Semi‐Automatic Electronic Stent Register: a novel approach to preventing ureteric stents lost to follow up

Macneil, James; Michail, Peter; Patel, Manish I.; Ashbourne, Julie; Bariol, Simon V.; Ende, David; Hossack, Tania; Lau, Howard; Wang, Audrey C.; Brooks, Andrew J.

doi:10.1111/ans.14126

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…A total of 4,581 stents placed in 9 different studies were included in our final analysis (see table). 7–15 Overall, lost or retained stent rates ranged from 1.2% to 13% and were reduced to <1% with the use of tracking systems in most of the studies. Additionally, detection of lost stents was maintained over time.…”

Section: Resultsmentioning

confidence: 98%

Forget Forgotten Stents: Review of Ureteral Stent Tracking Systems

2021

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Introduction: Our objective was to assess existing systems for tracking ureteral stents after urological surgery and determine if these systems impact the rate of retained and forgotten stents.Methods: We performed a scoping review using the search terms ("ureteral stents" "ureteral catheters" "nephroureteral stents" "nephroureteral catheters" or "double J stents") and ("tracking" or "lost stents" or "forgotten stents"). Two of the authors individually selected relevant articles based on title and abstract and performed full review of manuscripts and references.Results: Nine different studies focusing on forgotten ureteral stents were identified. Tracking mechanisms included electronic medical records algorithms, cellphone, chat or computer-based applications. Rates of lost or delayed removal of stents in hospitals prior to using a tracking system were 0%e13%. With a tracking mechanism, the rate of lost or delayed removal was reduced to 1% or less in the studies we identified.Conclusions: Stent tracking systems successfully reduced delayed removal of ureteral stents and reduced the rates of retained stents; however, these systems are institution specific, and no universal solution is readily available. Such a solution would be beneficial for the urological community to investigate further and for industry partners to invest in.

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Section: Resultsmentioning

confidence: 98%

Forget Forgotten Stents: Review of Ureteral Stent Tracking Systems

2021

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“…One study of the use of computerized tracking reported a missed stent rate of 1.2% (19). Rates of 1.2% with the billing record system and 0.5% with smartphone apps have been reported (20,21). We think that, no matter what measures are taken, the problem of missed stents cannot be eradicated so long as the human factor (patient or doctor) remains, and that new types of ureteral stents capable of self-absorption need to be developed in order to protect against missed stents.…”

Section: Discussionmentioning

confidence: 99%

On Yıldan Uzun Süre Üreteral J Stentle Yaşamanın Sonuçları

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Öztorun²

2020

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Unutulmuş üreteral stentlerin infeksiyon, enkrustasyon, taşlaşma ve böbrek yetmezliği gibi majör komplikasyonları vardır. Bu komplikasyonlar stentin kalış süresi ile artar. Bu çalışmada 10 yıldan uzun süre üreteral stentle yaşayan hastaların tedavi yönetimi ve stentlerin hastalara verdiği zararlar tartışılmıştır. Gereç ve Yöntemler: 10 yıldan uzun süredir enkruste üreteral stentle yaşayan üç hastanın klinik verileri retrospektif olarak değerlendirildi. Bulgular: Her üç hastada tipik stent semptomları (hematüri, yan ağrısı, acil idrar hissi, vs) olmadığı için doktora başvurmadıklarını belirtti. İki hasta sepsis ile bir hasta komplike üriner sistem enfeksiyonu ile tarafımıza başvurdu. Uzun süreli stente bağlı olarak 2 hasta ileri derecede böbrek fonksiyon kaybı gelişirken, 1 hasta böbreğini kaybetti. Nonfonksiyonel böbrekli hastaya laparoskopik nefroüreterektomi yapılırken, diğer iki hastaya tek seans multi-modal nefron koruyucu cerrahi uygulandı. Sonuç: Teknolojideki gelişmelere rağmen unutulan stentler sepsise ve böbrek fonksiyon kaybına neden olmaya devam etmektedir. Enkruste stente bağlı komplikasyonlardan korunmanın en güzel yolunun unutmamak olduğunu düşünüyoruz.

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Semi‐Automatic Electronic Stent Register: a novel approach to preventing ureteric stents lost to follow up

Cited by 2 publications

References 5 publications

Forget Forgotten Stents: Review of Ureteral Stent Tracking Systems

Forget Forgotten Stents: Review of Ureteral Stent Tracking Systems

On Yıldan Uzun Süre Üreteral J Stentle Yaşamanın Sonuçları

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