Comparison and Evaluation of Outcomes of Ureteroscopy and Stone Laser Fragmentation in Extremes of Age Groups (≤10 Years and ≥80 Years of Age)

To assess and compare the outcomes associated with ureteroscopy and laser fragmentation (URSL) for extremes of age group (≤10 and ≥80 years). Retrospective consecutive data were collected from two European centres for all paediatric patients ≤10 undergoing URSL over a 15-year period (group 1). It wa...

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Autores: Sinha, Mriganka M., Pietropaolo, Amelia|||0000-0001-7631-3108, Quiroz, Yesica|||0000-0001-5087-3756, Llorens de Knecht, Erika|||0000-0001-9528-0305, Bujons, Anna|||0000-0002-3995-9329, Griffin, Stephen, Somani, Bhaskar K.|||0000-0002-6248-6478
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:302818
Acceso en línea:https://ddd.uab.cat/record/302818
https://dx.doi.org/urn:doi:10.3390/jcm12041671
Access Level:acceso abierto
Palabra clave:Elderly
Kidney calculi
Laser
Paediatric
Stent
Ureteroscopy
Urolithiasis
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spelling Comparison and Evaluation of Outcomes of Ureteroscopy and Stone Laser Fragmentation in Extremes of Age Groups (≤10 Years and ≥80 Years of Age)A Retrospective Comparative Analysis of over 15 Years from 2 Tertiary European CentresSinha, Mriganka M.Pietropaolo, Amelia|||0000-0001-7631-3108Quiroz, Yesica|||0000-0001-5087-3756Llorens de Knecht, Erika|||0000-0001-9528-0305Bujons, Anna|||0000-0002-3995-9329Griffin, StephenSomani, Bhaskar K.|||0000-0002-6248-6478ElderlyKidney calculiLaserPaediatricStentUreteroscopyUrolithiasisTo assess and compare the outcomes associated with ureteroscopy and laser fragmentation (URSL) for extremes of age group (≤10 and ≥80 years). Retrospective consecutive data were collected from two European centres for all paediatric patients ≤10 undergoing URSL over a 15-year period (group 1). It was compared to consecutive data for all patients ≥80 years (group 2). Data were collected for patient demographics, stone characteristics, operative details, and clinical outcomes. A total of 168 patients had 201 URSL procedures during this time (74 and 94 patients in groups 1 and 2 respectively). The mean age and stone sizes were 6.1 years and 85 years, and 9.7 mm and 13 mm for groups 1 and 2 respectively. While the SFR was slightly higher in group 2 (92.5% versus 87.8%, p = 0.301), post-operative stent rate was also significantly higher in the geriatric population (75.9% versus 41.2%, p = 0.0001). There was also no significant difference in pre-operative stenting (p = 0.886), ureteric access sheath use (UAS) (p = 0.220) and post-operative complications. Group 1 had an intervention rate of 1.3/patient as compared to 1.1/patient in group 2. The overall complications were 7.2% and 15.3% in groups 1 and 2 respectively (0.069), with 1 Clavien IV complication related to post-operative sepsis and brief ICU admission in group 2. The paediatric population had a marginally higher incidence of repeat procedure, but the overall SFR and complications were similar, and post-operative stent insertion rates were much better compared to geriatric patients. URSL is a safe procedure in the extremes of age groups with no difference in the overall outcomes between the two groups.Universitat Autònoma de Barcelona 22023-01-0120232023-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/302818https://dx.doi.org/urn:doi:10.3390/jcm12041671reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:3028182026-06-06T12:50:31Z
dc.title.none.fl_str_mv Comparison and Evaluation of Outcomes of Ureteroscopy and Stone Laser Fragmentation in Extremes of Age Groups (≤10 Years and ≥80 Years of Age)
A Retrospective Comparative Analysis of over 15 Years from 2 Tertiary European Centres
title Comparison and Evaluation of Outcomes of Ureteroscopy and Stone Laser Fragmentation in Extremes of Age Groups (≤10 Years and ≥80 Years of Age)
spellingShingle Comparison and Evaluation of Outcomes of Ureteroscopy and Stone Laser Fragmentation in Extremes of Age Groups (≤10 Years and ≥80 Years of Age)
Sinha, Mriganka M.
Elderly
Kidney calculi
Laser
Paediatric
Stent
Ureteroscopy
Urolithiasis
title_short Comparison and Evaluation of Outcomes of Ureteroscopy and Stone Laser Fragmentation in Extremes of Age Groups (≤10 Years and ≥80 Years of Age)
title_full Comparison and Evaluation of Outcomes of Ureteroscopy and Stone Laser Fragmentation in Extremes of Age Groups (≤10 Years and ≥80 Years of Age)
title_fullStr Comparison and Evaluation of Outcomes of Ureteroscopy and Stone Laser Fragmentation in Extremes of Age Groups (≤10 Years and ≥80 Years of Age)
title_full_unstemmed Comparison and Evaluation of Outcomes of Ureteroscopy and Stone Laser Fragmentation in Extremes of Age Groups (≤10 Years and ≥80 Years of Age)
title_sort Comparison and Evaluation of Outcomes of Ureteroscopy and Stone Laser Fragmentation in Extremes of Age Groups (≤10 Years and ≥80 Years of Age)
dc.creator.none.fl_str_mv Sinha, Mriganka M.
Pietropaolo, Amelia|||0000-0001-7631-3108
Quiroz, Yesica|||0000-0001-5087-3756
Llorens de Knecht, Erika|||0000-0001-9528-0305
Bujons, Anna|||0000-0002-3995-9329
Griffin, Stephen
Somani, Bhaskar K.|||0000-0002-6248-6478
author Sinha, Mriganka M.
author_facet Sinha, Mriganka M.
Pietropaolo, Amelia|||0000-0001-7631-3108
Quiroz, Yesica|||0000-0001-5087-3756
Llorens de Knecht, Erika|||0000-0001-9528-0305
Bujons, Anna|||0000-0002-3995-9329
Griffin, Stephen
Somani, Bhaskar K.|||0000-0002-6248-6478
author_role author
author2 Pietropaolo, Amelia|||0000-0001-7631-3108
Quiroz, Yesica|||0000-0001-5087-3756
Llorens de Knecht, Erika|||0000-0001-9528-0305
Bujons, Anna|||0000-0002-3995-9329
Griffin, Stephen
Somani, Bhaskar K.|||0000-0002-6248-6478
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universitat Autònoma de Barcelona
dc.subject.none.fl_str_mv Elderly
Kidney calculi
Laser
Paediatric
Stent
Ureteroscopy
Urolithiasis
topic Elderly
Kidney calculi
Laser
Paediatric
Stent
Ureteroscopy
Urolithiasis
description To assess and compare the outcomes associated with ureteroscopy and laser fragmentation (URSL) for extremes of age group (≤10 and ≥80 years). Retrospective consecutive data were collected from two European centres for all paediatric patients ≤10 undergoing URSL over a 15-year period (group 1). It was compared to consecutive data for all patients ≥80 years (group 2). Data were collected for patient demographics, stone characteristics, operative details, and clinical outcomes. A total of 168 patients had 201 URSL procedures during this time (74 and 94 patients in groups 1 and 2 respectively). The mean age and stone sizes were 6.1 years and 85 years, and 9.7 mm and 13 mm for groups 1 and 2 respectively. While the SFR was slightly higher in group 2 (92.5% versus 87.8%, p = 0.301), post-operative stent rate was also significantly higher in the geriatric population (75.9% versus 41.2%, p = 0.0001). There was also no significant difference in pre-operative stenting (p = 0.886), ureteric access sheath use (UAS) (p = 0.220) and post-operative complications. Group 1 had an intervention rate of 1.3/patient as compared to 1.1/patient in group 2. The overall complications were 7.2% and 15.3% in groups 1 and 2 respectively (0.069), with 1 Clavien IV complication related to post-operative sepsis and brief ICU admission in group 2. The paediatric population had a marginally higher incidence of repeat procedure, but the overall SFR and complications were similar, and post-operative stent insertion rates were much better compared to geriatric patients. URSL is a safe procedure in the extremes of age groups with no difference in the overall outcomes between the two groups.
publishDate 2023
dc.date.none.fl_str_mv 2
2023-01-01
2023
2023-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/302818
https://dx.doi.org/urn:doi:10.3390/jcm12041671
url https://ddd.uab.cat/record/302818
https://dx.doi.org/urn:doi:10.3390/jcm12041671
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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