The associations of RENAL, PADUA and C-index nephrometry scores with perioperative outcomes and postoperative renal function in minimally invasive partial nephrectomy

Abstract

Ali Serdar Gözen, et al.; Robot-assisted vasovasostomy and vasoepididymostomy: Current status and review of the literature.

Predicting Strict Trifecta Outcomes after Robot-Assisted Partial Nephrectomy: Comparison of RENAL, PADUA, and C-Index Scores

“…There are many studies investigating the nephrometry scores and PN outcomes. The external validation studies demonstrated that nephrometry scores associated with perioperative and renal functional outcomes (14)(15)(16)23). However, there are only four studies on comparative analysis of nephrometry scores to predict the Trifecta success (8,20,23,24).…”

“…The radius, exophytic/endophytic, nearness, anterior/posterior, location (RENAL) nephrometry score, preoperative aspects and dimensions used for an anatomic classifications (PADUA) score, and the centrality index (C-index) remain the most known and used systems (11)(12)(13). The importance of these nephrometry scores in predicting the perioperative and renal functional outcomes of PN has been demonstrated (14)(15)(16).…”

Parallel comparison of R.E.N.A.L., PADUA, and C‐index scoring systems in predicting outcomes after partial nephrectomy: A systematic review and meta‐analysis

“…(r = 0.29 [0.17, 0.44]; I 2 = 0.0%, p = 0.51) and PADUA (r = 0.24 [0.10, 0.38]; I 2 = 15.5%, p = 0.277). Moreover, a pooled analysis of Cindex score yielded a stronger relationship with ACE evaluated by radionuclide GFR than the other two (r = −0.49 [−0.87, −0.11]; I 2 = 91.9%, p < 0.001) (Figure7).3.2.5 | Length of stayLOS was reported by six studies 17,18,21,28,29,32. Compared with the other two scores, A pooled analysis of PADUAscore showed no statistically significant correlation with LOS (r = 0.16 [−0.00, 0.31], p > 0.05; I 2 = 27.5%, p = 0.029), while R.E.N.A.L.…”

“…Estimated blood loss EBL was reported by eight studies 18,19,21,23,24,28,29,32. A Correlation between three nephrometry scores and estimated blood loss…”

“…Correlation between three nephrometry scores and warm ischemia time3.2 | The correlations between threeNSs and outcomes3.2.1 | Warm ischemia timeOverall, WIT was reported by 12 studies 18,19,[21][22][23][24][25][28][29][30][31][32]. There was a weak significant association between WIT and R.E.N.A.L.…”