Flexible Ureterorenoscopy Is Safe and Efficient for the Treatment of Kidney Stones in Patients With Chronic Kidney Disease
Objective To evaluate the outcomes of kidney stone treatment using flexible ureterorenoscopy (f-URS) among patients with chronic kidney disease (CKD). Patients and Methods Data of patients who underwent f-URS between January 2009 and December 2012 were collected. Patients were staged according to es...
Gespeichert in:
| Veröffentlicht in: | Urology (Ridgewood, N.J.) N.J.), 2014-12, Vol.84 (6), p.1279-1284 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1284 |
|---|---|
| container_issue | 6 |
| container_start_page | 1279 |
| container_title | Urology (Ridgewood, N.J.) |
| container_volume | 84 |
| creator | Yuruk, Emrah Binbay, Murat Ozgor, Faruk Erbin, Akif Berberoglu, Yalcin Muslumanoglu, Ahmet Y |
| description | Objective To evaluate the outcomes of kidney stone treatment using flexible ureterorenoscopy (f-URS) among patients with chronic kidney disease (CKD). Patients and Methods Data of patients who underwent f-URS between January 2009 and December 2012 were collected. Patients were staged according to estimated glomerular filtration rate. Patients with stage ≥3 were accepted as having CKD (study group). These patients were matched with a group of patients without CKD (control group). Operative characteristics, complication rates, and third-month success rates were compared. Results Overall, 339 patients underwent f-URS and 62 (18.28%) had CKD. Control group constituted of 87 patients. Having a solitary kidney (17.4% vs 3.5%; P = .003) and history of stone intervention (51.6% vs 23%; P = .001) were more common in the CKD group. Similarly, access sheath was more commonly used among patients with CKD (87.1% vs 70.22%; P = .015). Both perioperative (19.35% vs 19.54; P = .372) and postoperative (22.6% vs 16.1%; P = .214) complication rates were similar in patients with and without CKD. Hospitalization time was 25.70 ± 25.62 and 24.5 ± 25 hours ( P = .871) for patients with and without CKD, respectively. Although mean third postoperative estimated glomerular filtration rate of patients with CKD did not change significantly (48.16 ± 8.72 vs 49.08 ± 9.26; P = .431), CKD stage of 13 patients shifted from 3 to 2. At the third postoperative month, stone free rate in patients with and without CKD was 87.1% vs 86.2% ( P = .875). Conclusion f-URS is a safe and effective procedure in patients with CKD and it is associated with improved overall kidney function. |
| doi_str_mv | 10.1016/j.urology.2014.07.038 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1629334994</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0090429514008085</els_id><sourcerecordid>1629334994</sourcerecordid><originalsourceid>FETCH-LOGICAL-c450t-7a5136d1e46639af9577804e7de3d652580789b39d59ede282257448f340322f3</originalsourceid><addsrcrecordid>eNqFkk2LFDEQhhtR3HH1Jyi5CF56rHx1OhdFxl1dXFCYXTyGTLriZOzpzCbdYvvr7WZmFbx4Kiieeqt4qKJ4TmFJgVavd8shxTZ-G5cMqFiCWgKvHxQLKpkqtdbyYbEA0FAKpuVZ8STnHQBUVaUeF2dMsporkIvi12WLP8OmRXKbsMcUE3Yxu3gYyVUma-uR2K4hF94HF7DriY-J9FskNwltv5870ZNPoelwJOs-dphJ6MgX2890Jl9DvyWrbYpdcPfY-5DRZnxaPPK2zfjsVM-L28uLm9XH8vrzh6vVu-vSCQl9qaykvGooiqri2notlapBoGqQN5VksgZV6w3XjdTYIKsZk0qI2nMBnDHPz4tXx9xDincD5t7sQ3bYtrbDOGRDK6Y5F1qLCZVH1KWYc0JvDinsbRoNBTNrNztz0m5m7QaUmbRPcy9OK4bNHps_U_eeJ-DlCbDZ2dYn27mQ_3IahKzFHPT2yOEk5EfAZPKs3WETErreNDH895Q3_yS4NkzybfsdR8y7OKRusm2oycyAWc8_Mr8IFQA11JL_BmXct_I</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1629334994</pqid></control><display><type>article</type><title>Flexible Ureterorenoscopy Is Safe and Efficient for the Treatment of Kidney Stones in Patients With Chronic Kidney Disease</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Yuruk, Emrah ; Binbay, Murat ; Ozgor, Faruk ; Erbin, Akif ; Berberoglu, Yalcin ; Muslumanoglu, Ahmet Y</creator><creatorcontrib>Yuruk, Emrah ; Binbay, Murat ; Ozgor, Faruk ; Erbin, Akif ; Berberoglu, Yalcin ; Muslumanoglu, Ahmet Y</creatorcontrib><description>Objective To evaluate the outcomes of kidney stone treatment using flexible ureterorenoscopy (f-URS) among patients with chronic kidney disease (CKD). Patients and Methods Data of patients who underwent f-URS between January 2009 and December 2012 were collected. Patients were staged according to estimated glomerular filtration rate. Patients with stage ≥3 were accepted as having CKD (study group). These patients were matched with a group of patients without CKD (control group). Operative characteristics, complication rates, and third-month success rates were compared. Results Overall, 339 patients underwent f-URS and 62 (18.28%) had CKD. Control group constituted of 87 patients. Having a solitary kidney (17.4% vs 3.5%; P = .003) and history of stone intervention (51.6% vs 23%; P = .001) were more common in the CKD group. Similarly, access sheath was more commonly used among patients with CKD (87.1% vs 70.22%; P = .015). Both perioperative (19.35% vs 19.54; P = .372) and postoperative (22.6% vs 16.1%; P = .214) complication rates were similar in patients with and without CKD. Hospitalization time was 25.70 ± 25.62 and 24.5 ± 25 hours ( P = .871) for patients with and without CKD, respectively. Although mean third postoperative estimated glomerular filtration rate of patients with CKD did not change significantly (48.16 ± 8.72 vs 49.08 ± 9.26; P = .431), CKD stage of 13 patients shifted from 3 to 2. At the third postoperative month, stone free rate in patients with and without CKD was 87.1% vs 86.2% ( P = .875). Conclusion f-URS is a safe and effective procedure in patients with CKD and it is associated with improved overall kidney function.</description><identifier>ISSN: 0090-4295</identifier><identifier>EISSN: 1527-9995</identifier><identifier>DOI: 10.1016/j.urology.2014.07.038</identifier><identifier>PMID: 25283705</identifier><identifier>CODEN: URGYAZ</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Aged ; Biological and medical sciences ; Cohort Studies ; Female ; Follow-Up Studies ; Glomerular Filtration Rate ; Humans ; Kidney Calculi - complications ; Kidney Calculi - diagnosis ; Kidney Calculi - surgery ; Kidney Function Tests ; Kidneys ; Male ; Medical sciences ; Middle Aged ; Minimally Invasive Surgical Procedures - methods ; Nephrology. Urinary tract diseases ; Patient Safety ; Pliability ; Reference Values ; Renal Insufficiency, Chronic - complications ; Renal Insufficiency, Chronic - diagnosis ; Renal Insufficiency, Chronic - surgery ; Retrospective Studies ; Risk Assessment ; Severity of Illness Index ; Statistics, Nonparametric ; Treatment Outcome ; Ureteroscopes ; Ureteroscopy - instrumentation ; Ureteroscopy - methods ; Urinary lithiasis ; Urinary system involvement in other diseases. Miscellaneous ; Urology</subject><ispartof>Urology (Ridgewood, N.J.), 2014-12, Vol.84 (6), p.1279-1284</ispartof><rights>Elsevier Inc.</rights><rights>2014 Elsevier Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2014 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c450t-7a5136d1e46639af9577804e7de3d652580789b39d59ede282257448f340322f3</citedby><cites>FETCH-LOGICAL-c450t-7a5136d1e46639af9577804e7de3d652580789b39d59ede282257448f340322f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0090429514008085$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=29045848$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25283705$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yuruk, Emrah</creatorcontrib><creatorcontrib>Binbay, Murat</creatorcontrib><creatorcontrib>Ozgor, Faruk</creatorcontrib><creatorcontrib>Erbin, Akif</creatorcontrib><creatorcontrib>Berberoglu, Yalcin</creatorcontrib><creatorcontrib>Muslumanoglu, Ahmet Y</creatorcontrib><title>Flexible Ureterorenoscopy Is Safe and Efficient for the Treatment of Kidney Stones in Patients With Chronic Kidney Disease</title><title>Urology (Ridgewood, N.J.)</title><addtitle>Urology</addtitle><description>Objective To evaluate the outcomes of kidney stone treatment using flexible ureterorenoscopy (f-URS) among patients with chronic kidney disease (CKD). Patients and Methods Data of patients who underwent f-URS between January 2009 and December 2012 were collected. Patients were staged according to estimated glomerular filtration rate. Patients with stage ≥3 were accepted as having CKD (study group). These patients were matched with a group of patients without CKD (control group). Operative characteristics, complication rates, and third-month success rates were compared. Results Overall, 339 patients underwent f-URS and 62 (18.28%) had CKD. Control group constituted of 87 patients. Having a solitary kidney (17.4% vs 3.5%; P = .003) and history of stone intervention (51.6% vs 23%; P = .001) were more common in the CKD group. Similarly, access sheath was more commonly used among patients with CKD (87.1% vs 70.22%; P = .015). Both perioperative (19.35% vs 19.54; P = .372) and postoperative (22.6% vs 16.1%; P = .214) complication rates were similar in patients with and without CKD. Hospitalization time was 25.70 ± 25.62 and 24.5 ± 25 hours ( P = .871) for patients with and without CKD, respectively. Although mean third postoperative estimated glomerular filtration rate of patients with CKD did not change significantly (48.16 ± 8.72 vs 49.08 ± 9.26; P = .431), CKD stage of 13 patients shifted from 3 to 2. At the third postoperative month, stone free rate in patients with and without CKD was 87.1% vs 86.2% ( P = .875). Conclusion f-URS is a safe and effective procedure in patients with CKD and it is associated with improved overall kidney function.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Cohort Studies</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Glomerular Filtration Rate</subject><subject>Humans</subject><subject>Kidney Calculi - complications</subject><subject>Kidney Calculi - diagnosis</subject><subject>Kidney Calculi - surgery</subject><subject>Kidney Function Tests</subject><subject>Kidneys</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Minimally Invasive Surgical Procedures - methods</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Patient Safety</subject><subject>Pliability</subject><subject>Reference Values</subject><subject>Renal Insufficiency, Chronic - complications</subject><subject>Renal Insufficiency, Chronic - diagnosis</subject><subject>Renal Insufficiency, Chronic - surgery</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Severity of Illness Index</subject><subject>Statistics, Nonparametric</subject><subject>Treatment Outcome</subject><subject>Ureteroscopes</subject><subject>Ureteroscopy - instrumentation</subject><subject>Ureteroscopy - methods</subject><subject>Urinary lithiasis</subject><subject>Urinary system involvement in other diseases. Miscellaneous</subject><subject>Urology</subject><issn>0090-4295</issn><issn>1527-9995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkk2LFDEQhhtR3HH1Jyi5CF56rHx1OhdFxl1dXFCYXTyGTLriZOzpzCbdYvvr7WZmFbx4Kiieeqt4qKJ4TmFJgVavd8shxTZ-G5cMqFiCWgKvHxQLKpkqtdbyYbEA0FAKpuVZ8STnHQBUVaUeF2dMsporkIvi12WLP8OmRXKbsMcUE3Yxu3gYyVUma-uR2K4hF94HF7DriY-J9FskNwltv5870ZNPoelwJOs-dphJ6MgX2890Jl9DvyWrbYpdcPfY-5DRZnxaPPK2zfjsVM-L28uLm9XH8vrzh6vVu-vSCQl9qaykvGooiqri2notlapBoGqQN5VksgZV6w3XjdTYIKsZk0qI2nMBnDHPz4tXx9xDincD5t7sQ3bYtrbDOGRDK6Y5F1qLCZVH1KWYc0JvDinsbRoNBTNrNztz0m5m7QaUmbRPcy9OK4bNHps_U_eeJ-DlCbDZ2dYn27mQ_3IahKzFHPT2yOEk5EfAZPKs3WETErreNDH895Q3_yS4NkzybfsdR8y7OKRusm2oycyAWc8_Mr8IFQA11JL_BmXct_I</recordid><startdate>20141201</startdate><enddate>20141201</enddate><creator>Yuruk, Emrah</creator><creator>Binbay, Murat</creator><creator>Ozgor, Faruk</creator><creator>Erbin, Akif</creator><creator>Berberoglu, Yalcin</creator><creator>Muslumanoglu, Ahmet Y</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20141201</creationdate><title>Flexible Ureterorenoscopy Is Safe and Efficient for the Treatment of Kidney Stones in Patients With Chronic Kidney Disease</title><author>Yuruk, Emrah ; Binbay, Murat ; Ozgor, Faruk ; Erbin, Akif ; Berberoglu, Yalcin ; Muslumanoglu, Ahmet Y</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c450t-7a5136d1e46639af9577804e7de3d652580789b39d59ede282257448f340322f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Cohort Studies</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Glomerular Filtration Rate</topic><topic>Humans</topic><topic>Kidney Calculi - complications</topic><topic>Kidney Calculi - diagnosis</topic><topic>Kidney Calculi - surgery</topic><topic>Kidney Function Tests</topic><topic>Kidneys</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Minimally Invasive Surgical Procedures - methods</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Patient Safety</topic><topic>Pliability</topic><topic>Reference Values</topic><topic>Renal Insufficiency, Chronic - complications</topic><topic>Renal Insufficiency, Chronic - diagnosis</topic><topic>Renal Insufficiency, Chronic - surgery</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Severity of Illness Index</topic><topic>Statistics, Nonparametric</topic><topic>Treatment Outcome</topic><topic>Ureteroscopes</topic><topic>Ureteroscopy - instrumentation</topic><topic>Ureteroscopy - methods</topic><topic>Urinary lithiasis</topic><topic>Urinary system involvement in other diseases. Miscellaneous</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yuruk, Emrah</creatorcontrib><creatorcontrib>Binbay, Murat</creatorcontrib><creatorcontrib>Ozgor, Faruk</creatorcontrib><creatorcontrib>Erbin, Akif</creatorcontrib><creatorcontrib>Berberoglu, Yalcin</creatorcontrib><creatorcontrib>Muslumanoglu, Ahmet Y</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Urology (Ridgewood, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yuruk, Emrah</au><au>Binbay, Murat</au><au>Ozgor, Faruk</au><au>Erbin, Akif</au><au>Berberoglu, Yalcin</au><au>Muslumanoglu, Ahmet Y</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Flexible Ureterorenoscopy Is Safe and Efficient for the Treatment of Kidney Stones in Patients With Chronic Kidney Disease</atitle><jtitle>Urology (Ridgewood, N.J.)</jtitle><addtitle>Urology</addtitle><date>2014-12-01</date><risdate>2014</risdate><volume>84</volume><issue>6</issue><spage>1279</spage><epage>1284</epage><pages>1279-1284</pages><issn>0090-4295</issn><eissn>1527-9995</eissn><coden>URGYAZ</coden><abstract>Objective To evaluate the outcomes of kidney stone treatment using flexible ureterorenoscopy (f-URS) among patients with chronic kidney disease (CKD). Patients and Methods Data of patients who underwent f-URS between January 2009 and December 2012 were collected. Patients were staged according to estimated glomerular filtration rate. Patients with stage ≥3 were accepted as having CKD (study group). These patients were matched with a group of patients without CKD (control group). Operative characteristics, complication rates, and third-month success rates were compared. Results Overall, 339 patients underwent f-URS and 62 (18.28%) had CKD. Control group constituted of 87 patients. Having a solitary kidney (17.4% vs 3.5%; P = .003) and history of stone intervention (51.6% vs 23%; P = .001) were more common in the CKD group. Similarly, access sheath was more commonly used among patients with CKD (87.1% vs 70.22%; P = .015). Both perioperative (19.35% vs 19.54; P = .372) and postoperative (22.6% vs 16.1%; P = .214) complication rates were similar in patients with and without CKD. Hospitalization time was 25.70 ± 25.62 and 24.5 ± 25 hours ( P = .871) for patients with and without CKD, respectively. Although mean third postoperative estimated glomerular filtration rate of patients with CKD did not change significantly (48.16 ± 8.72 vs 49.08 ± 9.26; P = .431), CKD stage of 13 patients shifted from 3 to 2. At the third postoperative month, stone free rate in patients with and without CKD was 87.1% vs 86.2% ( P = .875). Conclusion f-URS is a safe and effective procedure in patients with CKD and it is associated with improved overall kidney function.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>25283705</pmid><doi>10.1016/j.urology.2014.07.038</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0090-4295 |
| ispartof | Urology (Ridgewood, N.J.), 2014-12, Vol.84 (6), p.1279-1284 |
| issn | 0090-4295 1527-9995 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1629334994 |
| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Aged Biological and medical sciences Cohort Studies Female Follow-Up Studies Glomerular Filtration Rate Humans Kidney Calculi - complications Kidney Calculi - diagnosis Kidney Calculi - surgery Kidney Function Tests Kidneys Male Medical sciences Middle Aged Minimally Invasive Surgical Procedures - methods Nephrology. Urinary tract diseases Patient Safety Pliability Reference Values Renal Insufficiency, Chronic - complications Renal Insufficiency, Chronic - diagnosis Renal Insufficiency, Chronic - surgery Retrospective Studies Risk Assessment Severity of Illness Index Statistics, Nonparametric Treatment Outcome Ureteroscopes Ureteroscopy - instrumentation Ureteroscopy - methods Urinary lithiasis Urinary system involvement in other diseases. Miscellaneous Urology |
| title | Flexible Ureterorenoscopy Is Safe and Efficient for the Treatment of Kidney Stones in Patients With Chronic Kidney Disease |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-02T15%3A14%3A17IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Flexible%20Ureterorenoscopy%20Is%20Safe%20and%20Efficient%20for%20the%20Treatment%20of%20Kidney%20Stones%20in%20Patients%20With%20Chronic%20Kidney%20Disease&rft.jtitle=Urology%20(Ridgewood,%20N.J.)&rft.au=Yuruk,%20Emrah&rft.date=2014-12-01&rft.volume=84&rft.issue=6&rft.spage=1279&rft.epage=1284&rft.pages=1279-1284&rft.issn=0090-4295&rft.eissn=1527-9995&rft.coden=URGYAZ&rft_id=info:doi/10.1016/j.urology.2014.07.038&rft_dat=%3Cproquest_cross%3E1629334994%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1629334994&rft_id=info:pmid/25283705&rft_els_id=S0090429514008085&rfr_iscdi=true |