Comparison of scoring systems for predicting stone-free status and complications after retrograde ıntrarenal surgery
Purpose To compare the effectiveness of scoring systems in predicting stone-free rates (SFR) and complications following retrograde intrarenal surgery (RIRS). Materials and methods We retrospectively analyzed 280 patients who underwent RIRS for kidney stones between 2016 and 2019. The Resorlu–Unsal...
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| Veröffentlicht in: | World journal of urology 2021-07, Vol.39 (7), p.2741-2746 |
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| creator | Ozbek, Ridvan Senocak, Cagri Haberal, Hakan Bahadir Damar, Erman Sadioglu, Fahri Erkan Bozkurt, Omer Faruk |
| description | Purpose
To compare the effectiveness of scoring systems in predicting stone-free rates (SFR) and complications following retrograde intrarenal surgery (RIRS).
Materials and methods
We retrospectively analyzed 280 patients who underwent RIRS for kidney stones between 2016 and 2019. The Resorlu–Unsal Stone score (RUSS), Modified Seoul National University Renal Stone Complexity (S-ReSC) score, and R.I.R.S. scoring system score were calculated for each patient who was enrolled in the study. Subsequently, stone scoring systems were compared as to their predictive capability for SFR using receiver-operating characteristic curves. Furthermore, multivariate analysis was done to determine whether the scoring systems associated with SFR and complications.
Results
The median patient age was 44 (35–-56). The median RUSS, S-ReSC, and R.I.R.S scores were 0 (0–1), 1(1–2), and 6 (5–7), respectively. The overall SFR was 76.7%. The R.I.R.S. scoring system was found to have a higher predictive value in predicting postoperative SFR than the other two scoring systems (
p
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| doi_str_mv | 10.1007/s00345-020-03478-4 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2451854287</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2451854287</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-f8b6da3601fb699f2e7fe6dba44e38fcf108c2f974812f229a726d335523f2ad3</originalsourceid><addsrcrecordid>eNp9kb9uFDEQhy0EIpfAC1AgSzQ0Bv9de0t0CgQpEg3Uls87Pm20u17G3uIei3fgwXByASQKKo9G3_w89kfIK8HfCc7t-8K50oZxyVkrrGP6CdkJrRRzVnZPyY5bqZnunbogl6XccS5sx81zcqEUN9a5fke2fZ7XgGPJC82JlphxXI60nEqFudCUka4IwxjrQ7vmBVhCgFaGuhUaloHGFjGNMdQxL62TKiBFqJiPGAagP38sFQPCEiZaNjwCnl6QZylMBV4-nlfk28frr_sbdvvl0-f9h1sWlTWVJXfohqA6LtKh6_skwSbohkPQGpRLMQnuoky91U7IJGUf2rsHpYyRKskwqCvy9py7Yv6-Qal-HkuEaQoL5K14qY1wRktnG_rmH_Qub9h2bpQxtrPGiL5R8kxFzKUgJL_iOAc8ecH9vRR_luKbFP8gxes29PoxejvMMPwZ-W2hAeoMlPX-9wH_3v2f2F-JhZqO</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2557675519</pqid></control><display><type>article</type><title>Comparison of scoring systems for predicting stone-free status and complications after retrograde ıntrarenal surgery</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Ozbek, Ridvan ; Senocak, Cagri ; Haberal, Hakan Bahadir ; Damar, Erman ; Sadioglu, Fahri Erkan ; Bozkurt, Omer Faruk</creator><creatorcontrib>Ozbek, Ridvan ; Senocak, Cagri ; Haberal, Hakan Bahadir ; Damar, Erman ; Sadioglu, Fahri Erkan ; Bozkurt, Omer Faruk</creatorcontrib><description>Purpose
To compare the effectiveness of scoring systems in predicting stone-free rates (SFR) and complications following retrograde intrarenal surgery (RIRS).
Materials and methods
We retrospectively analyzed 280 patients who underwent RIRS for kidney stones between 2016 and 2019. The Resorlu–Unsal Stone score (RUSS), Modified Seoul National University Renal Stone Complexity (S-ReSC) score, and R.I.R.S. scoring system score were calculated for each patient who was enrolled in the study. Subsequently, stone scoring systems were compared as to their predictive capability for SFR using receiver-operating characteristic curves. Furthermore, multivariate analysis was done to determine whether the scoring systems associated with SFR and complications.
Results
The median patient age was 44 (35–-56). The median RUSS, S-ReSC, and R.I.R.S scores were 0 (0–1), 1(1–2), and 6 (5–7), respectively. The overall SFR was 76.7%. The R.I.R.S. scoring system was found to have a higher predictive value in predicting postoperative SFR than the other two scoring systems (
p
< 0.001, AUC = 0,816). RUSS, R.I.R.S. score, and stone size were found to be independent predictive factors for SFR (
p
= 0.049,
p
= 0.024,
p
= 0.033, respectively). Complications were observed in 3.2%(9/280) of patients. Stone scoring systems were not statistically associated with complications. Operation duration was the only independent risk factor for complications (
p
= 0.010).
Conclusions
The R.I.R.S. scoring system was found to have a higher predictive value than RUSS and S-ReSC to predict SFR following RIRS in our study. However, none of the stone scoring systems was directly proportional to complications of RIRS.</description><identifier>ISSN: 0724-4983</identifier><identifier>EISSN: 1433-8726</identifier><identifier>DOI: 10.1007/s00345-020-03478-4</identifier><identifier>PMID: 33057889</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Calculi ; Female ; Health sciences ; Hospitals ; Humans ; Kidney - surgery ; Kidney Calculi - surgery ; Kidney stones ; Lithiasis ; Lithotripsy ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Multivariate analysis ; Nephrolithiasis ; Nephrology ; Oncology ; Original Article ; Patients ; Performance evaluation ; Postoperative Complications - epidemiology ; Prognosis ; Retrospective Studies ; Risk factors ; Surgeons ; Surgery ; Urologic Surgical Procedures - methods ; Urology</subject><ispartof>World journal of urology, 2021-07, Vol.39 (7), p.2741-2746</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020</rights><rights>2020. Springer-Verlag GmbH Germany, part of Springer Nature.</rights><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-f8b6da3601fb699f2e7fe6dba44e38fcf108c2f974812f229a726d335523f2ad3</citedby><cites>FETCH-LOGICAL-c375t-f8b6da3601fb699f2e7fe6dba44e38fcf108c2f974812f229a726d335523f2ad3</cites><orcidid>0000-0002-9552-5429</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00345-020-03478-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00345-020-03478-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,778,782,27911,27912,41475,42544,51306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33057889$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ozbek, Ridvan</creatorcontrib><creatorcontrib>Senocak, Cagri</creatorcontrib><creatorcontrib>Haberal, Hakan Bahadir</creatorcontrib><creatorcontrib>Damar, Erman</creatorcontrib><creatorcontrib>Sadioglu, Fahri Erkan</creatorcontrib><creatorcontrib>Bozkurt, Omer Faruk</creatorcontrib><title>Comparison of scoring systems for predicting stone-free status and complications after retrograde ıntrarenal surgery</title><title>World journal of urology</title><addtitle>World J Urol</addtitle><addtitle>World J Urol</addtitle><description>Purpose
To compare the effectiveness of scoring systems in predicting stone-free rates (SFR) and complications following retrograde intrarenal surgery (RIRS).
Materials and methods
We retrospectively analyzed 280 patients who underwent RIRS for kidney stones between 2016 and 2019. The Resorlu–Unsal Stone score (RUSS), Modified Seoul National University Renal Stone Complexity (S-ReSC) score, and R.I.R.S. scoring system score were calculated for each patient who was enrolled in the study. Subsequently, stone scoring systems were compared as to their predictive capability for SFR using receiver-operating characteristic curves. Furthermore, multivariate analysis was done to determine whether the scoring systems associated with SFR and complications.
Results
The median patient age was 44 (35–-56). The median RUSS, S-ReSC, and R.I.R.S scores were 0 (0–1), 1(1–2), and 6 (5–7), respectively. The overall SFR was 76.7%. The R.I.R.S. scoring system was found to have a higher predictive value in predicting postoperative SFR than the other two scoring systems (
p
< 0.001, AUC = 0,816). RUSS, R.I.R.S. score, and stone size were found to be independent predictive factors for SFR (
p
= 0.049,
p
= 0.024,
p
= 0.033, respectively). Complications were observed in 3.2%(9/280) of patients. Stone scoring systems were not statistically associated with complications. Operation duration was the only independent risk factor for complications (
p
= 0.010).
Conclusions
The R.I.R.S. scoring system was found to have a higher predictive value than RUSS and S-ReSC to predict SFR following RIRS in our study. However, none of the stone scoring systems was directly proportional to complications of RIRS.</description><subject>Adult</subject><subject>Calculi</subject><subject>Female</subject><subject>Health sciences</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Kidney - surgery</subject><subject>Kidney Calculi - surgery</subject><subject>Kidney stones</subject><subject>Lithiasis</subject><subject>Lithotripsy</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Multivariate analysis</subject><subject>Nephrolithiasis</subject><subject>Nephrology</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Patients</subject><subject>Performance evaluation</subject><subject>Postoperative Complications - epidemiology</subject><subject>Prognosis</subject><subject>Retrospective Studies</subject><subject>Risk factors</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Urologic Surgical Procedures - methods</subject><subject>Urology</subject><issn>0724-4983</issn><issn>1433-8726</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kb9uFDEQhy0EIpfAC1AgSzQ0Bv9de0t0CgQpEg3Uls87Pm20u17G3uIei3fgwXByASQKKo9G3_w89kfIK8HfCc7t-8K50oZxyVkrrGP6CdkJrRRzVnZPyY5bqZnunbogl6XccS5sx81zcqEUN9a5fke2fZ7XgGPJC82JlphxXI60nEqFudCUka4IwxjrQ7vmBVhCgFaGuhUaloHGFjGNMdQxL62TKiBFqJiPGAagP38sFQPCEiZaNjwCnl6QZylMBV4-nlfk28frr_sbdvvl0-f9h1sWlTWVJXfohqA6LtKh6_skwSbohkPQGpRLMQnuoky91U7IJGUf2rsHpYyRKskwqCvy9py7Yv6-Qal-HkuEaQoL5K14qY1wRktnG_rmH_Qub9h2bpQxtrPGiL5R8kxFzKUgJL_iOAc8ecH9vRR_luKbFP8gxes29PoxejvMMPwZ-W2hAeoMlPX-9wH_3v2f2F-JhZqO</recordid><startdate>20210701</startdate><enddate>20210701</enddate><creator>Ozbek, Ridvan</creator><creator>Senocak, Cagri</creator><creator>Haberal, Hakan Bahadir</creator><creator>Damar, Erman</creator><creator>Sadioglu, Fahri Erkan</creator><creator>Bozkurt, Omer Faruk</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><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>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9552-5429</orcidid></search><sort><creationdate>20210701</creationdate><title>Comparison of scoring systems for predicting stone-free status and complications after retrograde ıntrarenal surgery</title><author>Ozbek, Ridvan ; Senocak, Cagri ; Haberal, Hakan Bahadir ; Damar, Erman ; Sadioglu, Fahri Erkan ; Bozkurt, Omer Faruk</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-f8b6da3601fb699f2e7fe6dba44e38fcf108c2f974812f229a726d335523f2ad3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Calculi</topic><topic>Female</topic><topic>Health sciences</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Kidney - surgery</topic><topic>Kidney Calculi - surgery</topic><topic>Kidney stones</topic><topic>Lithiasis</topic><topic>Lithotripsy</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Multivariate analysis</topic><topic>Nephrolithiasis</topic><topic>Nephrology</topic><topic>Oncology</topic><topic>Original Article</topic><topic>Patients</topic><topic>Performance evaluation</topic><topic>Postoperative Complications - epidemiology</topic><topic>Prognosis</topic><topic>Retrospective Studies</topic><topic>Risk factors</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Urologic Surgical Procedures - methods</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ozbek, Ridvan</creatorcontrib><creatorcontrib>Senocak, Cagri</creatorcontrib><creatorcontrib>Haberal, Hakan Bahadir</creatorcontrib><creatorcontrib>Damar, Erman</creatorcontrib><creatorcontrib>Sadioglu, Fahri Erkan</creatorcontrib><creatorcontrib>Bozkurt, Omer Faruk</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>World journal of urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ozbek, Ridvan</au><au>Senocak, Cagri</au><au>Haberal, Hakan Bahadir</au><au>Damar, Erman</au><au>Sadioglu, Fahri Erkan</au><au>Bozkurt, Omer Faruk</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of scoring systems for predicting stone-free status and complications after retrograde ıntrarenal surgery</atitle><jtitle>World journal of urology</jtitle><stitle>World J Urol</stitle><addtitle>World J Urol</addtitle><date>2021-07-01</date><risdate>2021</risdate><volume>39</volume><issue>7</issue><spage>2741</spage><epage>2746</epage><pages>2741-2746</pages><issn>0724-4983</issn><eissn>1433-8726</eissn><abstract>Purpose
To compare the effectiveness of scoring systems in predicting stone-free rates (SFR) and complications following retrograde intrarenal surgery (RIRS).
Materials and methods
We retrospectively analyzed 280 patients who underwent RIRS for kidney stones between 2016 and 2019. The Resorlu–Unsal Stone score (RUSS), Modified Seoul National University Renal Stone Complexity (S-ReSC) score, and R.I.R.S. scoring system score were calculated for each patient who was enrolled in the study. Subsequently, stone scoring systems were compared as to their predictive capability for SFR using receiver-operating characteristic curves. Furthermore, multivariate analysis was done to determine whether the scoring systems associated with SFR and complications.
Results
The median patient age was 44 (35–-56). The median RUSS, S-ReSC, and R.I.R.S scores were 0 (0–1), 1(1–2), and 6 (5–7), respectively. The overall SFR was 76.7%. The R.I.R.S. scoring system was found to have a higher predictive value in predicting postoperative SFR than the other two scoring systems (
p
< 0.001, AUC = 0,816). RUSS, R.I.R.S. score, and stone size were found to be independent predictive factors for SFR (
p
= 0.049,
p
= 0.024,
p
= 0.033, respectively). Complications were observed in 3.2%(9/280) of patients. Stone scoring systems were not statistically associated with complications. Operation duration was the only independent risk factor for complications (
p
= 0.010).
Conclusions
The R.I.R.S. scoring system was found to have a higher predictive value than RUSS and S-ReSC to predict SFR following RIRS in our study. However, none of the stone scoring systems was directly proportional to complications of RIRS.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>33057889</pmid><doi>10.1007/s00345-020-03478-4</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-9552-5429</orcidid></addata></record> |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adult Calculi Female Health sciences Hospitals Humans Kidney - surgery Kidney Calculi - surgery Kidney stones Lithiasis Lithotripsy Male Medicine Medicine & Public Health Middle Aged Multivariate analysis Nephrolithiasis Nephrology Oncology Original Article Patients Performance evaluation Postoperative Complications - epidemiology Prognosis Retrospective Studies Risk factors Surgeons Surgery Urologic Surgical Procedures - methods Urology |
| title | Comparison of scoring systems for predicting stone-free status and complications after retrograde ıntrarenal surgery |
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