Comparison of scoring systems for predicting stone-free status and complications after retrograde intrarenal surgery
 
Yazarlar (6)
Cagri Senocak
Hakan Bahadir Haberal
Erman Damar
Fahri Erkan Sadioglu
Omer Faruk Bozkurt
Makale Türü Özgün Makale (ESCI dergilerinde yayınlanan tam makale)
Dergi Adı WORLD JOURNAL OF UROLOGY
Dergi ISSN 0724-4983 Wos Dergi Scopus Dergi
Makale Dili İngilizce Basım Tarihi 07-2021
Cilt / Sayı / Sayfa 39 / 7 / 2741–2746 DOI 10.1007/s00345-020-03478-4
Makale Linki https://doi.org/10.1007/s00345-020-03478-4
UAK Araştırma Alanları
Sağlık Bilimleri
Özet
To compare the effectiveness of scoring systems in predicting stone-free rates (SFR) and complications following retrograde intrarenal surgery (RIRS). We retrospectively analyzed 280 patients who underwent RIRS for kidney stones between 2016 and 2019. The Resorlu-Unsal Stone score (RUSS), Modified Seoul National University Renal Stone Complexity (S-ReSC) score, and R.I.R.S. scoring system score were calculated for each patient who was enrolled in the study. Subsequently, stone scoring systems were compared as to their predictive capability for SFR using receiver-operating characteristic curves. Furthermore, multivariate analysis was done to determine whether the scoring systems associated with SFR and complications. The median patient age was 44 (35--56). The median RUSS, S-ReSC, and R.I.R.S scores were 0 (0-1), 1(1-2), and 6 (5-7), respectively. The overall SFR was 76.7%. The R.I.R.S. scoring system was found to have a higher predictive value in predicting postoperative SFR than the other two scoring systems (p < 0.001, AUC = 0,816). RUSS, R.I.R.S. score, and stone size were found to be independent predictive factors for SFR (p = 0.049, p = 0.024, p = 0.033, respectively). Complications were observed in 3.2%(9/280) of patients. Stone scoring systems were not statistically associated with complications. Operation duration was the only independent risk factor for complications (p = 0.010). The R.I.R.S. scoring system was found to have a higher predictive value than RUSS and S-ReSC to predict SFR following RIRS in our study. However, none of the stone scoring systems was directly proportional to complications of RIRS.
Anahtar Kelimeler
Laser lithotripsy | Renal calculi | Scoring methods | Treatment outcome | Ureteroscopy
BM Sürdürülebilir Kalkınma Amaçları
Atıf Sayıları
Web of Science 16
Comparison of scoring systems for predicting stone-free status and complications after retrograde intrarenal surgery

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