{"id":"https://openalex.org/W7223665264","doi":"https://doi.org/10.1186/s12301-026-00626-x","title":"A scoping review of outcomes and clinical value in minimally invasive management of graft lithiasis","display_name":"A scoping review of outcomes and clinical value in minimally invasive management of graft lithiasis","publication_year":2026,"publication_date":"2026-10-26","ids":{"openalex":"https://openalex.org/W7223665264","doi":"https://doi.org/10.1186/s12301-026-00626-x"},"language":"en","primary_location":{"id":"doi:10.1186/s12301-026-00626-x","doi":"https://doi.org/10.1186/s12301-026-00626-x","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12301-026-00626-x","pdf_url":"https://link.springer.com/content/pdf/10.1186/s12301-026-00626-x.pdf","source":{"id":"https://openalex.org/S92813228","display_name":"African Journal of Urology","issn_l":"1110-5704","issn":["1110-5704","1961-9987","2090-2379"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jpps-1","norway-1","poland-20","russia-white-list-4","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":"African Journal of Urology","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","datacite","doaj"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://link.springer.com/content/pdf/10.1186/s12301-026-00626-x.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5030261314","display_name":"Lucio Dell\u2019Atti","orcid":"https://orcid.org/0000-0002-8471-9965","observed_orcids":["https://orcid.org/0000-0002-8471-9965"]},"institutions":[{"id":"https://openalex.org/I4210108813","display_name":"Azienda Ospedaliero-Universitaria delle Marche","ror":"https://ror.org/0213f0637","country_code":"IT","type":"healthcare","lineage":["https://openalex.org/I4210108813"]}],"countries":["IT"],"is_corresponding":true,"raw_author_name":"Lucio Dell\u2019Atti","raw_affiliation_strings":["Department of Urology, Azienda Ospedaliero-Universitaria delle Marche, Ancona, Italy"],"raw_orcid":"https://orcid.org/0000-0002-8471-9965","affiliations":[{"raw_affiliation_string":"Department of Urology, Azienda Ospedaliero-Universitaria delle Marche, Ancona, Italy","institution_ids":["https://openalex.org/I4210108813"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5030261314"],"corresponding_institution_ids":["https://openalex.org/I4210108813"],"apc_list":{"value":0,"currency":"USD","value_usd":0},"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.8530078,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"32","issue":"1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10606","display_name":"Kidney Stones and Urolithiasis Treatments","score":0.9980000257492065,"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":0.9980000257492065,"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":0.00039999998989515007,"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/T10373","display_name":"Renal Transplantation Outcomes and Treatments","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2747","display_name":"Transplantation"},"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/renal-allograft","display_name":"renal allograft","score":0.7919999957084656},{"id":"https://openalex.org/keywords/urolithiasis","display_name":"urolithiasis","score":0.8510000109672546},{"id":"https://openalex.org/keywords/minimally-invasive-stone-treatment","display_name":"minimally invasive stone treatment","score":0.7160000205039978},{"id":"https://openalex.org/keywords/ureteroscopy","display_name":"ureteroscopy","score":0.7950000166893005},{"id":"https://openalex.org/keywords/percutaneous-nephrolithotomy","display_name":"percutaneous nephrolithotomy","score":0.9610000252723694},{"id":"https://openalex.org/keywords/extracorporeal-shock-wave-lithotripsy","display_name":"extracorporeal shock wave lithotripsy","score":1.0},{"id":"https://openalex.org/keywords/stone-free-rate","display_name":"stone-free rate","score":0.9980000257492065},{"id":"https://openalex.org/keywords/immunosuppression","display_name":"immunosuppression","score":0.9570000171661377},{"id":"https://openalex.org/keywords/graft-function-preservation","display_name":"graft function preservation","score":0.746999979019165},{"id":"https://openalex.org/keywords/patient-reported-outcomes","display_name":"patient-reported outcomes","score":0.9390000104904175},{"id":"https://openalex.org/keywords/outcome-reporting-quality","display_name":"outcome reporting quality","score":0.7910000085830688},{"id":"https://openalex.org/keywords/kidney-transplantation-complications","display_name":"kidney transplantation complications","score":0.5120000243186951},{"id":"https://openalex.org/keywords/stone-composition","display_name":"stone composition","score":0.42399999499320984},{"id":"https://openalex.org/keywords/imaging-strategy","display_name":"imaging strategy","score":0.5019999742507935},{"id":"https://openalex.org/keywords/composite-endpoints","display_name":"composite endpoints","score":0.5070000290870667}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9800999760627747},{"id":"https://openalex.org/C2780653459","wikidata":"https://www.wikidata.org/wiki/Q2500530","display_name":"Ureteroscopy","level":3,"score":0.7843999862670898},{"id":"https://openalex.org/C2780885103","wikidata":"https://www.wikidata.org/wiki/Q7167200","display_name":"Percutaneous nephrolithotomy","level":3,"score":0.6643000245094299},{"id":"https://openalex.org/C3018013779","wikidata":"https://www.wikidata.org/wiki/Q2463395","display_name":"Shock wave lithotripsy","level":3,"score":0.590399980545044},{"id":"https://openalex.org/C2780813298","wikidata":"https://www.wikidata.org/wiki/Q2071287","display_name":"Percutaneous","level":2,"score":0.5873000025749207},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5101000070571899},{"id":"https://openalex.org/C2777950166","wikidata":"https://www.wikidata.org/wiki/Q2463395","display_name":"Lithotripsy","level":2,"score":0.42980000376701355},{"id":"https://openalex.org/C3019477240","wikidata":"https://www.wikidata.org/wiki/Q1755504","display_name":"Invasive surgery","level":2,"score":0.4050999879837036},{"id":"https://openalex.org/C2780252810","wikidata":"https://www.wikidata.org/wiki/Q1455316","display_name":"Immunosuppression","level":2,"score":0.38420000672340393},{"id":"https://openalex.org/C2778643591","wikidata":"https://www.wikidata.org/wiki/Q1755504","display_name":"Minimally invasive procedures","level":2,"score":0.3353999853134155},{"id":"https://openalex.org/C3018900477","wikidata":"https://www.wikidata.org/wiki/Q1755504","display_name":"Open surgery","level":2,"score":0.3312999904155731},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.3296000063419342},{"id":"https://openalex.org/C2780374147","wikidata":"https://www.wikidata.org/wiki/Q1598820","display_name":"Nephrostomy","level":3,"score":0.30550000071525574},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.29260000586509705},{"id":"https://openalex.org/C2778451229","wikidata":"https://www.wikidata.org/wiki/Q212809","display_name":"Endoscopy","level":2,"score":0.29089999198913574},{"id":"https://openalex.org/C2778756592","wikidata":"https://www.wikidata.org/wiki/Q12176614","display_name":"Postoperative fever","level":3,"score":0.27459999918937683},{"id":"https://openalex.org/C159641895","wikidata":"https://www.wikidata.org/wiki/Q108377937","display_name":"Renal function","level":2,"score":0.27410000562667847}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1186/s12301-026-00626-x","doi":"https://doi.org/10.1186/s12301-026-00626-x","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12301-026-00626-x","pdf_url":"https://link.springer.com/content/pdf/10.1186/s12301-026-00626-x.pdf","source":{"id":"https://openalex.org/S92813228","display_name":"African Journal of Urology","issn_l":"1110-5704","issn":["1110-5704","1961-9987","2090-2379"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jpps-1","norway-1","poland-20","russia-white-list-4","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":"African Journal of Urology","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:6b65b5f171ad4c9caf4679f59e239ad0","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/6b65b5f171ad4c9caf4679f59e239ad0","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"African Journal of Urology, Vol 32, Iss 1 (2026)","raw_type":"article"},{"id":"doi:10.6084/m9.figshare.c.8798613","doi":"https://doi.org/10.6084/m9.figshare.c.8798613","is_oa":true,"landing_page_url":"https://doi.org/10.6084/m9.figshare.c.8798613","pdf_url":null,"source":{"id":"https://openalex.org/S4377196282","display_name":"Figshare","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210132348","host_organization_name":"Figshare (United Kingdom)","host_organization_lineage":["https://openalex.org/I4210132348"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Collection"},{"id":"doi:10.6084/m9.figshare.c.8798613.v1","doi":"https://doi.org/10.6084/m9.figshare.c.8798613.v1","is_oa":true,"landing_page_url":"https://doi.org/10.6084/m9.figshare.c.8798613.v1","pdf_url":null,"source":{"id":"https://openalex.org/S4377196282","display_name":"Figshare","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210132348","host_organization_name":"Figshare (United Kingdom)","host_organization_lineage":["https://openalex.org/I4210132348"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Collection"}],"best_oa_location":{"id":"doi:10.1186/s12301-026-00626-x","doi":"https://doi.org/10.1186/s12301-026-00626-x","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12301-026-00626-x","pdf_url":"https://link.springer.com/content/pdf/10.1186/s12301-026-00626-x.pdf","source":{"id":"https://openalex.org/S92813228","display_name":"African Journal of Urology","issn_l":"1110-5704","issn":["1110-5704","1961-9987","2090-2379"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jpps-1","norway-1","poland-20","russia-white-list-4","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":"African Journal of Urology","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7223665264.pdf","grobid_xml":"https://content.openalex.org/works/W7223665264.grobid-xml"},"referenced_works_count":34,"referenced_works":["https://openalex.org/W1984727647","https://openalex.org/W1992519230","https://openalex.org/W1998700483","https://openalex.org/W2011837172","https://openalex.org/W2015726986","https://openalex.org/W2017925848","https://openalex.org/W2024451862","https://openalex.org/W2031502419","https://openalex.org/W2060710026","https://openalex.org/W2075950485","https://openalex.org/W2079683438","https://openalex.org/W2082947676","https://openalex.org/W2084154288","https://openalex.org/W2085821403","https://openalex.org/W2106958883","https://openalex.org/W2891378911","https://openalex.org/W3088363867","https://openalex.org/W3127952974","https://openalex.org/W3134587205","https://openalex.org/W3138714943","https://openalex.org/W4226320503","https://openalex.org/W4281811020","https://openalex.org/W4292865838","https://openalex.org/W4297540785","https://openalex.org/W4312118295","https://openalex.org/W4376609549","https://openalex.org/W4382787733","https://openalex.org/W4393277258","https://openalex.org/W4399651618","https://openalex.org/W4399917361","https://openalex.org/W4400875278","https://openalex.org/W4402462329","https://openalex.org/W4414376096","https://openalex.org/W7162685881"],"related_works":["https://openalex.org/W7223816752","https://openalex.org/W2106958883","https://openalex.org/W2590597818","https://openalex.org/W4399651618","https://openalex.org/W2788240499","https://openalex.org/W7116768850","https://openalex.org/W2011327724","https://openalex.org/W4382787733","https://openalex.org/W1521340819","https://openalex.org/W2591387481"],"abstract_inverted_index":{"Abstract":[0],"Background":[1],"Urolithiasis":[2],"in":[3,80,294,332],"the":[4,17,41,53,75,81,89,98,106,167],"renal":[5],"allograft":[6],"(\u201cgraft":[7],"lithiasis\u201d)":[8],"is":[9,227,247],"uncommon":[10],"but":[11,297],"clinically":[12],"consequential,":[13],"since":[14],"it":[15],"threatens":[16],"function":[18,315],"of":[19,43,77,85,130,310],"a":[20,181,261,267,301,327],"single,":[21],"denervated,":[22],"heterotopically":[23],"placed":[24],"kidney.":[25],"Minimally":[26],"invasive":[27,83,124],"treatment":[28,84,129,226],"[":[29],"ureteroscopy,":[30],"percutaneous":[31,126],"nephrolithotomy":[32],"(PCNL)":[33],"and":[34,66,100,103,111,144,160,200,215,232,235,238,257,274,292,304,316,321],"shock":[35],"wave":[36],"lithotripsy":[37],"(SWL)]":[38],"has":[39],"become":[40],"mainstay":[42],"management,":[44],"yet":[45],"outcome":[46,78,154,264,330],"reporting":[47,79,122],"remains":[48,319],"centered":[49],"almost":[50],"exclusively":[51],"on":[52,136,171,300],"stone-free":[54,185,283],"rate":[55],"(SFR),":[56],"with":[57,285,289],"little":[58],"attention":[59],"to":[60,73,207,230],"graft-specific":[61,328],"safety,":[62],"imaging":[63],"strategy,":[64],"immunosuppression":[65],"functional":[67],"preservation.":[68,276],"This":[69,219],"scoping":[70,93],"review":[71,94],"aimed":[72],"map":[74],"breadth":[76],"minimally":[82,123],"graft":[86,131,295,314],"lithiasis,":[87,296],"beyond":[88],"SFR.":[90],"Methods":[91],"A":[92],"was":[95],"conducted":[96],"following":[97],"Arksey":[99],"O\u2019Malley":[101],"framework":[102],"reported":[104],"per":[105],"PRISMA-ScR":[107],"checklist.":[108],"PubMed/MEDLINE,":[109],"Embase":[110],"Scopus-indexed":[112],"literature":[113],"were":[114,134,254],"searched,":[115],"supplemented":[116],"by":[117],"citation":[118],"chaining,":[119],"for":[120,193,202,209,212,217,242,249],"studies":[121,148],"(ureteroscopic,":[125],"or":[127,266],"shock-wave)":[128],"lithiasis.":[132],"Data":[133],"charted":[135],"demographics,":[137],"immunosuppression,":[138,311],"stone":[139,223,231,312],"characteristics,":[140],"treatment,":[141],"imaging,":[142],"follow-up":[143],"outcome.":[145],"Results":[146],"Nineteen":[147],"met":[149],"eligibility;":[150],"14":[151],"provided":[152],"extractable":[153],"data":[155,280],"(11":[156],"primary":[157],"clinical":[158],"reports":[159],"three":[161,188],"systematic":[162],"reviews,":[163],"tabulated":[164],"separately,":[165],"including":[166],"largest":[168],"available":[169],"meta-analysis":[170,303],"this":[172,298],"topic:":[173],"37":[174],"studies,":[175],"553":[176],"patients,":[177],"612":[178],"procedures).":[179],"In":[180],"single":[182,302],"meta-analysis,":[183],"pooled":[184,279],"rates":[186,284],"at":[187],"months":[189],"ranged":[190],"from":[191,221],"96%":[192],"open":[194],"surgery":[195],"(a":[196],"comparator;":[197],"25":[198],"procedures)":[199,206],"95%":[201],"antegrade":[203,286],"ureteroscopy":[204,214,237,291],"(20":[205],"86%":[208],"PCNL,":[210],"81%":[211],"retrograde":[213,236,290],"75%":[216],"SWL.":[218],"differs":[220],"native-kidney":[222],"disease,":[224],"where":[225],"individualized":[228],"according":[229],"patient":[233],"factors":[234],"SWL":[239,293],"are":[240],"first-line":[241],"smaller":[243],"calculi":[244],"while":[245],"PCNL":[246],"reserved":[248],"larger":[250],"ones.":[251],"Immunosuppressive":[252],"regimens":[253],"inconsistently":[255],"reported,":[256],"no":[258],"study":[259],"used":[260],"validated":[262],"patient-reported":[263,317],"measure":[265],"formal":[268],"composite":[269,329],"endpoint":[270],"integrating":[271],"clearance,":[272],"complications":[273],"graft-function":[275],"Conclusion":[277],"Indirect":[278],"suggest":[281],"higher":[282],"approaches":[287],"than":[288],"rests":[299],"should":[305,322],"be":[306,323],"considered":[307],"hypothesis-generating.":[308],"Reporting":[309],"composition,":[313],"outcomes":[318],"inconsistent":[320],"prioritized,":[324],"ideally":[325],"through":[326],"measure,":[331],"future":[333],"series.":[334]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-10-27T00:00:00"}
