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. 2018 Apr 5;2018(4):CD008509. doi: 10.1002/14651858.CD008509.pub3

Zehri 2010.

Methods
  • Study design: open‐label RCT.

  • Study duration: 15 March 2007 to 15 September 2007.

  • Follow‐up/Treatment duration: 4 weeks.

Participants
  • Country: Pakistan.

  • Setting: single centre.

  • Patients with distal ureteral stones 4‐7 mm, presenting to the ED or to the outpatient clinic; assessed with NCCT.

  • Number: treatment group: 33; control group: 32.

  • Mean age, years: treatment group: 32.63; control group: 33.62.

  • Sex, M/F: treatment group: 31/2; control group: 25/7.

  • Exclusion criteria: UTI; ureteral stricture; diabetes; ulcer disease; history of hypersensitivity to doxazosin; solitary kidney; severe hydronephrosis; SCr > 2 mg/dL; multiple ureteral stones; hypotension; pain not controlled on analgesics; pregnant.

Interventions Treatment group
  • Doxazosin 2 mg 1 hour before sleep for a maximum of 28 days.


Control group
  • No treatment.


Both groups received 50 mg diclofenac twice daily for a maximum of 10 days and were allowed to drink 2 L of fluids daily.
Outcomes
  • Stone expulsion rate.

  • Stone expulsion time.

  • Quantity of analgesics used.

  • Need for hospitalisation or endoscopic procedures or both.

  • Side effects.

Funding sources None stated.
Declarations of interest None stated.
Notes Weekly follow‐up with KUB or US.
Sample size was calculated.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) High risk Quote: “Randomization was done by assigning consecutive patients to alternate groups."
Comment: This method of random sequence generation was considered to have high risk of bias.
Allocation concealment (selection bias) High risk No quotes available.
Comment: The type of allocation concealment used in this study was considered to have high risk of bias.
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Quote: "open‐label." No blinding performed.
Comment: Risk of performance bias was considered to be high.
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk No quotes available. No blinding of outcome assessments described.
Comment: Owing to insufficient information, risk of detection bias was considered to be unclear.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No quotes available.
Comment: one exclusion; therefore risk of attrition bias was considered to be low.
Selective reporting (reporting bias) Low risk No quotes available. Expected outcomes were reported according to objectives.
Comment: Risk of reporting bias was therefore considered to be low.
Other bias Low risk No quotes available. Study appears to be free of other sources of bias.
Comment: No other sources of bias could be found; therefore risk of other bias was considered to be low.