{"id":"https://openalex.org/W4414560313","doi":"https://doi.org/10.1016/j.euf.2025.08.010","title":"PUrE Randomised Controlled Trial 2: Clinical and Cost Effectiveness of Flexible Ureterorenoscopy and Percutaneous Nephrolithotomy for Lower-pole Stones of 10\u201325 mm","display_name":"PUrE Randomised Controlled Trial 2: Clinical and Cost Effectiveness of Flexible Ureterorenoscopy and Percutaneous Nephrolithotomy for Lower-pole Stones of 10\u201325 mm","publication_year":2025,"publication_date":"2025-09-01","ids":{"openalex":"https://openalex.org/W4414560313","doi":"https://doi.org/10.1016/j.euf.2025.08.010","pmid":"https://pubmed.ncbi.nlm.nih.gov/41006078"},"language":"en","primary_location":{"id":"doi:10.1016/j.euf.2025.08.010","doi":"https://doi.org/10.1016/j.euf.2025.08.010","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.euf.2025.08.010","pdf_url":"https://www.eu-focus.europeanurology.com/article/S2405-4569(25)00256-1/pdf","source":{"id":"https://openalex.org/S2764909046","display_name":"European Urology Focus","issn_l":"2405-4569","issn":["2405-4569"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-40","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Urology Focus","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://www.eu-focus.europeanurology.com/article/S2405-4569(25)00256-1/pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5025030710","display_name":"Daron Smith","orcid":"https://orcid.org/0000-0001-8314-4795","observed_orcids":["https://orcid.org/0000-0001-8314-4795"]},"institutions":[{"id":"https://openalex.org/I1289784979","display_name":"University College Hospital","ror":"https://ror.org/00wrevg56","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1289784979","https://openalex.org/I1340918713"]},{"id":"https://openalex.org/I1340918713","display_name":"University College London Hospitals NHS Foundation Trust","ror":"https://ror.org/042fqyp44","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1340918713"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Daron Smith","raw_affiliation_strings":["Stone and Endourology Unit, University College Hospital, University College London Hospitals NHS Foundation Trust, London, UK. Electronic address: daron.smith1@nhs.net"],"raw_orcid":"https://orcid.org/0000-0001-8314-4795","affiliations":[{"raw_affiliation_string":"Stone and Endourology Unit, University College Hospital, University College London Hospitals NHS Foundation Trust, London, UK. Electronic address: daron.smith1@nhs.net","institution_ids":["https://openalex.org/I1289784979","https://openalex.org/I1340918713"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5000425257","display_name":"Oliver J. Wiseman","orcid":"https://orcid.org/0000-0001-8039-6903","observed_orcids":["https://orcid.org/0000-0001-8039-6903"]},"institutions":[{"id":"https://openalex.org/I2802466933","display_name":"Cambridge University Hospitals NHS Foundation Trust","ror":"https://ror.org/04v54gj93","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802466933"]},{"id":"https://openalex.org/I4210156194","display_name":"Addenbrooke's Hospital","ror":"https://ror.org/055vbxf86","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802466933","https://openalex.org/I4210156194"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Oliver Wiseman","raw_affiliation_strings":["Department of Urology, Addenbrooke's Hospital, Cambridge University Hospitals NHS Trust, Cambridge, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology, Addenbrooke's Hospital, Cambridge University Hospitals NHS Trust, Cambridge, UK","institution_ids":["https://openalex.org/I2802466933","https://openalex.org/I4210156194"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Kathryn Starr","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I39555362","display_name":"University of Warwick","ror":"https://ror.org/01a77tt86","country_code":"GB","type":"education","lineage":["https://openalex.org/I39555362"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Kathryn Starr","raw_affiliation_strings":["Warwick Medical School, University of Warwick, Warwick, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Warwick Medical School, University of Warwick, Warwick, UK","institution_ids":["https://openalex.org/I39555362"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5051384943","display_name":"Lorna S. Aucott","orcid":"https://orcid.org/0000-0001-6277-7972","observed_orcids":["https://orcid.org/0000-0001-6277-7972"]},"institutions":[{"id":"https://openalex.org/I195460627","display_name":"University of Aberdeen","ror":"https://ror.org/016476m91","country_code":"GB","type":"education","lineage":["https://openalex.org/I195460627"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Lorna Aucott","raw_affiliation_strings":["Health Services Research Unit, University of Aberdeen, Aberdeen, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Health Services Research Unit, University of Aberdeen, Aberdeen, UK","institution_ids":["https://openalex.org/I195460627"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5090485722","display_name":"Rodolfo A. Hern\u00e1ndez","orcid":"https://orcid.org/0000-0003-2619-8230","observed_orcids":["https://orcid.org/0000-0003-2619-8230"]},"institutions":[{"id":"https://openalex.org/I195460627","display_name":"University of Aberdeen","ror":"https://ror.org/016476m91","country_code":"GB","type":"education","lineage":["https://openalex.org/I195460627"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Rodolfo Hern\u00e1ndez","raw_affiliation_strings":["Health Economics Research Unit, University of Aberdeen, Aberdeen, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Health Economics Research Unit, University of Aberdeen, Aberdeen, UK","institution_ids":["https://openalex.org/I195460627"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5032979528","display_name":"Ruth E Thomas","orcid":"https://orcid.org/0000-0002-8316-2616","observed_orcids":["https://orcid.org/0000-0002-8316-2616"]},"institutions":[{"id":"https://openalex.org/I195460627","display_name":"University of Aberdeen","ror":"https://ror.org/016476m91","country_code":"GB","type":"education","lineage":["https://openalex.org/I195460627"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Ruth Thomas","raw_affiliation_strings":["Centre for Healthcare Randomised Trials, Aberdeen Centre for Evaluation, University of Aberdeen, Aberdeen, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Healthcare Randomised Trials, Aberdeen Centre for Evaluation, University of Aberdeen, Aberdeen, UK","institution_ids":["https://openalex.org/I195460627"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5085935947","display_name":"Steven MacLennan","orcid":"https://orcid.org/0000-0002-2691-8421","observed_orcids":["https://orcid.org/0000-0002-2691-8421"]},"institutions":[{"id":"https://openalex.org/I195460627","display_name":"University of Aberdeen","ror":"https://ror.org/016476m91","country_code":"GB","type":"education","lineage":["https://openalex.org/I195460627"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Steven MacLennan","raw_affiliation_strings":["Academic Urology Unit, University of Aberdeen, Aberdeen, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Academic Urology Unit, University of Aberdeen, Aberdeen, UK","institution_ids":["https://openalex.org/I195460627"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016210699","display_name":"Charles Terry Clark","orcid":"https://orcid.org/0000-0003-1813-9767","observed_orcids":["https://orcid.org/0000-0003-1813-9767"]},"institutions":[{"id":"https://openalex.org/I195460627","display_name":"University of Aberdeen","ror":"https://ror.org/016476m91","country_code":"GB","type":"education","lineage":["https://openalex.org/I195460627"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Charles Terry Clark","raw_affiliation_strings":["Patient/Public Representative, University of Aberdeen, Aberdeen, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Patient/Public Representative, University of Aberdeen, Aberdeen, UK","institution_ids":["https://openalex.org/I195460627"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5004165162","display_name":"Graeme MacLennan","orcid":"https://orcid.org/0000-0002-1039-5646","observed_orcids":["https://orcid.org/0000-0002-1039-5646"]},"institutions":[{"id":"https://openalex.org/I195460627","display_name":"University of Aberdeen","ror":"https://ror.org/016476m91","country_code":"GB","type":"education","lineage":["https://openalex.org/I195460627"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Graeme MacLennan","raw_affiliation_strings":["Centre for Healthcare Randomised Trials, Aberdeen Centre for Evaluation, University of Aberdeen, Aberdeen, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Healthcare Randomised Trials, Aberdeen Centre for Evaluation, University of Aberdeen, Aberdeen, UK","institution_ids":["https://openalex.org/I195460627"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5080604688","display_name":"Dawn McRae","orcid":"https://orcid.org/0009-0009-0553-1453","observed_orcids":["https://orcid.org/0009-0009-0553-1453"]},"institutions":[{"id":"https://openalex.org/I195460627","display_name":"University of Aberdeen","ror":"https://ror.org/016476m91","country_code":"GB","type":"education","lineage":["https://openalex.org/I195460627"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Dawn McRae","raw_affiliation_strings":["Centre for Healthcare Randomised Trials, Aberdeen Centre for Evaluation, University of Aberdeen, Aberdeen, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Healthcare Randomised Trials, Aberdeen Centre for Evaluation, University of Aberdeen, Aberdeen, UK","institution_ids":["https://openalex.org/I195460627"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038061489","display_name":"Victoria Bell","orcid":"https://orcid.org/0000-0001-9518-9296","observed_orcids":["https://orcid.org/0000-0001-9518-9296"]},"institutions":[{"id":"https://openalex.org/I195460627","display_name":"University of Aberdeen","ror":"https://ror.org/016476m91","country_code":"GB","type":"education","lineage":["https://openalex.org/I195460627"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Victoria Bell","raw_affiliation_strings":["Centre for Healthcare Randomised Trials, Aberdeen Centre for Evaluation, University of Aberdeen, Aberdeen, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Healthcare Randomised Trials, Aberdeen Centre for Evaluation, University of Aberdeen, Aberdeen, UK","institution_ids":["https://openalex.org/I195460627"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5009008744","display_name":"Seonaidh C. Cotton","orcid":"https://orcid.org/0000-0002-7883-0608","observed_orcids":["https://orcid.org/0000-0002-7883-0608"]},"institutions":[{"id":"https://openalex.org/I195460627","display_name":"University of Aberdeen","ror":"https://ror.org/016476m91","country_code":"GB","type":"education","lineage":["https://openalex.org/I195460627"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Seonaidh Cotton","raw_affiliation_strings":["Centre for Healthcare Randomised Trials, Aberdeen Centre for Evaluation, University of Aberdeen, Aberdeen, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Healthcare Randomised Trials, Aberdeen Centre for Evaluation, University of Aberdeen, Aberdeen, UK","institution_ids":["https://openalex.org/I195460627"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5080668727","display_name":"Zara Gall","orcid":"https://orcid.org/0000-0002-8494-672X","observed_orcids":["https://orcid.org/0000-0002-8494-672X"]},"institutions":[{"id":"https://openalex.org/I2802561160","display_name":"Stepping Hill Hospital","ror":"https://ror.org/02dvgss50","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I2802561160","https://openalex.org/I4210114233"]},{"id":"https://openalex.org/I4210114233","display_name":"Stockport NHS Foundation Trust","ror":"https://ror.org/0220rp185","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210114233"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Zara Gall","raw_affiliation_strings":["Department of Urology, Stepping Hill Hospital, Stockport NHS Foundation Trust, Stockport, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology, Stepping Hill Hospital, Stockport NHS Foundation Trust, Stockport, UK","institution_ids":["https://openalex.org/I2802561160","https://openalex.org/I4210114233"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5107541497","display_name":"Ben W. Turney","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I40120149","display_name":"University of Oxford","ror":"https://ror.org/052gg0110","country_code":"GB","type":"education","lineage":["https://openalex.org/I40120149"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Ben Turney","raw_affiliation_strings":["Nuffield Department of Surgical Sciences, University of Oxford, Oxford, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nuffield Department of Surgical Sciences, University of Oxford, Oxford, UK","institution_ids":["https://openalex.org/I40120149"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5067772235","display_name":"Samuel McClinton","orcid":"https://orcid.org/0000-0002-0539-9570","observed_orcids":["https://orcid.org/0000-0002-0539-9570"]},"institutions":[{"id":"https://openalex.org/I195460627","display_name":"University of Aberdeen","ror":"https://ror.org/016476m91","country_code":"GB","type":"education","lineage":["https://openalex.org/I195460627"]},{"id":"https://openalex.org/I4210093322","display_name":"NHS Grampian","ror":"https://ror.org/00ma0mg56","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210093322"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Sam McClinton","raw_affiliation_strings":["Academic Urology Unit, University of Aberdeen, Aberdeen, UK; NHS Grampian, Aberdeen, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Academic Urology Unit, University of Aberdeen, Aberdeen, UK; NHS Grampian, Aberdeen, UK","institution_ids":["https://openalex.org/I195460627","https://openalex.org/I4210093322"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":10,"corresponding_author_ids":["https://openalex.org/A5025030710"],"corresponding_institution_ids":["https://openalex.org/I1289784979","https://openalex.org/I1340918713"],"apc_list":{"value":3800,"currency":"USD","value_usd":3800},"apc_paid":{"value":3800,"currency":"USD","value_usd":3800},"fwci":4.309,"has_fulltext":true,"cited_by_count":5,"citation_normalized_percentile":{"value":0.94630872,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":98},"biblio":{"volume":"11","issue":"5","first_page":"684","last_page":"694"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10606","display_name":"Kidney Stones and Urolithiasis Treatments","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10606","display_name":"Kidney Stones and Urolithiasis Treatments","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12634","display_name":"Ureteral procedures and complications","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10518","display_name":"Gallbladder and Bile Duct Disorders","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/lower-pole-kidney-stones","display_name":"lower pole kidney stones","score":0.8199999928474426},{"id":"https://openalex.org/keywords/flexible-ureteroscopy","display_name":"flexible ureteroscopy","score":0.9110000133514404},{"id":"https://openalex.org/keywords/percutaneous-nephrolithotomy","display_name":"percutaneous nephrolithotomy","score":1.0},{"id":"https://openalex.org/keywords/stone-free-rate","display_name":"stone-free rate","score":0.7139999866485596},{"id":"https://openalex.org/keywords/cost-effectiveness","display_name":"cost-effectiveness","score":0.7900000214576721},{"id":"https://openalex.org/keywords/quality-adjusted-life-years","display_name":"quality-adjusted life years","score":0.8659999966621399},{"id":"https://openalex.org/keywords/health-related-quality-of-life","display_name":"health-related quality of life","score":0.7870000004768372},{"id":"https://openalex.org/keywords/kidney-stone-treatment","display_name":"kidney stone treatment","score":0.6480000019073486},{"id":"https://openalex.org/keywords/large-renal-stones","display_name":"large kidney stones","score":0.5830000042915344},{"id":"https://openalex.org/keywords/eq-5d-5l","display_name":"EQ-5D-5L","score":0.8109999895095825},{"id":"https://openalex.org/keywords/extracorporeal-shock-wave-lithotripsy","display_name":"extracorporeal shock wave lithotripsy","score":0.8830000162124634}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9937000274658203},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.8090000152587891},{"id":"https://openalex.org/C3019080777","wikidata":"https://www.wikidata.org/wiki/Q1754768","display_name":"Cost effectiveness","level":2,"score":0.7077000141143799},{"id":"https://openalex.org/C2780885103","wikidata":"https://www.wikidata.org/wiki/Q7167200","display_name":"Percutaneous nephrolithotomy","level":3,"score":0.7001000046730042},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.598800003528595},{"id":"https://openalex.org/C3018923921","wikidata":"https://www.wikidata.org/wiki/Q2585693","display_name":"Clinical effectiveness","level":2,"score":0.4846000075340271},{"id":"https://openalex.org/C2992053201","wikidata":"https://www.wikidata.org/wiki/Q2585693","display_name":"Clinical efficacy","level":2,"score":0.3260999917984009},{"id":"https://openalex.org/C535046627","wikidata":"https://www.wikidata.org/wiki/Q30612","display_name":"Clinical trial","level":2,"score":0.32179999351501465},{"id":"https://openalex.org/C2780813298","wikidata":"https://www.wikidata.org/wiki/Q2071287","display_name":"Percutaneous","level":2,"score":0.29989999532699585},{"id":"https://openalex.org/C2775944032","wikidata":"https://www.wikidata.org/wiki/Q22907659","display_name":"Patient satisfaction","level":2,"score":0.25440001487731934}],"mesh":[{"descriptor_ui":"D000074642","descriptor_name":"Nephrolithotomy, Percutaneous","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D000074642","descriptor_name":"Nephrolithotomy, Percutaneous","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D000094703","descriptor_name":"Cost-Effectiveness Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003362","descriptor_name":"Cost-Benefit Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007669","descriptor_name":"Kidney Calculi","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D007669","descriptor_name":"Kidney Calculi","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true},{"descriptor_ui":"D007669","descriptor_name":"Kidney Calculi","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011788","descriptor_name":"Quality of Life","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018666","descriptor_name":"Ureteroscopy","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D018666","descriptor_name":"Ureteroscopy","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D019057","descriptor_name":"Quality-Adjusted Life Years","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1016/j.euf.2025.08.010","doi":"https://doi.org/10.1016/j.euf.2025.08.010","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.euf.2025.08.010","pdf_url":"https://www.eu-focus.europeanurology.com/article/S2405-4569(25)00256-1/pdf","source":{"id":"https://openalex.org/S2764909046","display_name":"European Urology Focus","issn_l":"2405-4569","issn":["2405-4569"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-40","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Urology Focus","raw_type":"journal-article"},{"id":"pmid:41006078","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41006078","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European urology focus","raw_type":"Equivalence Trial"},{"id":"pmh:oai:aura.abdn.ac.uk:2164/26743","doi":null,"is_oa":false,"landing_page_url":"https://hdl.handle.net/2164/26743","pdf_url":null,"source":{"id":"https://openalex.org/S4306400966","display_name":"Aberdeen University Research Archive (Aberdeen University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I195460627","host_organization_name":"University of Aberdeen","host_organization_lineage":["https://openalex.org/I195460627"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Journal article"}],"best_oa_location":{"id":"doi:10.1016/j.euf.2025.08.010","doi":"https://doi.org/10.1016/j.euf.2025.08.010","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.euf.2025.08.010","pdf_url":"https://www.eu-focus.europeanurology.com/article/S2405-4569(25)00256-1/pdf","source":{"id":"https://openalex.org/S2764909046","display_name":"European Urology Focus","issn_l":"2405-4569","issn":["2405-4569"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-40","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Urology Focus","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9907000064849854,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/randomized-controlled-trial","display_name":"Randomized Controlled Trial"},{"id":"https://openalex.org/study-designs/clinical-trial","display_name":"Clinical Trial"}],"awards":[{"id":"https://openalex.org/G1895593380","display_name":null,"funder_award_id":"21-D0431","funder_id":"https://openalex.org/F4320324540","funder_display_name":"Urology Foundation"},{"id":"https://openalex.org/G2905449667","display_name":"Can novel ureteric stents offer a better patient outcome compared to existing standard ureteric stents (CASSETTE)","funder_award_id":"NIHR202935","funder_id":"https://openalex.org/F4320319990","funder_display_name":"National Institute for Health and Care Research"},{"id":"https://openalex.org/G5586895465","display_name":null,"funder_award_id":"NIHR202935","funder_id":"https://openalex.org/F4320310567","funder_display_name":"Boston Scientific Corporation"},{"id":"https://openalex.org/G5918494183","display_name":null,"funder_award_id":"COVID-19","funder_id":"https://openalex.org/F4320319990","funder_display_name":"National Institute for Health and Care Research"},{"id":"https://openalex.org/G6660076446","display_name":null,"funder_award_id":"17-D0422","funder_id":"https://openalex.org/F4320324540","funder_display_name":"Urology Foundation"},{"id":"https://openalex.org/G7336805680","display_name":null,"funder_award_id":"13/152/02","funder_id":"https://openalex.org/F4320334661","funder_display_name":"Health Technology Assessment Programme"},{"id":"https://openalex.org/G7781365041","display_name":null,"funder_award_id":"22-D0371","funder_id":"https://openalex.org/F4320324540","funder_display_name":"Urology Foundation"},{"id":"https://openalex.org/G8418087635","display_name":"The clinical and cost effectiveness of surgical interventions for stones in the lower pole of the kidney: the PUrE RCT - Percutaneous Nephrolithotomy (PNL), Flexible Ureterorenoscopy (FURS) and Extracorporeal Shockwave Lithotripsy (ESWL) for lower pole calyceal kidney stones","funder_award_id":"13/152/02","funder_id":"https://openalex.org/F4320319990","funder_display_name":"National Institute for Health and Care Research"}],"funders":[{"id":"https://openalex.org/F4320310319","display_name":"Central Manchester University Hospitals NHS Foundation Trust","ror":"https://ror.org/00he80998"},{"id":"https://openalex.org/F4320310567","display_name":"Boston Scientific Corporation","ror":"https://ror.org/0385es521"},{"id":"https://openalex.org/F4320311501","display_name":"Royal Devon and Exeter NHS Foundation Trust","ror":"https://ror.org/03085z545"},{"id":"https://openalex.org/F4320312043","display_name":"University Hospital Southampton NHS Foundation Trust","ror":"https://ror.org/0485axj58"},{"id":"https://openalex.org/F4320314306","display_name":"Betsi Cadwaladr University Health Board","ror":"https://ror.org/03awsb125"},{"id":"https://openalex.org/F4320315882","display_name":"University Hospitals Plymouth NHS Trust","ror":"https://ror.org/05x3jck08"},{"id":"https://openalex.org/F4320319990","display_name":"National Institute for Health and Care Research","ror":"https://ror.org/0187kwz08"},{"id":"https://openalex.org/F4320320284","display_name":"Imperial College Healthcare NHS Trust","ror":"https://ror.org/056ffv270"},{"id":"https://openalex.org/F4320320325","display_name":"University of Sussex","ror":"https://ror.org/00ayhx656"},{"id":"https://openalex.org/F4320320359","display_name":"University of Aberdeen","ror":"https://ror.org/016476m91"},{"id":"https://openalex.org/F4320321578","display_name":"Cambridge University Hospitals","ror":"https://ror.org/04v54gj93"},{"id":"https://openalex.org/F4320321581","display_name":"Coloplast","ror":"https://ror.org/03m91y692"},{"id":"https://openalex.org/F4320322155","display_name":"Newcastle upon Tyne Hospitals NHS Foundation Trust","ror":"https://ror.org/05p40t847"},{"id":"https://openalex.org/F4320323000","display_name":"North Bristol NHS Trust","ror":"https://ror.org/036x6gt55"},{"id":"https://openalex.org/F4320323675","display_name":"Oxford University Hospitals NHS Foundation Trust","ror":"https://ror.org/03h2bh287"},{"id":"https://openalex.org/F4320324540","display_name":"Urology Foundation","ror":"https://ror.org/01jat6m31"},{"id":"https://openalex.org/F4320325812","display_name":"Norfolk and Norwich University Hospitals NHS Foundation Trust","ror":"https://ror.org/01wspv808"},{"id":"https://openalex.org/F4320331636","display_name":"University Hospitals Coventry and Warwickshire NHS Trust","ror":"https://ror.org/025n38288"},{"id":"https://openalex.org/F4320334661","display_name":"Health Technology Assessment Programme","ror":"https://ror.org/0187kwz08"},{"id":"https://openalex.org/F4320334911","display_name":"St. George's, University of London","ror":"https://ror.org/040f08y74"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4414560313.pdf","grobid_xml":"https://content.openalex.org/works/W4414560313.grobid-xml"},"referenced_works_count":34,"referenced_works":["https://openalex.org/W32119272","https://openalex.org/W1236439116","https://openalex.org/W1896232313","https://openalex.org/W1963693270","https://openalex.org/W1990166011","https://openalex.org/W1990759668","https://openalex.org/W2004009819","https://openalex.org/W2038211365","https://openalex.org/W2040685089","https://openalex.org/W2046492941","https://openalex.org/W2071686284","https://openalex.org/W2089165963","https://openalex.org/W2092093958","https://openalex.org/W2094993869","https://openalex.org/W2151061868","https://openalex.org/W2153836018","https://openalex.org/W2159602361","https://openalex.org/W2172151487","https://openalex.org/W2327544459","https://openalex.org/W2473786944","https://openalex.org/W2615066072","https://openalex.org/W2751166180","https://openalex.org/W2759228432","https://openalex.org/W2788315630","https://openalex.org/W2794316606","https://openalex.org/W2805268665","https://openalex.org/W2897830944","https://openalex.org/W2971783910","https://openalex.org/W3023418173","https://openalex.org/W3033212614","https://openalex.org/W4220969430","https://openalex.org/W4224290094","https://openalex.org/W4408421545","https://openalex.org/W4409656115"],"related_works":["https://openalex.org/W4409656115","https://openalex.org/W4394801700","https://openalex.org/W7117463911","https://openalex.org/W4408421545","https://openalex.org/W4413309491","https://openalex.org/W3033212614","https://openalex.org/W4392765558","https://openalex.org/W2800124509","https://openalex.org/W4394836566","https://openalex.org/W4399929612"],"abstract_inverted_index":{"BACKGROUND":[0],"AND":[1,157,239],"OBJECTIVE:":[2],"The":[3,113,136,180],"European":[4],"Association":[5],"of":[6,28,43,48,77,79,90,96,101,225,235,271],"Urology":[7],"guidelines":[8],"for":[9,17,26,36,46,57,86,177,278],"lower-pole":[10],"stones":[11,18,27,47],"(LPS)":[12],"recommend":[13],"percutaneous":[14],"nephrolithotomy":[15],"(PCNL)":[16],">20":[19],"mm,":[20],"flexible":[21],"ureterorenoscopy":[22],"(FURS)":[23],"or":[24,41],"PCNL":[25,74,165,188,194,230,249],"10-20":[29,49],"mm":[30,50,103],"if":[31,51],"there":[32,52],"are":[33,53,276],"unfavourable":[34,55],"factors":[35,56],"extracorporeal":[37],"shockwave":[38],"lithotripsy":[39],"(ESWL),":[40],"any":[42],"these":[44],"options":[45],"no":[54],"ESWL.":[58],"PUrE":[59,244],"RCT":[60,245],"2":[61,246],"was":[62,116,140,185,195,262],"a":[63,222,257],"pragmatic":[64],"multicentre,":[65],"open-label,":[66],"superiority,":[67],"randomised":[68],"controlled":[69],"trial":[70],"comparing":[71],"FURS":[72,108,192,266],"versus":[73],"in":[75,209,251],"terms":[76],"quality":[78],"life,":[80],"clinical":[81],"effectiveness,":[82],"and":[83,109,207,256,261,281],"cost":[84,143],"effectiveness":[85],"patients":[87,268],"with":[88,99,187,191,269],"LPS":[89,100,270,285],"10-25":[91,102,272],"mm.":[92,273],"METHODS:":[93],"A":[94],"total":[95],"159":[97],"adults":[98],"were":[104],"randomised,":[105],"73":[106],"to":[107,111,131,173,205,219],"86":[110],"PCNL.":[112],"primary":[114,137],"outcome":[115,139],"health":[117,160,254],"status":[118,161,255],"area":[119],"under":[120],"the":[121,127,141],"curve":[122],"(AUC)":[123],"measured":[124],"weekly":[125],"using":[126],"EQ-5D-5L":[128],"questionnaire":[129],"up":[130],"12":[132,151],"wk":[133],"after":[134],"intervention.":[135],"economic":[138],"incremental":[142],"per":[144,228],"quality-adjusted":[145],"life":[146],"year":[147],"(QALY)":[148],"gained":[149],"at":[150],"mo":[152],"from":[153,243],"randomisation.":[154],"KEY":[155],"FINDING":[156],"LIMITATIONS:":[158],"Mean":[159],"AUC":[162],"slightly":[163],"favoured":[164],"(difference":[166],"-0.07,":[167],"95%":[168,202,216],"confidence":[169],"interval":[170],"[CI]":[171],"-0.11":[172],"-0.02)":[174],"when":[175],"adjusted":[176],"baseline":[178],"status.":[179],"complete":[181],"stone":[182],"clearance":[183],"rate":[184,260],"higher":[186,258],"(71%)":[189],"than":[190,265],"(48%).":[193],"less":[196],"costly":[197],"(adjusted":[198,212],"mean":[199,213],"difference":[200,214],"\u00a3733,":[201],"CI":[203,217],"-\u00a3508":[204],"\u00a31973)":[206],"resulted":[208,250],"greater":[210],"QALYs":[211],"-0.001,":[215],"-0.044":[218],"0.042).":[220],"At":[221],"threshold":[223],"value":[224],"\u00a320":[226],"000":[227],"QALY,":[229],"has":[231],"an":[232],"87%":[233],"chance":[234],"being":[236],"cost-effective.":[237],"CONCLUSIONS":[238],"CLINICAL":[240],"IMPLICATIONS:":[241],"Results":[242],"show":[247],"that":[248],"marginally":[252],"better":[253],"stone-free":[259],"more":[263],"cost-effective":[264],"among":[267],"These":[274],"outcomes":[275],"important":[277],"patient":[279],"counselling":[280],"joint":[282],"decision-making":[283],"on":[284],"treatment.":[286]},"counts_by_year":[{"year":2026,"cited_by_count":4},{"year":2025,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2025-10-10T00:00:00"}
