expulsion in Korean Patients: A Meta-Analysis of Randomized Controlled Studies
Korean Journal of Urology
;
: 699-704, 2012.
Artículo
en Inglés
| WPRIM
| ID: wpr-192533
ABSTRACT
PURPOSE:
Using meta-analysis, the study's aim was to evaluate the efficacy of tamsulosin, an alpha-blocker, in the treatment of ureteral stones with or without shockwave lithotripsy (SWL) in Korean patients. MATERIALS ANDMETHODS:
Relevant randomized controlled studies published through June 2011 were identified in a search of MEDLINE, KoreaMed, and the Korean Medical Database. No language restriction was applied. Only randomized controlled trials conducted with Korean patients were eligible for the analysis. The primary outcome assessed was the stone clearance rate. Two reviewers independently assessed the quality of the study and extracted the data. Meta-analysis was conducted by using R, version 2.13.0.RESULTS:
A total of 6 articles were selected as being suitable for evaluation. Pooling of the trials demonstrated a 43% higher expulsion rate for tamsulosin treatment compared to a control group (risk ratio [RR], 1.43; 95% confidence interval [CI] 1.24 to 1.65). Similar results were obtained in all subgroup analyses according to stone location (upper RR, 1.31; 95% CI, 1.02 to 1.68, lower RR, 1.50; 95% CI, 1.20 to 1.88) or concomitant SWL (yes RR, 1.38; 95% CI, 1.14 to 1.68, no RR, 1.48; 95% CI, 1.21 to 1.83).CONCLUSIONS:
This meta-analysis of randomized controlled studies provides a high level of evidence supporting the suggestion that treatment with tamsulosin augments the stone expulsion rate for ureter stones with or without SWL in a Korean population. However, a high-quality, large-scale, multicenter, randomized controlled trial is warranted to fully support this hypothesis.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Sulfonamidas
/
Uréter
/
Litotricia
/
Cálculos Ureterales
/
Antagonistas Adrenérgicos alfa
Tipo de estudio:
Ensayo Clínico Controlado
/
Revisiones Sistemáticas Evaluadas
Límite:
Humanos
Idioma:
Inglés
Revista:
Korean Journal of Urology
Año:
2012
Tipo del documento:
Artículo
Similares
MEDLINE
...
LILACS
LIS