Evidence map›Paper›PMID 39066919›Full record

ArticleWorld journal of urology2024

Comparative analysis of scoring systems for patients undergoing retrograde intrarenal surgery with isolated lower calyx stones.

Hakan Bahadir Haberal, Muhammed Arif Ibis, Serkan Akpinar, Burak Uyanikoglu, Halil Ekmen, Fahri Erkan Sadioglu, Cagri Senocak, Omer Faruk Bozkurt

Abstract readComparative Study
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Article in World journal of urology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Hakan Bahadir HaberalDepartment of Urology, Ministry of Health, Ankara Ataturk Sanatoryum Training and Research Hospital, University of Health Sciences, Ankara, 06290, Turkey. bahadirhaberal@gmail.com.ORCID http://orcid.org/0000-0001-9774-2040
Muhammed Arif IbisDepartment of Urology, Ministry of Health, Ankara Ataturk Sanatoryum Training and Research Hospital, University of Health Sciences, Ankara, 06290, Turkey.ORCID http://orcid.org/0000-0001-8581-2101
Serkan AkpinarDepartment of Urology, Ministry of Health, Ankara Ataturk Sanatoryum Training and Research Hospital, University of Health Sciences, Ankara, 06290, Turkey.ORCID http://orcid.org/0009-0002-5695-1991
Burak UyanikogluDepartment of Urology, Ministry of Health, Ankara Ataturk Sanatoryum Training and Research Hospital, University of Health Sciences, Ankara, 06290, Turkey.ORCID http://orcid.org/0009-0002-2140-2685
Halil EkmenDepartment of Urology, Ministry of Health, Ankara Ataturk Sanatoryum Training and Research Hospital, University of Health Sciences, Ankara, 06290, Turkey.ORCID http://orcid.org/0009-0009-7469-1637
Fahri Erkan SadiogluDepartment of Urology, Ministry of Health, Ankara Ataturk Sanatoryum Training and Research Hospital, University of Health Sciences, Ankara, 06290, Turkey.ORCID http://orcid.org/0000-0002-4454-0274
Cagri SenocakDepartment of Urology, Ministry of Health, Ankara Ataturk Sanatoryum Training and Research Hospital, University of Health Sciences, Ankara, 06290, Turkey.ORCID http://orcid.org/0000-0001-5696-6320
Omer Faruk BozkurtDepartment of Urology, Ministry of Health, Ankara Ataturk Sanatoryum Training and Research Hospital, University of Health Sciences, Ankara, 06290, Turkey.ORCID http://orcid.org/0000-0002-6684-5431

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIt is critical to provide patients with accurate information on potential surgical outcomes during the preoperative phase. Several scoring systems have been developed for this specific purpose. This study aimed to examine the predicted efficacy of scoring systems in patients with isolated lower calyx stones who underwent retrograde intrarenal surgery (RIRS).

methodsWe performed a retrospective analysis of 85 patients who underwent RIRS for lower calyx stones between 2016 and 2023. The study computed each participant's Resorlu-Unsal Stone score (RUSS), R.I.R.S. scoring system score, Modified Seoul National University Renal Stone Complexity (S-ReSC) score, S.T.O.N.E. score, Ito's nomogram, and T.O.HO score. Residual stones less than 4 mm were classified as clinically insignificant residual fragments (CIRFs) and regarded as successful. Following that, we used receiver-operating characteristic (ROC) curves to compare various scoring systems' success predictions.

resultsThe median scores for RUSS, R.I.R.S. scoring system, Modified S-ReSC, S.T.O.N.E., Ito's nomogram, and T.O.HO score were 1 (1), 7 (2), 2 (0), 11 (1), 18 (4), and 7 (1), respectively. When CIRF cases were included, the stone-free rate increased to 80%. Only Ito's nomogram from scoring systems has a statistically significant cut-off value for success in ROC analysis (p = 0.021). In multivariate analysis, stone volume and preoperative hydronephrosis were associated with success (p = 0.004 and p = 0.035, respectively).

conclusionIn the multivariate analysis, none of the scoring systems were significantly associated with success. Hence, a new scoring system must be developed exclusively for patients with isolated lower pole stones undergoing RIRS.

Indexed as

Kidney CalculiKidney CalicesAdultAgedFemaleHumansMaleMiddle AgedNomogramsRetrospective StudiesTreatment OutcomeUrologic Surgical ProceduresLaser lithotripsyPostoperative complicationsRisk scoresUrinary tract stones

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.