Loading…
Is multiple tract percutaneous nephrolithotomy a safe approach for staghorn calculi?
Purpose To explore the safety of multiple tract percutaneous nephrolithotomy (PNL) in terms of complication and draw a nomogram to predict the possibility of significant renal function decline (SRFD). Materials and methods Patients with complex renal calculi appropriate for PNL at our institution be...
Saved in:
| Published in: | World journal of urology 2021-06, Vol.39 (6), p.2121-2127 |
|---|---|
| Main Authors: | , , , , , , , , , |
| Format: | Article |
| Language: | English |
| Subjects: | |
| Citations: | Items that this one cites Items that cite this one |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | cdi_FETCH-LOGICAL-c440t-bc6aa567c8e7b7024ddf4ba96e7b172112971b768325456765e3c7c2539ac70f3 |
|---|---|
| cites | cdi_FETCH-LOGICAL-c440t-bc6aa567c8e7b7024ddf4ba96e7b172112971b768325456765e3c7c2539ac70f3 |
| container_end_page | 2127 |
| container_issue | 6 |
| container_start_page | 2121 |
| container_title | World journal of urology |
| container_volume | 39 |
| creator | Huang, Jian Zhang, Shike Huang, Yapeng Özsoy, Mehmet Tiselius, Hans‑Göran Huang, Jinkun Zhao, Zhijian Zeng, Tao Zeng, Guohua Wu, Wenqi |
| description | Purpose
To explore the safety of multiple tract percutaneous nephrolithotomy (PNL) in terms of complication and draw a nomogram to predict the possibility of significant renal function decline (SRFD).
Materials and methods
Patients with complex renal calculi appropriate for PNL at our institution between August 2016 and February 2018 were included in the study. The outcome of single and multiple tract PNL was analyzed retrospectively. A nomogram was created to predict the probability of SRFD.
Results
793 (88.4%) patients were treated with single tract PNL (Group 1) and 104 patients (11.6%) treated with multiple tract PNL (Group 2). Group 2 had a significantly greater hemoglobin reduction (16.0 ± 12.5 vs. 11.4 ± 11.8 g/L,
p
|
| doi_str_mv | 10.1007/s00345-020-03420-8 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_swepu</sourceid><recordid>TN_cdi_swepub_primary_oai_swepub_ki_se_468597</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2543578095</sourcerecordid><originalsourceid>FETCH-LOGICAL-c440t-bc6aa567c8e7b7024ddf4ba96e7b172112971b768325456765e3c7c2539ac70f3</originalsourceid><addsrcrecordid>eNp9kU9P3DAQxa2qSGyBL8DJUi9cUvw3tk9VtYKy0kpc6NlyvA4bmo1T2xHab8-ULCAhwcUeW783mjcPoXNKflBC1GUmhAtZEUYqKODUX9CCCs4rrVj9FS2IYqISRvNj9C3nB0KoqolcoLtVxrupL93YB1yS8wWPIfmpuCHEKeMhjNsU-65sY4m7PXY4uzZgN44pOr_FbUw4F3e_jWnA3vV-6rufp-iodX0OZ4f7BP25vrpb3lTr29-r5a915YUgpWp87ZyslddBNYowsdm0onGmhidVjFJmFG1UrTmTArhaBu6VZ5Ib5xVp-Qmq5r75MYxTY8fU7Vza2-g6e_j6C1WwotbSKODNhzz42byJXoRUCGFgVwK0F7MWwH9TyMXuuuxD38-LskxwDZMaYQD9_g59iFMaYBMWjHCpNDESKDZTPsWcU2hfx6HE_g_VzqFaCNU-h2o1iPjBAcDDfUhvrT9RPQFj7qW4</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2543578095</pqid></control><display><type>article</type><title>Is multiple tract percutaneous nephrolithotomy a safe approach for staghorn calculi?</title><source>Springer Nature</source><creator>Huang, Jian ; Zhang, Shike ; Huang, Yapeng ; Özsoy, Mehmet ; Tiselius, Hans‑Göran ; Huang, Jinkun ; Zhao, Zhijian ; Zeng, Tao ; Zeng, Guohua ; Wu, Wenqi</creator><creatorcontrib>Huang, Jian ; Zhang, Shike ; Huang, Yapeng ; Özsoy, Mehmet ; Tiselius, Hans‑Göran ; Huang, Jinkun ; Zhao, Zhijian ; Zeng, Tao ; Zeng, Guohua ; Wu, Wenqi</creatorcontrib><description>Purpose
To explore the safety of multiple tract percutaneous nephrolithotomy (PNL) in terms of complication and draw a nomogram to predict the possibility of significant renal function decline (SRFD).
Materials and methods
Patients with complex renal calculi appropriate for PNL at our institution between August 2016 and February 2018 were included in the study. The outcome of single and multiple tract PNL was analyzed retrospectively. A nomogram was created to predict the probability of SRFD.
Results
793 (88.4%) patients were treated with single tract PNL (Group 1) and 104 patients (11.6%) treated with multiple tract PNL (Group 2). Group 2 had a significantly greater hemoglobin reduction (16.0 ± 12.5 vs. 11.4 ± 11.8 g/L,
p
< 0.001), higher rate of postoperative fever (19.2% vs. 11.9%,
p
= 0.034) and longer duration of the operation (110.6 ± 39.6 vs. 97.8 ± 34.5 min,
p
< 0.001). A nomogram for predicting the probability of SRFD was constructed based on identified risk factors: patients’ age, positive urine culture (UC +), hemoglobin reduction and embolization. The area of receiver operating characteristic (ROC) curve was 70%. Bootstrapping technique utilized to make the calibration plot showed a high reliability of the nomogram.
Conclusions
Multiple tract PNL had a higher risk of hemoglobin reduction and postoperative fever than single tract PNL. Multiple tracts had no effect on SRFD, but old age, UC + , hemoglobin reduction and embolization were risk factors for SRFD. A nomogram with the aim of predicting the probability of SRFD based on these parameters demonstrated good uniformity in internal validation.</description><identifier>ISSN: 0724-4983</identifier><identifier>ISSN: 1433-8726</identifier><identifier>EISSN: 1433-8726</identifier><identifier>DOI: 10.1007/s00345-020-03420-8</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Embolization ; Fever ; Hemoglobin ; Medicin och hälsovetenskap ; Medicine ; Medicine & Public Health ; Nephrolithiasis ; Nephrology ; Nomograms ; Oncology ; Original Article ; Renal function ; Risk factors ; Urology</subject><ispartof>World journal of urology, 2021-06, Vol.39 (6), p.2121-2127</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020</rights><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c440t-bc6aa567c8e7b7024ddf4ba96e7b172112971b768325456765e3c7c2539ac70f3</citedby><cites>FETCH-LOGICAL-c440t-bc6aa567c8e7b7024ddf4ba96e7b172112971b768325456765e3c7c2539ac70f3</cites><orcidid>0000-0002-3923-3093</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:144490174$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Huang, Jian</creatorcontrib><creatorcontrib>Zhang, Shike</creatorcontrib><creatorcontrib>Huang, Yapeng</creatorcontrib><creatorcontrib>Özsoy, Mehmet</creatorcontrib><creatorcontrib>Tiselius, Hans‑Göran</creatorcontrib><creatorcontrib>Huang, Jinkun</creatorcontrib><creatorcontrib>Zhao, Zhijian</creatorcontrib><creatorcontrib>Zeng, Tao</creatorcontrib><creatorcontrib>Zeng, Guohua</creatorcontrib><creatorcontrib>Wu, Wenqi</creatorcontrib><title>Is multiple tract percutaneous nephrolithotomy a safe approach for staghorn calculi?</title><title>World journal of urology</title><addtitle>World J Urol</addtitle><description>Purpose
To explore the safety of multiple tract percutaneous nephrolithotomy (PNL) in terms of complication and draw a nomogram to predict the possibility of significant renal function decline (SRFD).
Materials and methods
Patients with complex renal calculi appropriate for PNL at our institution between August 2016 and February 2018 were included in the study. The outcome of single and multiple tract PNL was analyzed retrospectively. A nomogram was created to predict the probability of SRFD.
Results
793 (88.4%) patients were treated with single tract PNL (Group 1) and 104 patients (11.6%) treated with multiple tract PNL (Group 2). Group 2 had a significantly greater hemoglobin reduction (16.0 ± 12.5 vs. 11.4 ± 11.8 g/L,
p
< 0.001), higher rate of postoperative fever (19.2% vs. 11.9%,
p
= 0.034) and longer duration of the operation (110.6 ± 39.6 vs. 97.8 ± 34.5 min,
p
< 0.001). A nomogram for predicting the probability of SRFD was constructed based on identified risk factors: patients’ age, positive urine culture (UC +), hemoglobin reduction and embolization. The area of receiver operating characteristic (ROC) curve was 70%. Bootstrapping technique utilized to make the calibration plot showed a high reliability of the nomogram.
Conclusions
Multiple tract PNL had a higher risk of hemoglobin reduction and postoperative fever than single tract PNL. Multiple tracts had no effect on SRFD, but old age, UC + , hemoglobin reduction and embolization were risk factors for SRFD. A nomogram with the aim of predicting the probability of SRFD based on these parameters demonstrated good uniformity in internal validation.</description><subject>Embolization</subject><subject>Fever</subject><subject>Hemoglobin</subject><subject>Medicin och hälsovetenskap</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Nephrolithiasis</subject><subject>Nephrology</subject><subject>Nomograms</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Renal function</subject><subject>Risk factors</subject><subject>Urology</subject><issn>0724-4983</issn><issn>1433-8726</issn><issn>1433-8726</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kU9P3DAQxa2qSGyBL8DJUi9cUvw3tk9VtYKy0kpc6NlyvA4bmo1T2xHab8-ULCAhwcUeW783mjcPoXNKflBC1GUmhAtZEUYqKODUX9CCCs4rrVj9FS2IYqISRvNj9C3nB0KoqolcoLtVxrupL93YB1yS8wWPIfmpuCHEKeMhjNsU-65sY4m7PXY4uzZgN44pOr_FbUw4F3e_jWnA3vV-6rufp-iodX0OZ4f7BP25vrpb3lTr29-r5a915YUgpWp87ZyslddBNYowsdm0onGmhidVjFJmFG1UrTmTArhaBu6VZ5Ib5xVp-Qmq5r75MYxTY8fU7Vza2-g6e_j6C1WwotbSKODNhzz42byJXoRUCGFgVwK0F7MWwH9TyMXuuuxD38-LskxwDZMaYQD9_g59iFMaYBMWjHCpNDESKDZTPsWcU2hfx6HE_g_VzqFaCNU-h2o1iPjBAcDDfUhvrT9RPQFj7qW4</recordid><startdate>20210601</startdate><enddate>20210601</enddate><creator>Huang, Jian</creator><creator>Zhang, Shike</creator><creator>Huang, Yapeng</creator><creator>Özsoy, Mehmet</creator><creator>Tiselius, Hans‑Göran</creator><creator>Huang, Jinkun</creator><creator>Zhao, Zhijian</creator><creator>Zeng, Tao</creator><creator>Zeng, Guohua</creator><creator>Wu, Wenqi</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><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><scope>ADTPV</scope><scope>AOWAS</scope><orcidid>https://orcid.org/0000-0002-3923-3093</orcidid></search><sort><creationdate>20210601</creationdate><title>Is multiple tract percutaneous nephrolithotomy a safe approach for staghorn calculi?</title><author>Huang, Jian ; Zhang, Shike ; Huang, Yapeng ; Özsoy, Mehmet ; Tiselius, Hans‑Göran ; Huang, Jinkun ; Zhao, Zhijian ; Zeng, Tao ; Zeng, Guohua ; Wu, Wenqi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c440t-bc6aa567c8e7b7024ddf4ba96e7b172112971b768325456765e3c7c2539ac70f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Embolization</topic><topic>Fever</topic><topic>Hemoglobin</topic><topic>Medicin och hälsovetenskap</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Nephrolithiasis</topic><topic>Nephrology</topic><topic>Nomograms</topic><topic>Oncology</topic><topic>Original Article</topic><topic>Renal function</topic><topic>Risk factors</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Huang, Jian</creatorcontrib><creatorcontrib>Zhang, Shike</creatorcontrib><creatorcontrib>Huang, Yapeng</creatorcontrib><creatorcontrib>Özsoy, Mehmet</creatorcontrib><creatorcontrib>Tiselius, Hans‑Göran</creatorcontrib><creatorcontrib>Huang, Jinkun</creatorcontrib><creatorcontrib>Zhao, Zhijian</creatorcontrib><creatorcontrib>Zeng, Tao</creatorcontrib><creatorcontrib>Zeng, Guohua</creatorcontrib><creatorcontrib>Wu, Wenqi</creatorcontrib><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)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: 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><collection>SwePub</collection><collection>SwePub Articles</collection><jtitle>World journal of urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Huang, Jian</au><au>Zhang, Shike</au><au>Huang, Yapeng</au><au>Özsoy, Mehmet</au><au>Tiselius, Hans‑Göran</au><au>Huang, Jinkun</au><au>Zhao, Zhijian</au><au>Zeng, Tao</au><au>Zeng, Guohua</au><au>Wu, Wenqi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is multiple tract percutaneous nephrolithotomy a safe approach for staghorn calculi?</atitle><jtitle>World journal of urology</jtitle><stitle>World J Urol</stitle><date>2021-06-01</date><risdate>2021</risdate><volume>39</volume><issue>6</issue><spage>2121</spage><epage>2127</epage><pages>2121-2127</pages><issn>0724-4983</issn><issn>1433-8726</issn><eissn>1433-8726</eissn><abstract>Purpose
To explore the safety of multiple tract percutaneous nephrolithotomy (PNL) in terms of complication and draw a nomogram to predict the possibility of significant renal function decline (SRFD).
Materials and methods
Patients with complex renal calculi appropriate for PNL at our institution between August 2016 and February 2018 were included in the study. The outcome of single and multiple tract PNL was analyzed retrospectively. A nomogram was created to predict the probability of SRFD.
Results
793 (88.4%) patients were treated with single tract PNL (Group 1) and 104 patients (11.6%) treated with multiple tract PNL (Group 2). Group 2 had a significantly greater hemoglobin reduction (16.0 ± 12.5 vs. 11.4 ± 11.8 g/L,
p
< 0.001), higher rate of postoperative fever (19.2% vs. 11.9%,
p
= 0.034) and longer duration of the operation (110.6 ± 39.6 vs. 97.8 ± 34.5 min,
p
< 0.001). A nomogram for predicting the probability of SRFD was constructed based on identified risk factors: patients’ age, positive urine culture (UC +), hemoglobin reduction and embolization. The area of receiver operating characteristic (ROC) curve was 70%. Bootstrapping technique utilized to make the calibration plot showed a high reliability of the nomogram.
Conclusions
Multiple tract PNL had a higher risk of hemoglobin reduction and postoperative fever than single tract PNL. Multiple tracts had no effect on SRFD, but old age, UC + , hemoglobin reduction and embolization were risk factors for SRFD. A nomogram with the aim of predicting the probability of SRFD based on these parameters demonstrated good uniformity in internal validation.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><doi>10.1007/s00345-020-03420-8</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-3923-3093</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0724-4983 |
| ispartof | World journal of urology, 2021-06, Vol.39 (6), p.2121-2127 |
| issn | 0724-4983 1433-8726 1433-8726 |
| language | eng |
| recordid | cdi_swepub_primary_oai_swepub_ki_se_468597 |
| source | Springer Nature |
| subjects | Embolization Fever Hemoglobin Medicin och hälsovetenskap Medicine Medicine & Public Health Nephrolithiasis Nephrology Nomograms Oncology Original Article Renal function Risk factors Urology |
| title | Is multiple tract percutaneous nephrolithotomy a safe approach for staghorn calculi? |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-26T23%3A14%3A11IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_swepu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Is%20multiple%20tract%20percutaneous%20nephrolithotomy%20a%20safe%20approach%20for%20staghorn%20calculi?&rft.jtitle=World%20journal%20of%20urology&rft.au=Huang,%20Jian&rft.date=2021-06-01&rft.volume=39&rft.issue=6&rft.spage=2121&rft.epage=2127&rft.pages=2121-2127&rft.issn=0724-4983&rft.eissn=1433-8726&rft_id=info:doi/10.1007/s00345-020-03420-8&rft_dat=%3Cproquest_swepu%3E2543578095%3C/proquest_swepu%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c440t-bc6aa567c8e7b7024ddf4ba96e7b172112971b768325456765e3c7c2539ac70f3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2543578095&rft_id=info:pmid/&rfr_iscdi=true |