Tugas Evidence Based

Medicine
Nama : Pratistha Satyanegara
NPM : 1102012211

SKENARIO
Seorang laki laki berumur 45 tahun datang ke poli
bedah untuk memeriksakan kondisinya karena ia
mengalami sulit buang air. Setelah dilakukan anamnesis,
pemeriksaan
fisik,
dan
pemeriksaan
penunjang
ditemukan bahwa di ginjal laki laki tersebut terdapat
sebuah
batu
ginjal
sebesar
kacang.
Dokter
merencanakan untuk melakukan terapi percutaneous
nephrolithotomy. Lalu laki laki tersebut menanyakan
apakah bisa menggunakan extracorporeal shockwave
lithotripsy untuk mendapatkan hasil yang maksimal.

PICO
P = Laki laki berumur 45 tahun penderita batu
ginjal.
I = Percutaneous Nephrolithotomy.
C = Extracorporeal Shockwave Lithotripsy.
O = Kesembuhan.

PERTANYAAN KLINIS
Apakah
penggunaan
extracorporeal
shockwave
lithotripsy dapat memberikan hasil yang maksimal pada
kasus
batu
ginjal
diatas
dibandingkan
dengan
percutaneous nephrolithotomy?

PENCARIAN BUKTI ILMIAH

Alamat website :
http://www.ncbi.nlm.nih.gov/pubmed/26413350
Kata kunci
: extracorporeal shockwave lithotripsy
AND kidney stone AND percutaneous lithotripsy
Limitasi

: 5 tahun

Hasil Pencarian: 105

DIPILIH ARTIKEL BERJUDUL

Percutaneous nephrolithotomy vs. extracorporeal
shockwave lithotripsy for treating a 20 30 mm single
renal pelvic stone

Author
Mohammed Hassan, Ahmad R. El-Nahas, Khaled Z. Sheir,
Nasr A. Al Tabey, Ahmed M. El Assmy, Ahmed M. Elshal.
Ahmed A. Shokeir
Urology Department, Urology and Nephrology Center,
Mansoura University, Mansoura, Egypt.

Critical Appraisal
Are the result of the trial valid?
1a. Was the assignment of patient to treatment
randomized?

1b. Were the groups similar at the start of the trial?

2a. Aside from the allocated treatment, were group

treated equally?

2b. Were all patients who entered the trial ecountered

for? and were they analysed in the groups to which they
were randomized?

3. Were measures objective or were the patients and

clinicans kept blind to which treatment was being
received?
Unclear

What were the results?

How large was the treatment effect?