Objective: Production of a thesis during residency requires a great deal of dedication and effort. It is an honor to share the results of this effort with everyone when the thesis is published. In this study, we aimed to investigate the factors affecting the publication of a thesis in the field of urology.
Methods: Theses completed between 2014 and 2018 were searched in the Institution of Higher Education Thesis Center. Keywords, title, and authors on the thesis were searched in the PubMed and Google Scholar databases. Journal tags were categorized according to whether they are indexed in Medline or not. Publication status was analyzed with the subject of the thesis, the year of thesis was completed, hospital where urology residents graduated, and the current workplace of the urologists.
Results: Three hundred and fifty-three theses were analyzed in this study. The number of theses that were published in index journals and non-index journals was 65 (18.4) and 15 (4.2%), respectively. The median citation for published theses was 2 (0-21). The subject of the thesis, time passed after the thesis, and the current workplace of urologist was found to be statistically significant in the publication status of the theses (p<0.001, p= 0.02, p<0.001, respectively).
Conclusion: Most of the theses produced by urologists were not published. Published theses received few citations. Theses produced from animal studies and a long period passed over the thesis increase the rate of publication. Urologists whose theses have been published mostly work in tertiary care hospitals.
Purpose
Percutaneous nephrolithotomy (PNL) can be performed in a number of different positions. Our aim was to evaluate the convenience and advantages of the supine position following the transition from the prone to the supine position.
Materials and Method
94 patients undergoing supine PNL (group 1) and 93 patients undergoing prone PNL (group 2) were retrospectively reviewed and included in the study. Patients who underwent mini-PNL (mPNL) were selected from group 1 and group 2 and divided into Group-1A supine mPNL patients (77) and Group-2A prone mPNL patients (53). Demographic characteristics, operative data and post-operative parameters were compared between these groups.
Results
The operation time was 74.4 ± 21.9 minutes (min) in group-1A and 79.2 ± 19.8 min in group-2A (p: 0.076). The median value of fluoroscopy time was 30 seconds (sec) in group-1A and 40 sec in group-2A (p: 0.003). In group 1A, 59 patients had no intraoperative double-J stent (DJS) insertion and 18 patients had DJS insertion, while in group 2A, 24 patients had no DJS insertion and 29 patients had DJS insertion (p: <0.001). mPNL was performed in 81.9% of patients in the supine position and 57% in the prone position. This difference was statistically significant (p:<0.001). No significant difference was found with regard to the success rate and the complications of mPNL.
Conclusions
Fluoroscopy time is shorter in the supine position. Moreover, the insertion rates of DJS are low. With increasing experience, we have found that our standard PNL (sPNL) rate is gradually decreasing and more mPNL is being performed.
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