Re: Comparison of CROES, S.T.O.N.E, and Guy’s Scoring Systems for the Prediction of Stone-Free Status and Complication Rates following Percutaneous Nephrolithotomy in Patients with Chronic Kidney Disease

Re: Comparison of CROES, S.T.O.N.E, and Guy’s Scoring Systems for the Prediction of Stone-Free Status and Complication Rates following Percutaneous Nephrolithotomy in Patients with Chronic Kidney Disease

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UROLITHIASIS/ENDOUROLOGY

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Suggested Reading Desai MR, Sharma R, Mishra S et al: Single-step percutaneous nephrolithotomy (microperc): the initial clinical report. J Urol 2011; 186: 140. Pearle MS, Lingeman JE, Leveillee R et al: Prospective, randomized trial comparing shock wave lithotripsy and ureteroscopy for lower pole caliceal calculi 1 cm or less. J Urol 2005; 173: 2005. Albala DM, Assimos DG, Clayman RV et al: Lower pole I: a prospective randomized trial of extracorporeal shock wave lithotripsy and percutaneous nephrostolithotomy for lower pole nephrolithiasisdinitial results. J Urol 2001; 166: 2072.

Re: Comparison of CROES, S.T.O.N.E, and Guy’s Scoring Systems for the Prediction of Stone-Free Status and Complication Rates following Percutaneous Nephrolithotomy in Patients with Chronic Kidney Disease F. Yanaral, F. Ozgor, M. Savun, M. Sahan, O. Sarilar and M. Binbay Department of Urology, Haseki Teaching and Research Hospital, Fatih, Istanbul, Turkey Int Urol Nephrol 2017; Epub ahead of print. doi: 10.1007/s11255-017-1631-x

Abstract available at http://www.ncbi.nlm.nih.gov/pubmed/28560507 Editorial Comment: The ability to render a patient stone-free and the risks of complications are 2 important outcomes for stone removing procedures. Various models have been developed to predict the chance of rendering a patient stone-free. The authors assessed the ability of 3 such instruments developed for percutaneous nephrolithotomy in patients with stage 3 chronic kidney disease or higher. Stone formation is associated with chronic kidney disease, and many patients subjected to percutaneous nephrolithotomy have this comorbidity. The authors found that only the Clinical Research Office of the Endourological Society scoring system nephrolithometry model was predictive of a stone-free result in this cohort. The components of this scoring system include prior stone surgery, surgeon case volume, presence of staghorn stone, stone burden, stone number and stone location. Unfortunately none of these factors foretold complications. Dean G. Assimos, MD

Suggested Reading Smith A, Averch TD, Shahrour K et al: A nephrolithometric nomogram to predict treatment success of percutaneous nephrolithotomy. J Urol 2013; 190: 149. Gupta M, Bolton DM, Gupta PN et al: Improved renal function following aggressive treatment of urolithiasis and concurrent mild to moderate renal insufficiency. J Urol 1994; 152: 1086. Sfoungaristos S, Gofrit ON, Yutkin V et al: External validation of CROES nephrolithometry as a preoperative predictive system for percutaneous nephrolithotomy outcomes. J Urol 2016; 195: 372.

Dochead: Urological Survey

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