Impact of body mass index on success, complications and failure of extracorporeal shock wave lithotripsy

Impact of body mass index on success, complications and failure of extracorporeal shock wave lithotripsy

Introduction : Extracorporeal shock wave lithotripsy (ESWL) is known as the most common method in treating urinary stones (70%) and is a selective method to treat small urinary stones (25 kg/m2 and BMI 25 kg/ m2 and BMI 7.5 cm predicts treatment failure. Conclusion : BMI and SSD are effective factor...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Journal of renal injury prevention 2019-09, Vol.8 (3), p.221-224
Hauptverfasser: Ali Beigi, Faramarz Mohammad, Keivani Hafshejani, Zahra, Aghahoseini, Mohammadreza, Shirani, Majid
Format: Artikel
Sprache:eng
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 224
container_issue 3
container_start_page 221
container_title Journal of renal injury prevention
container_volume 8
creator Ali Beigi, Faramarz Mohammad
Keivani Hafshejani, Zahra
Aghahoseini, Mohammadreza
Shirani, Majid
description Introduction : Extracorporeal shock wave lithotripsy (ESWL) is known as the most common method in treating urinary stones (70%) and is a selective method to treat small urinary stones (25 kg/m2 and BMI 25 kg/ m2 and BMI 7.5 cm predicts treatment failure. Conclusion : BMI and SSD are effective factors on the outcome of ESWL. Higher BMI and SSD> 7.5 cm are effective factors on treatment failure.
doi_str_mv 10.15171/jrip.2019.41
format Article
fullrecord <record><control><sourceid>crossref</sourceid><recordid>TN_cdi_crossref_primary_10_15171_jrip_2019_41</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>10_15171_jrip_2019_41</sourcerecordid><originalsourceid>FETCH-LOGICAL-c276t-5163c82b920c850d8ce3d99b959a26f7e097a5b1bb1eae712e3c8810f081b97e3</originalsourceid><addsrcrecordid>eNpNkD9PwzAUxC0EElXpyO4PQIKfE9fxiCr-VKrEAnNkOy-qSxJHfim0354WGJjuhrvT6cfYLYgcFGi436Uw5lKAyUu4YDNZlCqTuoLLf_6aLYh2QgiQykBZzNh23Y_WTzy23MXmyHtLxMPQ4IHHgdPeeyS64z72Yxe8nUIciNuh4a0N3T7huYiHKVkf0xgT2o7TNvoP_mU_kXdh2sbpdIyON-yqtR3h4k_n7P3p8W31km1en9erh03mpV5OmYJl4SvpjBS-UqKpPBaNMc4oY-Wy1SiMtsqBc4AWNUg8xSsQrajAGY3FnGW_uz5FooRtPabQ23SsQdQ_pOozqfpMqi6h-AahT15l</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Impact of body mass index on success, complications and failure of extracorporeal shock wave lithotripsy</title><source>EZB-FREE-00999 freely available EZB journals</source><creator>Ali Beigi, Faramarz Mohammad ; Keivani Hafshejani, Zahra ; Aghahoseini, Mohammadreza ; Shirani, Majid</creator><creatorcontrib>Ali Beigi, Faramarz Mohammad ; Keivani Hafshejani, Zahra ; Aghahoseini, Mohammadreza ; Shirani, Majid</creatorcontrib><description>Introduction : Extracorporeal shock wave lithotripsy (ESWL) is known as the most common method in treating urinary stones (70%) and is a selective method to treat small urinary stones (&lt;2-2.5 cm). General opinion is that the success rate of ESWL in obese patients is low and risk of complications is high. Objectives : The aim of this study was to evaluate the impact of body mass index (BMI) and the stone-to-skin distance on success, complications and failure of ESWL. Patients and Methods : In this study, 222 patients who referred to lithotripsy clinic of Kashani hospital of Shahrekord to break stones with diameters of 5 to 20 mm participated in the study. Their urinary stones were in kidneys, lower calyces, upper calyces, pelvis or proximal ureter and were divided into two equal groups of BMI &gt;25 kg/m2 and BMI &lt;25 kg/m2 . Assessing the position and diameter of the stones was based on radiographic findings such as sonography and CT scan. Regarding success, failure and complications of lithotripsy, two groups were compared. Results : Around 105 and 117 patients out of 222 subjects, were respectively assigned in BMI&gt;25 kg/ m2 and BMI &lt;25 kg/m2 groups. The failure and success of both groups were statistically significant (P=0.023). In terms of treatment outcomes, difference between two groups was high in low skinto-stone distance (SSD). Logistic regression showed that both BMI and SSD are effective factors in treating the stone while SSD was more effective (P=0.004) than BMI (P=0.023) since SSD&gt;7.5 cm predicts treatment failure. Conclusion : BMI and SSD are effective factors on the outcome of ESWL. Higher BMI and SSD&gt; 7.5 cm are effective factors on treatment failure.</description><identifier>ISSN: 2345-2781</identifier><identifier>EISSN: 2345-2781</identifier><identifier>DOI: 10.15171/jrip.2019.41</identifier><language>eng</language><ispartof>Journal of renal injury prevention, 2019-09, Vol.8 (3), p.221-224</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c276t-5163c82b920c850d8ce3d99b959a26f7e097a5b1bb1eae712e3c8810f081b97e3</citedby><orcidid>0000-0003-4084-4403 ; 0000-0003-4537-3081 ; 0000-0001-7560-6777 ; 0000-0001-6512-0386</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Ali Beigi, Faramarz Mohammad</creatorcontrib><creatorcontrib>Keivani Hafshejani, Zahra</creatorcontrib><creatorcontrib>Aghahoseini, Mohammadreza</creatorcontrib><creatorcontrib>Shirani, Majid</creatorcontrib><title>Impact of body mass index on success, complications and failure of extracorporeal shock wave lithotripsy</title><title>Journal of renal injury prevention</title><description>Introduction : Extracorporeal shock wave lithotripsy (ESWL) is known as the most common method in treating urinary stones (70%) and is a selective method to treat small urinary stones (&lt;2-2.5 cm). General opinion is that the success rate of ESWL in obese patients is low and risk of complications is high. Objectives : The aim of this study was to evaluate the impact of body mass index (BMI) and the stone-to-skin distance on success, complications and failure of ESWL. Patients and Methods : In this study, 222 patients who referred to lithotripsy clinic of Kashani hospital of Shahrekord to break stones with diameters of 5 to 20 mm participated in the study. Their urinary stones were in kidneys, lower calyces, upper calyces, pelvis or proximal ureter and were divided into two equal groups of BMI &gt;25 kg/m2 and BMI &lt;25 kg/m2 . Assessing the position and diameter of the stones was based on radiographic findings such as sonography and CT scan. Regarding success, failure and complications of lithotripsy, two groups were compared. Results : Around 105 and 117 patients out of 222 subjects, were respectively assigned in BMI&gt;25 kg/ m2 and BMI &lt;25 kg/m2 groups. The failure and success of both groups were statistically significant (P=0.023). In terms of treatment outcomes, difference between two groups was high in low skinto-stone distance (SSD). Logistic regression showed that both BMI and SSD are effective factors in treating the stone while SSD was more effective (P=0.004) than BMI (P=0.023) since SSD&gt;7.5 cm predicts treatment failure. Conclusion : BMI and SSD are effective factors on the outcome of ESWL. Higher BMI and SSD&gt; 7.5 cm are effective factors on treatment failure.</description><issn>2345-2781</issn><issn>2345-2781</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNpNkD9PwzAUxC0EElXpyO4PQIKfE9fxiCr-VKrEAnNkOy-qSxJHfim0354WGJjuhrvT6cfYLYgcFGi436Uw5lKAyUu4YDNZlCqTuoLLf_6aLYh2QgiQykBZzNh23Y_WTzy23MXmyHtLxMPQ4IHHgdPeeyS64z72Yxe8nUIciNuh4a0N3T7huYiHKVkf0xgT2o7TNvoP_mU_kXdh2sbpdIyON-yqtR3h4k_n7P3p8W31km1en9erh03mpV5OmYJl4SvpjBS-UqKpPBaNMc4oY-Wy1SiMtsqBc4AWNUg8xSsQrajAGY3FnGW_uz5FooRtPabQ23SsQdQ_pOozqfpMqi6h-AahT15l</recordid><startdate>20190901</startdate><enddate>20190901</enddate><creator>Ali Beigi, Faramarz Mohammad</creator><creator>Keivani Hafshejani, Zahra</creator><creator>Aghahoseini, Mohammadreza</creator><creator>Shirani, Majid</creator><scope>AAYXX</scope><scope>CITATION</scope><orcidid>https://orcid.org/0000-0003-4084-4403</orcidid><orcidid>https://orcid.org/0000-0003-4537-3081</orcidid><orcidid>https://orcid.org/0000-0001-7560-6777</orcidid><orcidid>https://orcid.org/0000-0001-6512-0386</orcidid></search><sort><creationdate>20190901</creationdate><title>Impact of body mass index on success, complications and failure of extracorporeal shock wave lithotripsy</title><author>Ali Beigi, Faramarz Mohammad ; Keivani Hafshejani, Zahra ; Aghahoseini, Mohammadreza ; Shirani, Majid</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c276t-5163c82b920c850d8ce3d99b959a26f7e097a5b1bb1eae712e3c8810f081b97e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ali Beigi, Faramarz Mohammad</creatorcontrib><creatorcontrib>Keivani Hafshejani, Zahra</creatorcontrib><creatorcontrib>Aghahoseini, Mohammadreza</creatorcontrib><creatorcontrib>Shirani, Majid</creatorcontrib><collection>CrossRef</collection><jtitle>Journal of renal injury prevention</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ali Beigi, Faramarz Mohammad</au><au>Keivani Hafshejani, Zahra</au><au>Aghahoseini, Mohammadreza</au><au>Shirani, Majid</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of body mass index on success, complications and failure of extracorporeal shock wave lithotripsy</atitle><jtitle>Journal of renal injury prevention</jtitle><date>2019-09-01</date><risdate>2019</risdate><volume>8</volume><issue>3</issue><spage>221</spage><epage>224</epage><pages>221-224</pages><issn>2345-2781</issn><eissn>2345-2781</eissn><abstract>Introduction : Extracorporeal shock wave lithotripsy (ESWL) is known as the most common method in treating urinary stones (70%) and is a selective method to treat small urinary stones (&lt;2-2.5 cm). General opinion is that the success rate of ESWL in obese patients is low and risk of complications is high. Objectives : The aim of this study was to evaluate the impact of body mass index (BMI) and the stone-to-skin distance on success, complications and failure of ESWL. Patients and Methods : In this study, 222 patients who referred to lithotripsy clinic of Kashani hospital of Shahrekord to break stones with diameters of 5 to 20 mm participated in the study. Their urinary stones were in kidneys, lower calyces, upper calyces, pelvis or proximal ureter and were divided into two equal groups of BMI &gt;25 kg/m2 and BMI &lt;25 kg/m2 . Assessing the position and diameter of the stones was based on radiographic findings such as sonography and CT scan. Regarding success, failure and complications of lithotripsy, two groups were compared. Results : Around 105 and 117 patients out of 222 subjects, were respectively assigned in BMI&gt;25 kg/ m2 and BMI &lt;25 kg/m2 groups. The failure and success of both groups were statistically significant (P=0.023). In terms of treatment outcomes, difference between two groups was high in low skinto-stone distance (SSD). Logistic regression showed that both BMI and SSD are effective factors in treating the stone while SSD was more effective (P=0.004) than BMI (P=0.023) since SSD&gt;7.5 cm predicts treatment failure. Conclusion : BMI and SSD are effective factors on the outcome of ESWL. Higher BMI and SSD&gt; 7.5 cm are effective factors on treatment failure.</abstract><doi>10.15171/jrip.2019.41</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0003-4084-4403</orcidid><orcidid>https://orcid.org/0000-0003-4537-3081</orcidid><orcidid>https://orcid.org/0000-0001-7560-6777</orcidid><orcidid>https://orcid.org/0000-0001-6512-0386</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 2345-2781
ispartof Journal of renal injury prevention, 2019-09, Vol.8 (3), p.221-224
issn 2345-2781
2345-2781
language eng
recordid cdi_crossref_primary_10_15171_jrip_2019_41
source EZB-FREE-00999 freely available EZB journals
title Impact of body mass index on success, complications and failure of extracorporeal shock wave lithotripsy
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-04T22%3A08%3A13IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-crossref&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Impact%20of%20body%20mass%20index%20on%20success,%20complications%20and%20failure%20of%20extracorporeal%20shock%20wave%20lithotripsy&rft.jtitle=Journal%20of%20renal%20injury%20prevention&rft.au=Ali%20Beigi,%20Faramarz%20Mohammad&rft.date=2019-09-01&rft.volume=8&rft.issue=3&rft.spage=221&rft.epage=224&rft.pages=221-224&rft.issn=2345-2781&rft.eissn=2345-2781&rft_id=info:doi/10.15171/jrip.2019.41&rft_dat=%3Ccrossref%3E10_15171_jrip_2019_41%3C/crossref%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_id=info:pmid/&rfr_iscdi=true