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The associations of RENAL, PADUA and C-index nephrometry scores with perioperative outcomes and postoperative renal function in minimally invasive partial nephrectomy.
Karamik, Kaan; Islamoglu, Ekrem; Erdemir, Ahmet Gürkan; Erol, Ibrahim; Yildiz, Ali; Anil, Hakan; Savas, Murat; Ates, Mutlu.
Afiliación
  • Karamik K; Department of Urology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey.
  • Islamoglu E; Department of Urology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey.
  • Erdemir AG; Department of Radiology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
  • Erol I; Department of Urology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey.
  • Yildiz A; Department of Urology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey.
  • Anil H; Department of Urology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey.
  • Savas M; Department of Urology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey.
  • Ates M; Department of Urology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey.
Turk J Urol ; 47(1): 14-21, 2021 Jan.
Article en En | MEDLINE | ID: mdl-33052830
OBJECTIVE: This study aimed to assess the utility of the radius, exophytic/endophytic, nearness, anterior/posterior, location (RENAL); preoperative aspects and dimensions used for an anatomic evaluation (PADUA), and centrality index (C-index) scores for the outcomes of partial nephrectomy (PN). MATERIAL AND METHODS: The patients who underwent PN with contrast-enhanced preoperative imaging from January 2015 to June 2018 were identified. The RENAL, PADUA, and C-index scores were assigned. The correlation between these scoring systems and perioperative and long-term renal functional outcomes were evaluated. RESULTS: A total of 78 patients were included in the study (58 men and 20 women; age, 58±11.4 years). Median warm ischemia time (WIT), estimated blood loss (EBL), and operation time (OT) were 26 min, 115 mL, and 140 min, respectively. The RENAL score was related to WIT, EBL, and OT (p<0.001, p=0.003, and p=0.023, respectively). The PADUA score was associated with WIT, EBL, and OT (p<0.001, p=0.013, and p=0.005, respectively). The C-index score was correlated with WIT, EBL, and OT (p<0.001, p=0.010, and p=0.001, respectively). The C-index score also correlated with the percentage change in the estimated glomerular filtration rate (p=0.037). However, on univariable and multivariable regression analyses, only WIT significantly affected the postoperative estimated glomerular filtration rate reduction. CONCLUSION: The RENAL, PADUA, and C-index scores were significantly associated with perioperative outcomes of PN. In addition, the C-index score was correlated with long-term renal functional outcomes.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies / Risk_factors_studies Idioma: En Revista: Turk J Urol Año: 2021 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Turquía
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies / Risk_factors_studies Idioma: En Revista: Turk J Urol Año: 2021 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Turquía