Comparison of Scoring Systems in Pediatric Mini-Percutaneous Nephrolithotomy

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dc.contributor.authorUtangac, Mehmet Mazhar
dc.contributor.authorTepeler, Abdulkadir
dc.contributor.authorDaggulli, Mansur
dc.contributor.authorTosun, Muhammed
dc.contributor.authorDede, Onur
dc.contributor.authorArmagan, Abdullah
dc.date.accessioned2024-04-24T16:18:36Z
dc.date.available2024-04-24T16:18:36Z
dc.date.issued2016
dc.departmentDicle Üniversitesien_US
dc.description.abstractOBJECTIVE To apply urolithiasis scoring systems to the pediatric miniperc procedure and to compare their predictive capability for postoperative outcomes. MATERIALS AND METHODS Records from 2 referral centers of patients under 18 years of age who had the miniperc procedure between 2010 and 2015 were retrospectively investigated. All patients included in the study were graded by the same surgeon according to Guy's and Clinical Research Office of the Endourological Society (CROES) scoring systems using preoperative imaging methods. Patient demographics and outcomes were compared according to the complexity of the procedure as graded by each scoring system. RESULTS The mean age of the 97 patients was 7.1 +/- 5.2 (1-17) years. The mean stone burden and number were 388.4 +/- 233.9 mm(2) and 1.5 +/- 1.3, respectively. The mean procedure, fluoroscopy, and hospitalization times were 78.2 +/- 32.8 minutes, 144.8 +/- 84.3 seconds, and 4.1 +/- 2.8 days, respectively. The mean hematocrit drop was calculated as 2.2 +/- 2.2. The mean scores were 1.7 +/- 1.0 and 259.9 +/- 50.6 for Guy's and CROES scoring systems, respectively. In the multivariate analysis, stone-free status was found to be associated with Guy's (r: -0.464, p: .000) and CROES (r: 0.490, : 0.000) scoring systems and stone burden (r: -0.161, p: .041). In the analysis of factors related to complication, Guy's score was identified as an independent predictor of complication (p: .02, odds ratio: 1.9, 95% confidence interval 1.097-3.319). CONCLUSION According to our results, using Guy's and CROES scoring systems, stone-free ratios after percutaneous nephrolithotomy may be predicted preoperatively. In addition, Guy's system is a predictor of postoperative complication rate. (C) 2016 Elsevier Inc.en_US
dc.identifier.doi10.1016/j.urology.2016.03.038
dc.identifier.endpage44en_US
dc.identifier.issn0090-4295
dc.identifier.issn1527-9995
dc.identifier.pmid27045707
dc.identifier.scopus2-s2.0-84964925917
dc.identifier.scopusqualityQ2
dc.identifier.startpage40en_US
dc.identifier.urihttps://doi.org/10.1016/j.urology.2016.03.038
dc.identifier.urihttps://hdl.handle.net/11468/16191
dc.identifier.volume93en_US
dc.identifier.wosWOS:000378374100020
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofUrology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subject[No Keyword]en_US
dc.titleComparison of Scoring Systems in Pediatric Mini-Percutaneous Nephrolithotomyen_US
dc.titleComparison of Scoring Systems in Pediatric Mini-Percutaneous Nephrolithotomy
dc.typeArticleen_US

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