FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2040822087> ?p ?o ?g. }

• W2040822087 endingPage "71.e5" @default.
• W2040822087 startingPage "71.e1" @default.
• W2040822087 abstract "The Glans-Urethral Meatus-Shaft (GMS) score is a concise and reproducible way to describe hypospadias severity. We classified boys undergoing primary hypospadias repair to determine the correlation between GMS score and postoperative complications.Between February 2011 and August 2013, patients undergoing primary hypospadias repair were prospectively scored using the GMS classification. GMS scoring included a 1-4 scale for each component: G - glans size/urethral plate quality, M - meatal location, and S - degree of shaft curvature, with more unfavorable characteristics assigned higher scores [Figure]. Demographics, repair type, and complications (urethrocutaneous fistula, meatal stenosis, glans dehiscence, phimosis, recurrent chordee and stricture) were assessed. Total and individual component scores were tested in uni- and multivariate analysis.Two-hundred and sixty-two boys (mean age 12.3 ± 13.7 months) undergoing primary hypospadias repair had a GMS score assigned. Mean GMS score was 7 ± 2.5 (G 2.1 ± 0.9, M 2.4 ± 1, S 2.4 ± 1). Mean clinical follow-up was 17.7 ± 9.3 months. Thirty-seven children (14.1%) had 45 complications. A significant relationship between the total GMS score and presence of any complication (p < 0.001) was observed; for every unit increase in GMS score the odds of any postoperative complication increased 1.44 times (95% CI, 1.24-1.68). Urethrocutaneuous fistula was the most common complication, occurring in 21 of 239 (8.8%) of single-stage repairs. Patients with mild hypospadias (GMS 3-6) had a 2.4% fistula rate vs. 11.1% for moderate (GMS 7-9) and 22.6% for severe (GMS 10-12) hypospadias (p < 0.001). Degree of chordee was an independent predictor of fistula on multivariate analysis; S4 (>60° ventral curvature) patients were 27 times more likely to develop a fistula than S1 (no curvature) boys (95% CI, 3.2-229).The GMS score is based on anatomic features (i.e. glans size/urethral plate quality, location of meatus, and degree of chordee) felt to most likely impact functional and cosmetic outcomes following hypospadias repair. We demonstrated a statistically significant increase in the likelihood of any postoperative complication with every unit increase in total GMS score. The concept that factors aside from meatal location affect hypospadias repair and outcomes is not novel, and degree of ventral curvature and urethral plate quality are often cited as important factors. In our series, boys with greater than 60° of ventral curvature undergoing a single-stage repair were 27 times more likely to develop a fistula than those without chordee on multivariate analysis, making severe curvature an independent predictor of urethrocutaneous fistula formation. That meatal location did not retain significance on multivariate analysis highlights the importance of considering the entire hypospadias complex when determining severity, rather than just evaluating the position of the meatus. Our study has several limitations that warrant consideration. While GMS scores were assigned prospectively, the data was collected retrospectively, subjecting it to flaws inherent with such study design. Furthermore, type of repair is influenced by surgeon preference and subjective assessment of hypospadias characteristics not incorporated in our scoring system (i.e. tissue quality, urethral hypoplasia, penoscrotal transposition). Despite these limitations, our study demonstrates a strong correlation between the GMS classification and surgical complications, furthering supporting its potential as a tool to standardize hypospadias severity and gauge postoperative complications.The Glans-Urethral Meatus-Shaft (GMS) classification provides a means by which hypospadias severity and reporting can be standardized, which may improve inter-study comparison of reconstructive outcomes. There is a strong correlation between complication risk and total GMS score. Degree of chordee (S score) is independently predictive of fistula rate." @default.
• W2040822087 created "2016-06-24" @default.
• W2040822087 creator A5005396200 @default.
• W2040822087 creator A5013925783 @default.
• W2040822087 creator A5015547293 @default.
• W2040822087 creator A5018311470 @default.
• W2040822087 creator A5021781507 @default.
• W2040822087 creator A5066804543 @default.
• W2040822087 date "2015-04-01" @default.
• W2040822087 modified "2023-10-18" @default.
• W2040822087 title "Further analysis of the Glans-Urethral Meatus-Shaft (GMS) hypospadias score: Correlation with postoperative complications" @default.
• W2040822087 cites W1722489981 @default.
• W2040822087 cites W1997596065 @default.
• W2040822087 cites W2002426271 @default.
• W2040822087 cites W2011571128 @default.
• W2040822087 cites W2022433335 @default.
• W2040822087 cites W2058712206 @default.
• W2040822087 cites W2072386209 @default.
• W2040822087 cites W2099989295 @default.
• W2040822087 cites W2112034306 @default.
• W2040822087 cites W2145474961 @default.
• W2040822087 cites W2154596344 @default.
• W2040822087 cites W2157450562 @default.
• W2040822087 cites W2165375371 @default.
• W2040822087 cites W2468671833 @default.
• W2040822087 cites W4323237724 @default.
• W2040822087 doi "https://doi.org/10.1016/j.jpurol.2014.11.015" @default.
• W2040822087 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/25797855" @default.
• W2040822087 hasPublicationYear "2015" @default.
• W2040822087 type Work @default.
• W2040822087 sameAs 2040822087 @default.
• W2040822087 citedByCount "36" @default.
• W2040822087 countsByYear W20408220872015 @default.
• W2040822087 countsByYear W20408220872016 @default.
• W2040822087 countsByYear W20408220872017 @default.
• W2040822087 countsByYear W20408220872018 @default.
• W2040822087 countsByYear W20408220872020 @default.
• W2040822087 countsByYear W20408220872021 @default.
• W2040822087 countsByYear W20408220872022 @default.
• W2040822087 countsByYear W20408220872023 @default.
• W2040822087 crossrefType "journal-article" @default.
• W2040822087 hasAuthorship W2040822087A5005396200 @default.
• W2040822087 hasAuthorship W2040822087A5013925783 @default.
• W2040822087 hasAuthorship W2040822087A5015547293 @default.
• W2040822087 hasAuthorship W2040822087A5018311470 @default.
• W2040822087 hasAuthorship W2040822087A5021781507 @default.
• W2040822087 hasAuthorship W2040822087A5066804543 @default.
• W2040822087 hasConcept C139812875 @default.
• W2040822087 hasConcept C141071460 @default.
• W2040822087 hasConcept C2776341189 @default.
• W2040822087 hasConcept C2776603339 @default.
• W2040822087 hasConcept C2777050469 @default.
• W2040822087 hasConcept C2777085111 @default.
• W2040822087 hasConcept C2777493422 @default.
• W2040822087 hasConcept C2777560510 @default.
• W2040822087 hasConcept C2777786686 @default.
• W2040822087 hasConcept C2777990738 @default.
• W2040822087 hasConcept C2778655861 @default.
• W2040822087 hasConcept C2778841284 @default.
• W2040822087 hasConcept C71924100 @default.
• W2040822087 hasConcept C81182388 @default.
• W2040822087 hasConceptScore W2040822087C139812875 @default.
• W2040822087 hasConceptScore W2040822087C141071460 @default.
• W2040822087 hasConceptScore W2040822087C2776341189 @default.
• W2040822087 hasConceptScore W2040822087C2776603339 @default.
• W2040822087 hasConceptScore W2040822087C2777050469 @default.
• W2040822087 hasConceptScore W2040822087C2777085111 @default.
• W2040822087 hasConceptScore W2040822087C2777493422 @default.
• W2040822087 hasConceptScore W2040822087C2777560510 @default.
• W2040822087 hasConceptScore W2040822087C2777786686 @default.
• W2040822087 hasConceptScore W2040822087C2777990738 @default.
• W2040822087 hasConceptScore W2040822087C2778655861 @default.
• W2040822087 hasConceptScore W2040822087C2778841284 @default.
• W2040822087 hasConceptScore W2040822087C71924100 @default.
• W2040822087 hasConceptScore W2040822087C81182388 @default.
• W2040822087 hasIssue "2" @default.
• W2040822087 hasLocation W20408220871 @default.
• W2040822087 hasLocation W20408220872 @default.
• W2040822087 hasOpenAccess W2040822087 @default.
• W2040822087 hasPrimaryLocation W20408220871 @default.
• W2040822087 hasRelatedWork W1593127449 @default.
• W2040822087 hasRelatedWork W1626066917 @default.
• W2040822087 hasRelatedWork W1992918329 @default.
• W2040822087 hasRelatedWork W2035476600 @default.
• W2040822087 hasRelatedWork W2040822087 @default.
• W2040822087 hasRelatedWork W2089290537 @default.
• W2040822087 hasRelatedWork W2170293546 @default.
• W2040822087 hasRelatedWork W2970522522 @default.
• W2040822087 hasRelatedWork W3097170665 @default.
• W2040822087 hasRelatedWork W3200324233 @default.
• W2040822087 hasVolume "11" @default.
• W2040822087 isParatext "false" @default.
• W2040822087 isRetracted "false" @default.
• W2040822087 magId "2040822087" @default.
• W2040822087 workType "article" @default.