Nephrolithiasis: Why Doesn’t Our “Learning” Progress?

Gambaro, Giovanni; Reis-Santos, José; Rao, Nagaraja P.

doi:10.1016/j.eururo.2003.10.017

Cited by 31 publications

(29 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Regarding the clinical course after ESWL although majority of disintegrated stone particles may pass spontaneously or stay in situ asymptomatic; they may be symptomatic and/or obstructive in a certain percent of the cases. Obstruction induced symptoms and morbidity casued by these fragments could cause significant changes in patients' QoL (4,13,14). Furthermore, they may necessitate pain management, ED visits, hospitalization, or even additional procedures that may further worsen the long-term QoL.…”

Section: Discussionmentioning

confidence: 99%

“…However endourologists so far, followed the patients solely with respect to the success rates without giving any attention for the changes in patient' s QoL. Procedure itself, stone fragments resided as well as the additional procedures required could affect the QoL and the endourologists should not solely focus on the final outcome but also on these important changes (4,5,15). Such a perspective is particularly true in socially active aged cases undergoing ESWL (13,14).…”

Section: Figure 1bmentioning

confidence: 99%

“…Urolithiasis is a worldwide health problem (1, 2) which typically affects the social life of the patients during their most active and productive age between 20 and 50 years (3,4). In addition to the distressing pain, obstruction and recurrent infections, decreased productivity, loss of work time are the adverse outcomes of stone disease (5,6).…”

Section: Introductionmentioning

confidence: 99%

“…The associated symptoms and morbidity during the passage of disintegrated fragments might have significant effects on these patients' QoL (4,13,14). Thus, it becomes more important that endourologists should not solely focus on the SF obtained but also on the changes in psychological, functional, social and economic life of the patients after ESWL which may possibly change well during the clinical course and the repeated sessions and/or additional procedures after ESWL (4,5,15). QoL is an estimate of freedom from impairement, disability or handicap (16).…”

mentioning

confidence: 99%

See 3 more Smart Citations

Stone size and quality of life: A critical evaluation after extracorporeal shock wave lithotripsy

Şahin

Çetinel

Eryıldırım

et al. 2015

Arch Ital Urol Androl

View full text Add to dashboard Cite

Objectives: To evaluate the quality of life (QoL) of the patients after extracorporeal shockwave lithotripsy (ESWL) on a treated stone size related basis. Methods: 90 patients undergoing ESWL for kidney stones were divided into three groups; Group 1 (n: 30, ≤ 10 mm), Group 2 (n: 28, 11 mm-≤ 20 mm) and Group 3 (n: 32, 20-25 mm). During 3-months follow-up, outcome of the procedure, number of cases with emergency department visits, analgesic required, re-tretatment rates, additional procedures and the changes in the QoL were evaluated. Results: the number of emergency department visits and mean analgesic need; re-treatment rates and additional procedures were significantly higher in Group 3. Evaluation of the QoL scores in three groups showed that cases with larger stone still had lower scores during 3-month evaluation. Conclusions: Stone size could help us to predict the possible impact of ESWL on the QoL and depending on the size of the stone treated, a well planned indication and effective management possibly by an experienced urologist could limit the changes in the QoL of the patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Figure 1bmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Stone size and quality of life: A critical evaluation after extracorporeal shock wave lithotripsy

Şahin

Çetinel

Eryıldırım

et al. 2015

Arch Ital Urol Androl

View full text Add to dashboard Cite

show abstract

“…In this respect, the relationship between SWL procedure and quality of life has been investigated in several studies. [3,[14][15][16] Conclusion drawn from these studies may be summarized as physicians responsible for treatment of stones in the urinary system should not focus only on the rate of stonefree status obtained, and should also take into account possible affect on patients' social and economic status and their quality of life of the treatment administered. More invasive procedures performed following initial procedure in order to increase the rate of stone-free success may negatively affect patients' quality of life and cause increased anxiety.…”

Section: Discussionmentioning

confidence: 99%

Comparative Analysis of Shock Wave Therapy Success Rate in Management of Renal Stones and Patient Anxiety

Şahin¹

2017

South Clin Ist Euras

View full text Add to dashboard Cite

Objective: The purpose of this study was to evaluate the success rate of shock wave lithotripsy (SWL) and possible effects on the anxiety status of patients.Methods: Anxiety status of 128 patients was evaluated using State and Trait Anxiety Inventory (STAI) scale. Three groups were created depending on stone condition: Group 1, completely stone-free; Group 2, asymptomatic residual fragments; and Group 3, fragments requiring additional procedures. Anxiety was evaluated comparatively according to analgesic need and emergency department referrals. Results:Mean score in all 3 groups 1 month after treatment showed significant decrease; however, this decrease was smaller in Group 3 than the other 2 groups. Pairwise evaluation of mean STAI scores revealed significant difference between Group 3 and other groups. Similarly, analgesic need and emergency department referral rate were higher in Group 3. Conclusion:Residual fragments after SWL procedure may affect the anxiety status of the treated patients due to both symptoms they experience and need for additional procedures. We believe that detailed information should be provided to patients with respect to procedure, possible complications, and potential need for additional treatment.

show abstract

For whom the bell tolls? DING proteins in health and disease

Berna

Bernier

Chabrière

et al. 2009

Cell. Mol. Life Sci.

View full text Add to dashboard Cite

DING proteins, identified mainly by their eponymous N-terminal sequences, are ubiquitous in living organisms. Amongst bacteria, they are common in pseudomonads, and have been characterised with respect to genetics and structure. They form part of a wider family of phosphate-binding proteins, with emerging roles in phosphate acquisition and pathogenicity. Many DING proteins have been isolated in eukaryotes, in which they have been associated with very diverse biological activities, often in the context of possible signalling roles. Disease states in which DING proteins have been implicated include rheumatoid arthritis, lithiasis, atherosclerosis, some tumours and tumour-associated cachexia, and bacterial and viral adherence. Complete genetic and structural characterisation of eukaryotic DING genes and proteins is still lacking, though the phosphate-binding site seems to be conserved. Whether as bacterial proteins related to bacterial pathogenicity, or as eukaryotic components of biochemical signalling systems, DING proteins require further study.

show abstract

Nephrolithiasis: Why Doesn’t Our “Learning” Progress?

Cited by 31 publications

References 35 publications

Stone size and quality of life: A critical evaluation after extracorporeal shock wave lithotripsy

Stone size and quality of life: A critical evaluation after extracorporeal shock wave lithotripsy

Comparative Analysis of Shock Wave Therapy Success Rate in Management of Renal Stones and Patient Anxiety

For whom the bell tolls? DING proteins in health and disease

Contact Info

Product

Resources

About