Tasa libre de litos sin complicación mayor como definición de éxito en nefrolitotomía percutánea

Jorge Moreno-Palacios, Oswaldo José Avilés-Ibarra, Virgilio Augusto López-Samano, Rodolfo Rivas-Ruiz, Juan Rodríguez-Silverio, Efraín Maldonado-Alcaraz

Research output: Contribution to journalArticle

Abstract

Copyright: © 2019 SecretarÍa de Salud. Introduction: Success in percutaneous nephrolithotomy (PCNL) is defined as a stone-free status; however, major complications are highly common and have been reported as a secondary outcome. Objective: To propose a new definition of PCNL success that comprises a stone free rate without major complications and a risk scale to predict this outcome. Methods: Historical cohort of patients undergoing PCNL. The included variables were age, gender, urine culture, Charlson's comorbidity index (CCI) and complex stones. Success was defined as a stone free status with or without Clavien grade ≤ 2 complication; intermediate success: with stones, with or without Clavien grade ≤ 2 complication; and failure: with or without stones with Clavien grade ≤ 2 complication. Bivariate analysis was performed to identify which factors are associated with the outcome. The independent weight of each factor was calculated by multiple logistic regression analysis. Results: 568 procedures were included, 59% of which were in females. Median age was 49 years; 65%, 22% and 13% of cases were classified as success, intermediate success and failure, respectively. Female sex, positive urine culture, complex stones and severe CCI were associated with failure. Conclusions: The likelihood of success was directly proportional to the number of risk factors.
Original languageAmerican English
Pages (from-to)52-57
Number of pages46
JournalGaceta Medica de Mexico
DOIs
StatePublished - 1 Jan 2019

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Moreno-Palacios, J., Avilés-Ibarra, O. J., López-Samano, V. A., Rivas-Ruiz, R., Rodríguez-Silverio, J., & Maldonado-Alcaraz, E. (2019). Tasa libre de litos sin complicación mayor como definición de éxito en nefrolitotomía percutánea. Gaceta Medica de Mexico, 52-57. https://doi.org/10.24875/GMM.18004474