Evidence map›Paper›PMID 31057670›Full record

ArticleTherapeutic advances in urology

Increasing stone complexity does not affect fluoroscopy time in percutaneous nephrolithotomy.

Annah Vollstedt, Johann Ingimarsson, Lawrence Dagrosa, Vernon Pais

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Article in Therapeutic advances in urology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Annah VollstedtDartmouth Hitchcock Medical Center, One Medical Center Drive, Dartmouth Hitchcock Medical Center, Lebanon, NH 03756, USA.ORCID https://orcid.org/0000-0002-1819-4275
Johann IngimarssonMaine Medical Center, South Portland, ME, USA.
Lawrence DagrosaOne Medical Center Drive, Dartmouth Hitchcock Medical Center, Lebanon, NH, USA.
Vernon PaisOne Medical Center Drive, Dartmouth Hitchcock Medical Center, Lebanon, NH, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this work was to assess whether stone complexity with the Guy's stone score (GSS) is associated with increased intraoperative fluoroscopy time.

methodsWe retrospectively reviewed records of 261 consecutive patients undergoing percutaneous nephrolithotomy between 2007 and 2015. Of these, 203 had both preoperative computed tomography for accurate staging and full intraoperative fluoroscopy and radiation dosimetry data were available. Stone complexity was assessed using GSS. A correlation between fluoroscopy time (FT) and GSS was assessed in a univariate and multivariate fashion, including parameters such as age, sex, body mass index (BMI), and number of accesses.

resultsThe overall mean FT was 3.69 min [standard deviation (SD) 2.77]. The overall mean Guy's score was 2.5 (SD 1). There was a statistically significant correlation between operative time and FT (

conclusionsIn the setting of conscious efforts to reduce intraoperative radiation exposure, increasing stone complexity, as classified by GSS, did not correlate with FT on univariate or multivariate analysis. Thus, treatment of more complex stones may be undertaken without concern that there is an inevitable need for significantly increased fluoroscopy exposure to the patient or operating room staff.

Indexed as

fluoroscopyGuy’s stone scorepercutaneous nephrolithotomyradiationstone complexity

Identifiers

PMID31057670
PMCPMC6452585

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