Abstract
Objective
Previous studies on the association between extracorporeal shock wave lithotripsy (SWL) and new onset hypertension have only illustrated contradictory results. In order to illustrate the association between SWL and new onset hypertension, a meta-analysis of case–control and cohort studies was conducted.
Methods
Relevant literature was searched using PubMed, EMBASE, and the Cochrane Central Search Library. A meta-analysis of the association between SWL and new onset hypertension was performed. Studies were pooled, and summary relative risk was calculated. Subgroup analyses were also conducted.
Results
Eleven studies were eligible for our analysis. No statistical significance was detected between SWL and new onset hypertension (RR = 1.06, 95 % CI 0.83–1.35). No association was observed when stratified analyses were performed on age, gender, study design, bilateral SWL, and different machines.
Conclusion
Our analysis indicated that no association was found between SWL and the development of hypertension.
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References
Smith LH, Drach G, Hall P, Lingeman J, Preminger G et al (1991) National High Blood Pressure Education Program (NHBPEP) review paper on complications of shock wave lithotripsy for urinary calculi. Am J Med 91:635–641
Lingeman J, Kulb T (1987) Hypertension following extracorporeal shock wave lithotripsy. J Urol 137:142A
Montgomery B, Cole R, Palfrey E, Shuttleworth K (1989) Does extracorporeal shockwave lithotripsy cause hypertension? Br J Urol 64:567–571
Germinale F, Puppo P, Bottino P, Caviglia C, Ricciotti G (1989) ESWL and hypertension: no evidence for causal relationship. J Urol 141:288A
Jewett MA, Bombardier C, Logan AG, Psihramis KE, Wesley-James T et al (1998) A randomized controlled trial to assess the incidence of new onset hypertension in patients after shock wave lithotripsy for asymptomatic renal calculi. J Urol 160:1241–1243
Moher D, Liberati A, Tetzlaff J, Altman DG (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Medicine 6(7):e1000097
Higgins JP, Thompson SG, Deeks JJ, Altman DG (2003) Measuring inconsistency in meta-analyses. BMJ 327:557
Egger M, Smith GD, Schneider M, Minder C (1997) Bias in meta-analysis detected by a simple, graphical test. BMJ 315:629–634
Begg CB and Mazumdar M (1994) Operating characteristics of a rank correlation test for publication bias. Biometrics 50(4):1088–1101
Barbosa PV, Makhlouf AA, Thorner D, Ugarte R, Monga M (2011) Shock wave lithotripsy associated with greater prevalence of hypertension. Urology 78:22–25
Chew BH, Zavaglia B, Sutton C, Masson RK, Chan SH et al (2012) Twenty-year prevalence of diabetes mellitus and hypertension in patients receiving shock-wave lithotripsy for urolithiasis. BJU Int 109:444–449
Claro Jde A, Lima ML, Ferreira U, Rodrigues Netto N Jr (1993) Blood pressure changes after extracorporeal shock wave lithotripsy in normotensive patients. J Urol 150(6):1765–1767
Eassa WA, Sheir KZ, Gad HM, Dawaba ME, El-Kenawy MR et al (2008) Prospective study of the long-term effects of shock wave lithotripsy on renal function and blood pressure. J Urol 179:964–969
El-Assmy A, El-Nahas AR, Hekal IA, Badran M, Youssef RF et al (2008) Long-term effects of extracorporeal shock wave lithotripsy on renal function: our experience with 156 patients with solitary kidney. J Urol 179:2229–2232
Elves A, Tilling K, Menezes P, Wills M, Rao P et al (2000) Early observations of the effect of extracorporeal shockwave lithotripsy on blood pressure: a prospective randomized control clinical trial. BJU Int 85:611–615
Janetschek G, Frauscher F, Knapp R, Hofle G, Peschel R et al (1997) New onset hypertension after extracorporeal shock wave lithotripsy: age related incidence and prediction by intrarenal resistive index. J Urol 158:346–351
Krambeck AE, Gettman MT, Rohlinger AL, Lohse CM, Patterson DE et al (2006) Diabetes mellitus and hypertension associated with shock wave lithotripsy of renal and proximal ureteral stones at 19 years of followup. J Urol 175:1742–1747
Krambeck AE, Rule AD, Li X, Bergstralh EJ, Gettman MT et al (2011) Shock wave lithotripsy is not predictive of hypertension among community stone formers at long-term followup. J Urol 185:164–169
Lingeman JE, Woods JR, Toth PD (1990) Blood pressure changes following extracorporeal shock wave lithotripsy and other forms of treatment for nephrolithiasis. JAMA J Am Med Assoc 263:1789–1794
Kerbl K, Rehman J, Landman J, Lee D, Sundaram C et al (2002) Current management of urolithiasis: progress or regress? J Endourol 16:281–288
Galvin DJ, Pearle MS (2006) The contemporary management of renal and ureteric calculi. BJU Int 98:1283–1288
Argyropoulos AN, Tolley DA (2007) Optimizing shock wave lithotripsy in the 21st century. Eur Urol 52:344–354
Lingeman JE, Matlaga BR, Evan AP (2007) Surgical management of upper urinary tract calculi. Campbell-Walsh urology, 9th edn. Saunders, Philadelphia, pp 1431–1458
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Yu, C., Longfei, L., Long, W. et al. A systematic review and meta-analysis of new onset hypertension after extracorporeal shock wave lithotripsy. Int Urol Nephrol 46, 719–725 (2014). https://doi.org/10.1007/s11255-013-0588-7
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DOI: https://doi.org/10.1007/s11255-013-0588-7