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Holmium Laser Lithotripsy in the New Stone Age: Dust or Bust?

Overview of attention for article published in Frontiers in Surgery, September 2017
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • One of the highest-scoring outputs from this source (#1 of 2,975)
  • High Attention Score compared to outputs of the same age (99th percentile)
  • High Attention Score compared to outputs of the same age and source (94th percentile)

Mentioned by

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45 news outlets
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21 X users

Citations

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96 Dimensions

Readers on

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78 Mendeley
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Title
Holmium Laser Lithotripsy in the New Stone Age: Dust or Bust?
Published in
Frontiers in Surgery, September 2017
DOI 10.3389/fsurg.2017.00057
Pubmed ID
Authors

Ali H. Aldoukhi, William W. Roberts, Timothy L. Hall, Khurshid R. Ghani

Abstract

Modern day holmium laser systems for ureteroscopy (URS) provide users with a range of settings, namely pulse energy (PE), pulse frequency (Fr), and pulse width (PW). These variables allow the surgeon to choose different combinations that have specific effects on stone fragmentation during URS lithotripsy. Contact laser lithotripsy can be performed using fragmentation or dusting settings. Fragmentation employs settings of low Fr and high PE to break stones that are then extracted with retrieval devices. Dusting is the utilization of high Fr and low PE settings to break stones into submillimeter fragments for spontaneous passage without the need for basket retrieval. Use of the long PW mode during lithotripsy can reduce stone retropulsion and is increasingly available in new generation lasers. During non-contact laser lithotripsy, stone fragments are rapidly pulverized in a calyx in laser bursts that result in stones breaking into fine fragments. In this review, we discuss the effect of different holmium laser settings on stone fragmentation, and the clinical implications in a very much evolving field.

X Demographics

X Demographics

The data shown below were collected from the profiles of 21 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 78 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 78 100%

Demographic breakdown

Readers by professional status Count As %
Student > Postgraduate 11 14%
Other 10 13%
Student > Doctoral Student 10 13%
Student > Ph. D. Student 9 12%
Researcher 8 10%
Other 9 12%
Unknown 21 27%
Readers by discipline Count As %
Medicine and Dentistry 33 42%
Engineering 8 10%
Nursing and Health Professions 3 4%
Unspecified 2 3%
Physics and Astronomy 2 3%
Other 4 5%
Unknown 26 33%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 373. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 19 June 2018.
All research outputs
#70,241
of 23,003,906 outputs
Outputs from Frontiers in Surgery
#1
of 2,975 outputs
Outputs of similar age
#1,795
of 321,103 outputs
Outputs of similar age from Frontiers in Surgery
#1
of 19 outputs
Altmetric has tracked 23,003,906 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 99th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 2,975 research outputs from this source. They receive a mean Attention Score of 2.3. This one has done particularly well, scoring higher than 99% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 321,103 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 99% of its contemporaries.
We're also able to compare this research output to 19 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 94% of its contemporaries.