Usefulness of the mayo adhesive probability score as a predictive factor for renal function deterioration after partial nephrectomy: a retrospective case–control study

Purpose Whether the Mayo adhesive probability score, an index of the perinephric fat environment, could be a predictive factor for renal function deterioration after partial nephrectomy was investigated. Methods A retrospective case–control study of 78 patients who underwent laparoscopic partial nep...

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Veröffentlicht in:International urology and nephrology 2021-11, Vol.53 (11), p.2281-2288
Hauptverfasser: Hata, Junya, Matsuoka, Yuta, Onagi, Akifumi, Honda-Takinami, Ruriko, Matsuoka, Kanako, Sato, Yuichi, Akaihata, Hidenori, Ogawa, Soichiro, Kataoka, Masao, Hosoi, Takayuki, Kojima, Yoshiyuki
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Sprache:eng
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Zusammenfassung:Purpose Whether the Mayo adhesive probability score, an index of the perinephric fat environment, could be a predictive factor for renal function deterioration after partial nephrectomy was investigated. Methods A retrospective case–control study of 78 patients who underwent laparoscopic partial nephrectomy was performed. An estimated glomerular filtration rate preservation rate at ≤ 90% at 3 months after surgery was defined as postoperative renal function deterioration. These patients were divided into two groups (non-deterioration and deterioration groups). Patient factors including Mayo adhesive probability scores (both tumor and unaffected sides) and surgical factors were evaluated to identify the predictors for postoperative renal function deterioration. The statistical analysis used univariate and multivariate logistic regression analyses. Results Thirty-seven (47.4%) patients had postoperative renal function deterioration after partial nephrectomy. Univariate analysis identified Mayo adhesive probability score on the unaffected side ( p  = 0.02), and warm ischemia time ( p  
ISSN:0301-1623
1573-2584
DOI:10.1007/s11255-021-02986-5