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Pharmacologic interventions to treat renal colic pain in acute stone episodes: Systematic review and meta-analysis

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dc.creatorGarcía-Perdomo H.A.spa
dc.creatorEcheverría-García F.spa
dc.creatorLópez H.spa
dc.creatorFernández N.spa
dc.creatorManzano-Nunez R.spa
dc.date.accessioned2020-05-25T23:58:33Z
dc.date.available2020-05-25T23:58:33Z
dc.date.created2017spa
dc.description.abstractObjective To assess effectiveness of pharmacologic interventions to relieve pain in patients suffering an acute stone episode. Methods Relevant trials that included patients with acute renal colic and radiological findings of urinary stones were identified in four databases. The main outcome was pain relief evaluated by Visual Analogue Scale score (VAS). Results In overall, diclofenac was superior to other NSAIDs for pain relief (MD of ?12.57 [95% CI: ?19.26, ?5.88]). Paracetamol was superior to morphine for pain reduction at 30 minutes (MD of ?3.92 [95% CI: ?6.41, ?1.43]) and also to placebo at 15 minutes (MD of ?24.77 [95% CI: ?33.19, ?16.35]) and at 30 minutes (MD of ?16 [95% CI:?29, ?2.96]) after drug administration. Finally, diclofenac was superior to paracetamol for pain reduction at 60 (MD of 6.60 [95% CI: 4.37, 8.83]) and 90 minutes (MD of 3.4 [95% CI: 2.01, 4.79]). Conclusions Diclofenac was superior to other NSAIDs and paracetamol for diminishing pain in patients suffering an acute stone episode. Paracetamol was superior to morphine and placebo for short pain relief. Future trials should address the role of paracetamol in the management of pain in patients suffering an acute stone episode. © 2017 Elsevier Masson SASeng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1016/j.purol.2017.05.011
dc.identifier.issn11667087
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/22884
dc.language.isoengspa
dc.publisherElsevier Masson SASspa
dc.relation.citationEndPage665
dc.relation.citationIssueNo. 12
dc.relation.citationStartPage654
dc.relation.citationTitleProgres en Urologie
dc.relation.citationVolumeVol. 27
dc.relation.ispartofProgres en Urologie, ISSN:11667087, Vol.27, No.12 (2017); pp. 654-665spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85021240318&doi=10.1016%2fj.purol.2017.05.011&partnerID=40&md5=d3211bdc4aef119050f8cb70becb436bspa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordAcute diseasespa
dc.subject.keywordAnalgesiaspa
dc.subject.keywordComplicationspa
dc.subject.keywordHumanspa
dc.subject.keywordKidney colicspa
dc.subject.keywordMeta analysisspa
dc.subject.keywordNephrolithiasisspa
dc.subject.keywordUreter diseasespa
dc.subject.keywordAcute diseasespa
dc.subject.keywordHumansspa
dc.subject.keywordKidney calculispa
dc.subject.keywordPain managementspa
dc.subject.keywordRenal colicspa
dc.subject.keywordUreteral diseasesspa
dc.subject.keywordPainspa
dc.subject.keywordPain managementspa
dc.subject.keywordRenal colicspa
dc.subject.keywordUrologyspa
dc.titlePharmacologic interventions to treat renal colic pain in acute stone episodes: Systematic review and meta-analysisspa
dc.title.TranslatedTitleInterventions pharmacologiques pour traiter la douleur colique rénale dans les épisodes aigus de la pierre: revue systématique et méta-analysespa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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