Evidence map›Paper›PMID 39138463›Full record

ArticleBMC urology2024

Can the SIARI score be used at initial admission to predict testes involvement in patients with fournier's gangrene; a single-centre, retrospective study.

Anil Erdik, Kemal Demirhan, Haci Ibrahim Cimen, Yavuz Tarik Atik, Deniz Gul, Osman Kose, Hasan Salih Saglam

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Article in BMC urology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Anil ErdikDepartment of Urology, Sakarya Sadıka Sabancı Hospital, Sakarya, 54580, Turkey. anilerdik@gmail.com.ORCID https://orcid.org/0000-0002-5132-7447
Kemal DemirhanDepartment of Urology, School of Medicine, Sakarya University, Sakarya, 54100, Turkey.ORCID https://orcid.org/0000-0002-1373-5239
Haci Ibrahim CimenDepartment of Urology, School of Medicine, Sakarya University, Sakarya, 54100, Turkey.ORCID https://orcid.org/0000-0002-0824-3926
Yavuz Tarik AtikDepartment of Urology, School of Medicine, Sakarya University, Sakarya, 54100, Turkey.ORCID https://orcid.org/0000-0002-6398-8410
Deniz GulDepartment of Urology, School of Medicine, Sakarya University, Sakarya, 54100, Turkey.ORCID https://orcid.org/0000-0003-0873-0000
Osman KoseDepartment of Urology, School of Medicine, Sakarya University, Sakarya, 54100, Turkey.ORCID https://orcid.org/0000-0002-1053-3551
Hasan Salih SaglamDepartment of Urology, School of Medicine, Sakarya University, Sakarya, 54100, Turkey.ORCID https://orcid.org/0000-0002-8904-1612

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo predict testicular involvement in patients diagnosed with Fournier's gangrene (FG) using the Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) score and the site other than lower limb (SIARI) score.

methodsThe medical records of 51 patients operated for FG in our clinic between December 2012 and April 2022 were evaluated retrospectively in this study. Patients' demographics, and laboratory test results were compared with the testisticular involvement status. Patients with testisticular involvement (n = 10) were compared with patients without testicular involvement (n = 41). The SIARI score at initial admission was analysed using logistic regression analyses for its performance in predicting testicular involvement with FG. Receiver operating characteristics (ROC) curves and the area under the receiver operating characteristic curve (AUROC) were used to evaluate its discriminating ability.

resultsThe SIARI score had modest performance for diagnosing testicular involvement in FG patients, with ROC analysis showing an AUROC value of 0.83 (p < 0.001). With a SIARI cut-off score of ≥ 3, the sensitivity was 90% and the specificity was 68%. For a SIARI cut-off score of ≥ 5, the sensitivity was 40% and the specificity was 97%.

conclusionsThe ability of the SIARI score to discriminate FG with testicular involvement is modest. The SIARI score should be employed cautiously as a routine diagnostic tool for the prediction of testicular involvement in FG at the initial admission. More research is needed to develop a better understanding of the relationship between the SIARI score and testicular involvement in FG.

Indexed as

Fournier GangreneAdultAgedHumansMaleMiddle AgedPatient AdmissionPredictive Value of TestsRetrospective StudiesTesticular DiseasesTestisEarly diagnosisFournier’s gangreneSIARI scoreTestes

Identifiers

PMID39138463
PMCPMC11323460

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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.