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• W1993134077 abstract "No AccessJournal of UrologyAdult Urology1 Jan 2015Evaluation and Comparison of Urolithiasis Scoring Systems Used in Percutaneous Kidney Stone Surgery Kevin Labadie, Zhamshid Okhunov, Arash Akhavein, Daniel M. Moreira, Jorge Moreno-Palacios, Michael del Junco, Zeph Okeke, Vincent Bird, Arthur D. Smith, and Jaime Landman Kevin LabadieKevin Labadie Department of Urology, University of California-Irvine, Orange, California Equal study contribution. More articles by this author , Zhamshid OkhunovZhamshid Okhunov Department of Urology, University of California-Irvine, Orange, California Equal study contribution. More articles by this author , Arash AkhaveinArash Akhavein Department of Urology, University of Florida, Gainesville, Gainesville, Florida More articles by this author , Daniel M. MoreiraDaniel M. Moreira Smith Institute for Urology, North Shore LIJ Health System, New Hyde Park, New York More articles by this author , Jorge Moreno-PalaciosJorge Moreno-Palacios Department of Urology, University of California-Irvine, Orange, California More articles by this author , Michael del JuncoMichael del Junco Department of Urology, University of California-Irvine, Orange, California More articles by this author , Zeph OkekeZeph Okeke Smith Institute for Urology, North Shore LIJ Health System, New Hyde Park, New York More articles by this author , Vincent BirdVincent Bird Department of Urology, University of Florida, Gainesville, Gainesville, Florida More articles by this author , Arthur D. SmithArthur D. Smith Smith Institute for Urology, North Shore LIJ Health System, New Hyde Park, New York More articles by this author , and Jaime LandmanJaime Landman Department of Urology, University of California-Irvine, Orange, California More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.07.104AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Contemporary predictive tools for percutaneous nephrolithotomy outcomes include the Guy stone score, S.T.O.N.E. nephrolithometry and the CROES nephrolithometric nomogram. We compared each scoring system in the same cohort to determine which was most predictive of surgical outcomes. Methods: We retrospectively reviewed the records of patients who underwent percutaneous nephrolithotomy between 2009 and 2012 at a total of 3 academic institutions. We calculated the Guy stone score, the S.T.O.N.E. nephrolithometry score and the CROES nephrolithometric nomogram score based on preoperative computerized tomography images. A single observer at each institution reviewed all images and assigned scores. Univariate and multivariate analysis was done to determine the most predictive scoring system. Results: We enrolled 246 patients in study. In stone-free patients vs those with residual stones the mean Guy score was 2.2 vs 2.7, the mean S.T.O.N.E. score was 8.3 vs 9.5 and the mean CROES nomogram score was 222 vs 187 (each p <0.001). Logistic regression revealed that the Guy, S.T.O.N.E. nephrolithometry and CROES nomogram scores were significantly associated with stone-free status (p = 0.02, 0.004 and <0.001, respectively). The Guy and S.T.O.N.E. nephrolithometry scores were associated with estimated blood loss (p <0.0001 and 0.03) and length of stay (p = 0.03 and 0.009, respectively). The CROES nomogram did not predict estimated blood loss or length of stay. Conclusions: All scoring systems and the stone burden equally predicted stone-free status. The Guy and S.T.O.N.E. nephrolithometry scores were associated with estimated blood loss and length of stay. A single scoring system should be adopted to unify reporting. References 1 : Prevalence of kidney stones in the United States. Urologic Diseases in America Project. Eur Urol2012; 62: 160. Google Scholar 2 : Chapter 1: AUA guideline on management of staghorn calculi: diagnosis and treatment recommendations. J Urol2005; 173: 1991. Link, Google Scholar 3 : Trends in percutaneous nephrolithotomy use and outcomes in the United States. J Urol2013; 190: 558. Link, Google Scholar 4 : Current practices in percutaneous nephrolithotomy among endourologists. J Endourol2014; 28: 524. Google Scholar 5 : Percutaneous nephrolithotomy use is increasing in the United States: an analysis of trends and complications. 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Google Scholar 18 : Prospective evaluation of complications using the modified Clavien grading system, and of success rates of percutaneous nephrolithotomy using Guy's Stone Score: a single-center experience. Indian J Urol2012; 28: 392. Google Scholar 19 : External validation of a preoperative renal stone grading system: reproducibility and inter-rater concordance of the Guy's stone score using preoperative computed tomography and rigorous postoperative stone-free criteria. Urology2014; 83: 45. Google Scholar 20 : PD32-09 Multicenter validation of S.T.O.N.E. nephrolithometry. J Urol2014; 191: e839. abstract PD32-09. Link, Google Scholar 21 : Prediction of single procedure success rate using S.T.O.N.E. nephrolithometry surgical classification system with strict criteria for surgical outcome. J Urol2013; 189: e627. abstract 1532. Link, Google Scholar 22 : Interobserver reliability and reproducibility of S.T.O.N.E. nephrolithometry for renal calculi. J Endourol2013; 27: 1303. 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Google Scholar © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byAldaqadossi H, Khairy Salem H, Kotb Y, Hussein H, Shaker H and Dikaios N (2018) Prediction of Pediatric Percutaneous Nephrolithotomy Outcomes Using Contemporary Scoring SystemsJournal of Urology, VOL. 198, NO. 5, (1146-1152), Online publication date: 1-Nov-2017.Sfoungaristos S, Gofrit O, Yutkin V, Landau E, Pode D and Duvdevani M (2018) External Validation of CROES Nephrolithometry as a Preoperative Predictive System for Percutaneous Nephrolithotomy OutcomesJournal of Urology, VOL. 195, NO. 2, (372-376), Online publication date: 1-Feb-2016. Volume 193Issue 1January 2015Page: 154-159 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.Keywordspercutaneousresearch designnephrostomynomogramskidneyurolithiasisMetricsAuthor Information Kevin Labadie Department of Urology, University of California-Irvine, Orange, California Equal study contribution. More articles by this author Zhamshid Okhunov Department of Urology, University of California-Irvine, Orange, California Equal study contribution. More articles by this author Arash Akhavein Department of Urology, University of Florida, Gainesville, Gainesville, Florida More articles by this author Daniel M. Moreira Smith Institute for Urology, North Shore LIJ Health System, New Hyde Park, New York More articles by this author Jorge Moreno-Palacios Department of Urology, University of California-Irvine, Orange, California More articles by this author Michael del Junco Department of Urology, University of California-Irvine, Orange, California More articles by this author Zeph Okeke Smith Institute for Urology, North Shore LIJ Health System, New Hyde Park, New York More articles by this author Vincent Bird Department of Urology, University of Florida, Gainesville, Gainesville, Florida More articles by this author Arthur D. Smith Smith Institute for Urology, North Shore LIJ Health System, New Hyde Park, New York More articles by this author Jaime Landman Department of Urology, University of California-Irvine, Orange, California More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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