{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T11:46:37Z","timestamp":1790768797509,"version":"4.1.0"},"reference-count":22,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,9,25]],"date-time":"2020-09-25T00:00:00Z","timestamp":1600992000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine the factors for failure of endoscopic ureteric stenting in patients with malignant ureteric obstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a search strategy in the Medical Literature Analysis and Retrieval System Online (MEDLINE), the Excerpta Medica dataBASE (EMBASE), the Literatura Latino\u2010Americana e do Caribe em Ci\u00eancias da Sa\u00fade database (LILACS), and the Cochrane Central Register of Controlled Trials (CENTRAL) databases. We included patients with malignant ureteric obstruction, who had a JJ catheter insertion. The studies reported the percentage of failure and risk factors, e.g. bladder invasion or deformity of the trigone, hydronephrosis, renal failure, previous radiotherapy, age, obstruction aetiology, and patient\u2019s health status. We performed a meta\u2010analysis using R software (\u2018meta\u2019 and \u2018metafor\u2019 libraries).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We included nine studies that met the inclusion criteria, with 761 patients and an average age of 60.5\u00a0years. The studies assessed the time to failure during the first 30\u00a0days. The reported failure rate was 32% (95% confidence interval [CI] 21\u201345%;\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      = 88%). Regarding risk factors for failure, bladder invasion or deformity of the trigone had a hazard ratio (HR) of 4.8 (95% CI 1.28\u20138.5;\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      = 97.4%); severe hydronephrosis had a HR of 3.92 (95% CI 0.32\u20137.52;\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      = 93.9%); and age &lt;65\u00a0years had a HR of 0.93 (95% CI 0.8\u20130.9;\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      = 0%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>We found a high probability of failure for endoscopic urinary decompression in patients with malignant ureteric obstruction. Factors such as bladder invasion or deformity of the trigone and age &gt;65\u00a0years had an increased risk of failure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.15237","type":"journal-article","created":{"date-parts":[[2020,10,23]],"date-time":"2020-10-23T04:10:10Z","timestamp":1603426210000},"page":"292-299","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Predictors for failure of endoscopic ureteric stenting in patients with malignant ureteric obstruction: systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"127","author":[{"given":"Pedro Luis","family":"Guachet\u00e1\u2010Bomba","sequence":"first","affiliation":[{"name":"Department of Surgery\/Urology School of Medicine Universidad del Valle Cali Colombia"},{"name":"UROGIV Research Group Universidad del Valle Cali 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