Evaluation of the patients with flank pain in the emergency department by modified STONE score

Bahadırlı, Suphi; Sen, Ali Baris; Bulut, Mehtap; Kaya, Sinan

doi:10.1016/j.ajem.2021.03.073

Cited by 3 publications

(5 citation statements)

References 11 publications

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“…A variety of internal and external validations have demonstrated the effectiveness of STONE and CHOKAI scores in predicting ureteral stones [9,10,[12][13][14]22]. The results of our study indicate that CHOKAI scores are better at predicting ureteral calculi than STONE and STONE PLUS scores, which are in line with the literature [14,15].…”

Section: Discussionsupporting

confidence: 87%

“…To reduce the rate of CT scans and radiation exposure, several scoring systems have been developed for predicting ureteral stones among patients with renal colic [9][10][11]. It has been shown that these scoring systems are useful for detecting ureteral stones [12][13][14][15]. Despite these ndings, only 1% of ED patients diagnosed with urinary system stones undergo emergency intervention, and 12.7% undergo urologic procedures within 60 days of discharge from the ED [3].…”

Section: Introductionmentioning

confidence: 99%

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Comparison of the diagnostic utility of CHOKAI, STONE and STONE PLUS scores in predicting ureteral stones larger than 5mm

Tatliparmak

YILMAZ

et al. 2023

Preprint

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The objective of this study is to assess the diagnostic accuracy of CHOKAI, STONE and STONE plus scores in detecting ureteral stones larger than 5 mm. This comparative diagnostic accuracy study was performed in a tertiary care emergency department (ED) and included consecutive patients who presented to the ED with flank pain and underwent ultrasonography and CT over a 1-year period. The performance of these scoring scales in detecting >5 mm ureteral stones was determined by area under the receiver operating characteristics (AUROC) comparison. Ureteral stones were detected in 270 (70.3%) of 384 patients included in the study. While 146 patients (54.1%) had <5mm ureteral stones, 124 patients (54.1%) had stones of 5mm or more in size. The performance of the CHOKAI score in predicting ureteral stones (AUROC 0.903 [95% CI 0.869-0.931]) was superior to the STONE PLUS score (AUROC 0. 879 [95% CI 0.842-0.910]) (p<0.001); STONE PLUS score was also superior to STONE score (AUROC 0.767 [95% CI 0.722-0.809]) (p<0.001). STONE score did not show a statistically significant difference between large and small stone groups (p=0.064). Analysis of the diagnostic value of CHOKAI score (AUROC 0.731 [95% CI 0.684-0.775]) and STONE PLUS scores (AUROC 0.725 [95% CI 0.678-0.769]) in predicting >5 mm stones showed no statistically significant difference (p=0.59). CHOKAI and STONE PLUS scores are useful in predicting >5 mm ureteral stones and have similar diagnostic utility to each other. STONE score does not provide accurate diagnostic information about ureteral stones larger than 5 millimeters.

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Comparison of the diagnostic utility of CHOKAI, STONE and STONE PLUS scores in predicting ureteral stones larger than 5mm

Tatliparmak

YILMAZ

et al. 2023

Preprint

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“…Nevertheless, the current consensus considers the gender assigned from birth as both kidneys and ureters were not surgically altered in the transitioning process [ 3 ]. Additionally, it is worth noting that several factors contribute to the formation of urinary stones including warmer climates and sun exposure which lead to dehydration, diet, obesity and genetic factors as there is a 2.5 times chance of developing a ureter stone if a patient has a family history of stone disease [ 4 ]. In terms of diagnosis, non-contrast computed tomography (CT Uroscan) is the imaging method of choice due to its high specificity and sensitivity [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…Additionally, it is worth noting that several factors contribute to the formation of urinary stones including warmer climates and sun exposure which lead to dehydration, diet, obesity and genetic factors as there is a 2.5 times chance of developing a ureter stone if a patient has a family history of stone disease [ 4 ]. In terms of diagnosis, non-contrast computed tomography (CT Uroscan) is the imaging method of choice due to its high specificity and sensitivity [ 4 ]. In the case of symptomatic obstruction and possible sepsis, patients should have urgent relief through either percutaneous nephrostomy, retrograde stent ureteroscopy or extracorporeal shock-wave lithotripsy [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…In terms of diagnosis, non-contrast computed tomography (CT Uroscan) is the imaging method of choice due to its high specificity and sensitivity [ 4 ]. In the case of symptomatic obstruction and possible sepsis, patients should have urgent relief through either percutaneous nephrostomy, retrograde stent ureteroscopy or extracorporeal shock-wave lithotripsy [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

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Bilateral Urinary Stones in a Transgender Woman: A Case Report in Lebanon

Salah,

Tlaiss,

Maroun

et al. 2023

Cureus

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This case report presents a 38-year-old transgender woman, assigned male at birth, who presented with severe right flank pain associated with nausea and hematuria. After previously undergoing gender-affirming surgeries, including abdominoplasty, liposuction, breast augmentation, and reconstructive vaginal surgery, the patient developed bilateral ureteral and kidney stones leading to significant hydronephrosis. Bilateral double J insertion was performed following a computed tomography (CT) Uroscan. This was followed by flexible ureteroscopy and laser fragmentation of the stone bilaterally. The patient's anatomy was remarkable for the presence of neovagina and prostate. This case highlights the unique challenges and considerations in managing genitourinary complications in transgender individuals. The literature is limited in the Middle East concerning transgender individuals, hence the need to conduct further research and compile comprehensive case reports on transgender individuals in the Middle East in order to establish a robust database and draw meaningful epidemiological conclusions.

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Comparison of the diagnostic utility of CHOKAI, STONE and STONE PLUS scores in predicting ureteral stones larger than 5 mm

Tatliparmak,

Yilmaz,

et al. 2023

Journal of Clinical Urology

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Objective: The objective of this study is to assess the diagnostic accuracy of CHOKAI, STONE, and STONE plus scores in detecting ureteral stones larger than 5 mm. Methods: This comparative diagnostic accuracy study was performed in a tertiary care emergency department (ED) and included consecutive patients who presented to the ED with flank pain over a 1-year period. The performance of these scoring scales in detecting ureteral stones measuring >5 mm was determined by area under the receiver operating characteristics (AUROC) comparison. Results: Ureteral stones were detected in 270 (70.3%) of 384 patients included in the study. While 146 patients (54.1%) had ureteral stones measuring <5 mm, 124 patients (54.1%) had stones measuring 5 mm or more in size. The performance of the CHOKAI score in predicting ureteral stones was superior to that of the STONE PLUS score; STONE PLUS score was also superior to STONE score ( p < 0.001). Analysis of the diagnostic value of CHOKAI score and STONE PLUS scores in predicting >5-mm stones showed no statistically significant difference ( p = 0.59). Conclusion: CHOKAI and STONE PLUS scores are useful in predicting >5-mm ureteral stones and have similar diagnostic utility to each other. STONE score does not provide accurate diagnostic information about ureteral stones larger than 5 mm. Level of evidence: Level 2b

show abstract

Evaluation of the patients with flank pain in the emergency department by modified STONE score

Cited by 3 publications

References 11 publications

Comparison of the diagnostic utility of CHOKAI, STONE and STONE PLUS scores in predicting ureteral stones larger than 5mm

Comparison of the diagnostic utility of CHOKAI, STONE and STONE PLUS scores in predicting ureteral stones larger than 5mm

Bilateral Urinary Stones in a Transgender Woman: A Case Report in Lebanon

Comparison of the diagnostic utility of CHOKAI, STONE and STONE PLUS scores in predicting ureteral stones larger than 5 mm

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