Do the scoring systems predict the success of percutaneous nephrolithotomie for staghorn stones? Comparison of 4 scores: The Guy’s stone score, STONE Score, CROES nomogram and S-ReSC score

Bibi, M.; Ouanes, Yassine; Zakhama, W.; Manitta, M.; Chaker, Kays; Mradali, K.; Sellami, A.; Rhouma, Sami Ben; Binous, Y.; Nouira, Yassine

doi:10.1016/s2666-1683(20)33268-7

Cited by 2 publications

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“…[4][5][6] In recent years, however, there is an uncertainty regarding the predictive values of these scoring systems for SFS and postoperative complications in patients undergoing PNL. [7][8][9] These scoring systems have been shown to be inadequate in predicting complications, particularly in specific patient groups such as those with staghorn calculi, kidneys with anatomical abnormalities or paediatric patients. [10][11][12] Although stone-and patient-related factors seem to be useful in predicting SFS, they usually fail in predicting postoperative complications.…”

Section: Methodsmentioning

confidence: 99%

Endourologists vs urologists: The impact of surgical experience and annual case volume on percutaneous nephrolithotomy outcomes

Sahin,

Yilmaz

et al. 2023

Scripta Medica

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Background/Aim: Surgeon experience, which is an important factor in reducing surgical complications, has been underestimated when analysing percutaneous nephrolithotomy (PNL) outcomes. Aim of this study was to investigate the impact of annual case volume (ACV) of endourologists and urologists on PNL outcomes including stone-free status (SFS) and complications. Methods: A total of 530 patients who underwent PNL in the Clinic between January 2018 and January 2023 were retrospectively analysed. The patients were divided into two groups: those operated by endourologists (Group 1, n = 324) and by urologists (Group 2, n = 206). The two groups were statistically compared in terms of postoperative SFS and complications. Results: There were two endourologists in Group 1 and four urologists in Group 2. The mean ACV was 73.56 ± 7.43 in Group 1 and 23.81 ± 9.09 in Group 2, indicating a statistically significantly higher rate in Group 1 (p < 0.001). There was no statistically significant difference in the postoperative SFS rates between the groups (p = 0.064). In the perioperative period, the mean estimated blood loss and nephrostomy dwell time were significantly lower in Group 1 than Group 2 (p = 0.013 and p = 0.008, respectively). In the logistic regression analysis, a cut-off value of > 24 for ACV and CROES scores were the significant predictors of SFS (p = 0.004 and p < 0.001, respectively). The complication rate was significantly lower among surgeons with an ACV of > 24 (p < 0.001). Conclusion: Results from this study showed that an ACV of > 24 increases SFS rate by 2.13 with lower complication rates in patients undergoing PNL. Further multi-centre, large-scale studies are required to investigate the effect of surgical experience and ACV on postoperative outcomes and to predict PNL outcomes with high accuracy.

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Section: Methodsmentioning

confidence: 99%

Endourologists vs urologists: The impact of surgical experience and annual case volume on percutaneous nephrolithotomy outcomes

Sahin,

Yilmaz

et al. 2023

Scripta Medica

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“…deed dit het beste voor complicaties [10]. Twee retrospectieve studies lieten ook zien dat de systemen elkaar niet veel ontlopen [11,12].…”

Section: Voorspellenunclassified

Endo-urologie en stenen

Oomen

Bouma-Houwert

2020

Tijdschr Urol

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Samenvatting Hoewel het congres in Amsterdam dit jaar geen doorgang heeft gevonden, is er toch een hoop te vertellen over de urologie. Dat blijkt uit het uitgebreide programma dat geheel virtueel werd gepresenteerd dit jaar. ‘Hot Shots’ uit alle vakgebieden schoven aan om iedereen bij te praten over hun passie. Het merendeel van de praatjes betrof oncologische onderwerpen, maar er is zeker ook het een en ander te melden op het gebied van stenen en endo-urologie

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Do the scoring systems predict the success of percutaneous nephrolithotomie for staghorn stones? Comparison of 4 scores: The Guy’s stone score, STONE Score, CROES nomogram and S-ReSC score

Cited by 2 publications

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Endourologists vs urologists: The impact of surgical experience and annual case volume on percutaneous nephrolithotomy outcomes

Endourologists vs urologists: The impact of surgical experience and annual case volume on percutaneous nephrolithotomy outcomes

Endo-urologie en stenen

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