Trends of intervention for paediatric stone disease over the last two decades (2000–2015): A systematic review of literature

Abstract

ObjectiveTo ascertain the publication trends of interventions for paediatric kidney stone disease (KSD) we conducted a systematic review of literature over the last 16 years.Patients and methodsWith a rise of paediatric KSD and related interventions, a systematic review using PubMed was done over the last 16 years for all published papers on ‘Paediatric stone disease intervention – ureteroscopy (URS), shockwave lithotripsy (SWL), percutaneous nephrolithotomy (PCNL), open stone surgery, and laparoscopic stone surgery’. The search was limited to English language articles with a published abstract, whilst case reports, animal and laboratory studies, were excluded. We also analysed the data in two time periods, period-1 (2000–2007) and period-2 (2008–2015).ResultsDuring the last 16-years, 339 papers were published on paediatric stone disease intervention on PubMed. This included papers on URS (95), PCNL (97), SWL (102), open stone surgery (34) and laparoscopic stone surgery (11). During period-1 and period-2 there were 30 and 65 papers on URS, 16 and 81 papers on PCNL, 33 and 60 papers on SWL, nine and 25 papers on open surgery, respectively. When comparing the two periods, there were 92 published papers for all interventions in period-1 and this had risen almost threefold to 247 papers in period-2.ConclusionsOur systematic review shows that intervention for KSD in the paediatric age group has risen over the last 8 years. Whilst URS, SWL, open surgery and laparoscopic surgery have all doubled, PCNL has risen fivefold reflecting an increase in the new minimally invasive PCNL techniques.

Outcomes of ureteroscopy (URS) for stone disease in the paediatric population: results of over 100 URS procedures from a UK tertiary centre

“…The SFRs reported for SWL in current literature are also inferior to that achieved by URS [22,23]. A recent study by Pietropaolo et al reveals that over the past 20 years, while SWL has been the most common treatment modality, in more recent years the dissemination of URS has risen markedly [10]. Rob et al reported that there was no significant difference in the complication rates of URS (both major and minor) between medium and highvolume paediatric centres [24].…”

“…Moreover, advancements related to optic systems, equipment and surgeon expertise have propelled URS as the intervention of choice for many paediatric stone cases [7,8,9]. Accordingly, its uptake and dissemination has seen a marked rise across the world since the first description of its application in the paediatric setting in 1988 by Ritchey et al [10,11,12].…”

Böbrek Taşı Olan Çocuklarda Önceki Taş Tedavisinin Perkütan Nefrolitotomi Sonuçlarına Etkisi

“…Ancak son yıllarda gelişen teknolojiye paralel olarak minimal invaziv cerrahi bir yöntem olan perkütan nefrolitotomi (PNL) başarısız SWL vakalarında kullanılmış ve günümüzde artık açık böbrek taşı cerrahisinin yerini almıştır (1). Yetişkin hastalarda elde edilen tecrübe ile çocuk yaş grubunda da özellikle 15 mm'den büyük veya kompleks böbrek taşlarının cerrahi tedavisinde PNL tercih edilen bir yöntem haline gelmiştir (2).…”

The Trends of Urolithiasis Therapeutic Interventions over the Last 20 Years: A Bibliographic Study

“…3 According to the number of publication, it seems the prevalence of kidney stone disease (KSD) and its associated intervention has been increasing, which can be explained with improved diagnostic modalities, rising in body mass index (BMI), and nutritional and ecological issues. [4][5][6][7] Regarding the high recurrence rate of kidney stones, safe and effective treatment of kidney stones is mandatory. The interventions used to remove kidney stones are as follows: Ureteroscopy (URS), percutaneous nephrolithotomy (PCN), extra-corporeal shockwave lithotripsy (ESWL) and open surgery, but open surgery for kidney stones has come to extinction.…”

“…The interventions used to remove kidney stones are as follows: Ureteroscopy (URS), percutaneous nephrolithotomy (PCN), extra-corporeal shockwave lithotripsy (ESWL) and open surgery, but open surgery for kidney stones has come to extinction. 5,8 The evolution of modern methods in stone surgery such as flexible ureteroscope, mini PCN and the use of laser technology revolutionizes stone treatment intervention. 1 Technological advances help us to attain better stone-free rates and offer our patients the greatest quality of care.…”