Effectiveness and Safety of Ureteroscopic Lithotripsy in Young, Old-Old, and Oldest Old Patients

Taguchi, Makoto; Kinoshita, Hidefumi; Anada, Natsuki; Yasuda, Kankeki; Ueno, Osamu; Matsuda, Tadashi

doi:10.1089/end.2021.0565

Cited by 11 publications

(10 citation statements)

References 24 publications

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“…The statistically significant MRI features analyzed by chi square test and rank sum test were selected for further correlation analysis. In ▶ Table 2, It is generally confirmed that people over 65 years old are the elderly [13,14] and the average age of the overall sample size is 64.5 years old. Therefore, 65 years old is divided into two groups all patients were divided into groups by their average age (65 years old), and MRI characteristics between the two groups were statistically analyzed by Chi-square test.…”

Section: Discussionmentioning

confidence: 68%

Study On The Pathogenesis Of Post-Stroke Shoulder Pain Based On The Characteristics Of Magnetic Resonance Imaging-A Retrospective Study

Yu,

Wang,

et al. 2023

Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin

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Background High morbidity has been proved frequently happened in post-stroke shoulder pain (PSSP), but the specific pathogenesis of PSSP still remains unclear. Therefore, further research needs to be done to investigate this field. Objective The aim of this study which reviewed the features of magnetic resonance imaging (MRI) on shoulder joint of patients with PSSP, is to find the consequence of pathogenesis. Methods This study starts from June 2017 to August 2021, 74 PSSP patients who accepted MRI examination were selected in the Department of rehabilitation medicine of the Second Affiliated Hospital of Nanjing Medical University (inpatient and outpatient). This study sorted out and summarized patients’ MRI characteristics, analyzing differences of MRI appearance according to age, gender, hemiplegic side, stroke type and onset time. Results After examining all PSSP patients’ MRI characteristics, this study found 56 (75.67%) had supraspinatus tendon injury, 11 (14.86%) infraspinatus tendon injury, 24 (32.43%) subscapular tendon injury, 2 (2.7%) teres minor tendon injury, 60 (81.08%) tendon sheath effusion (inflammation) of long head of biceps brachii, 23 (31.08%) humeral head bone marrow edema and 64 (86.49%) shoulder joint capsule effusion. Moreover, there were 6 cases of acromial descending sac effusion (8.11%), 11 cases of coracoid descending sac effusion (14.86%), 8 cases of synovial thickening (10.81%), and 1 case of ossifying myositis (1.35%). Conclusion No significant differences were found in MRI features according to gender and hemiplegic side .The results showed the injury of supraspinatus tendon significantly increased in the older group compared to the younger group (P=0.039).The patients with supraspinatus tendon injury and tendon sheath effusion (inflammation) of long head of biceps brachii have higher cerebral infarction than patients with cerebral hemorrhage (P=0.002, P=0.028). Based on the time of onset, the participants were divided into three groups: within 1 month, 1–3 months and more than 3 months. The results suggested significant differences in humeral head bone marrow edema and shoulder joint capsule effusion numbers among the three groups (P=0.049, P=0.002). The results of this research could help to improve the accuracy of clinical diagnosis and treatment of PSSP, putting forward a more reasonable treatment scheme.

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Section: Discussionmentioning

confidence: 68%

Study On The Pathogenesis Of Post-Stroke Shoulder Pain Based On The Characteristics Of Magnetic Resonance Imaging-A Retrospective Study

Yu,

Wang,

et al. 2023

Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin

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“…One study used a spinal anaesthesia (SA) in 89% [ 13 ], with another having 37% SA and 33% general anaesthesia (GA) and 9% with sedation only procedure [ 16 ]. Two other studies [ 6 , 14 ] had all patients who underwent a GA. This alludes to the difference in approach within hospitals and countries.…”

Section: Resultsmentioning

confidence: 99%

“…The overall complication rate varied throughout the studies with the lower end being 3.7% [ 14 ] and the upper end being 44.5% [ 21 ]. The complications were categorised using the Clavien- Dindo (CD) system.…”

Section: Resultsmentioning

confidence: 99%

Is ureteroscopy and active stone treatment safe and effective in octogenarians? A review of current literature

Bhatnagar,

Nedbal,

Somani

2024

Arab Journal of Urology

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Background With the aging of our patient population, and the increasing incidence of kidney stone disease in the elderly, active stone treatment is becoming more common. In this review of current literature, we aim to assess safety and efficacy of ureteroscopy (URS) as primary treatment for urolithiasis in the octogenarians. Materials and methods A scoping review of literature according to the PRISMA guidelines was performed, using the relevant search terms. Original articles were screened and included. A narrative review of the studies is provided, with emphasis on outcomes of URS in the elderly. Results 10 studies were included in the analysis. URS performed in the elderly population showed a good safety and efficacy, with stone-free rates (SFR) comparable to the general population. URS specific complication rates seems to be comparable to the other age groups, with postoperative events mostly related to anaesthesia and pre-existing medical conditions. The overall complication rate was still low, with a slightly prolonged hospital stay. Predictors for SFR were age, severe comorbidities and stone burden. Conclusion URS for stone treatment in the elderly population is safe and effective, with comparable surgical outcomes to that of the general population. As comorbidities play an important role in the fitness for surgery and overall survival, risks and benefit of active stone treatment should be carefully balanced in this group.

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“…With the growth of elderly populations worldwide, the performance of ureteroscopic lithotripsy (URSL) in this age group has increased. To investigate the surgical outcomes of URSL for elderly people, we previously showed the feasibility and safety of URSL in this population 1 . Elderly people have various comorbidities, and they may be bedridden because of these comorbidities and aging 2 .…”

Section: Figurementioning

confidence: 99%

Usefulness of ureteroscopic lithotripsy in Izuo position for patients with difficulty opening legs

et al. 2022

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Effectiveness and Safety of Ureteroscopic Lithotripsy in Young, Old-Old, and Oldest Old Patients

Cited by 11 publications

References 24 publications

Study On The Pathogenesis Of Post-Stroke Shoulder Pain Based On The Characteristics Of Magnetic Resonance Imaging-A Retrospective Study

Study On The Pathogenesis Of Post-Stroke Shoulder Pain Based On The Characteristics Of Magnetic Resonance Imaging-A Retrospective Study

Is ureteroscopy and active stone treatment safe and effective in octogenarians? A review of current literature

Usefulness of ureteroscopic lithotripsy in Izuo position for patients with difficulty opening legs

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