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Seoul National University Renal Stone Complexity Score for Predicting Stone-Free Rate after Percutaneous Nephrolithotomy

OBJECTIVES: Currently, no standardized method is available to predict success rate after percutaneous nephrolithotomy. We devised and validated the Seoul National University Renal Stone Complexity (S-ReSC) scoring system for predicting the stone-free rate after single-tract percutaneous nephrolithot...

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Autores principales: Jeong, Chang Wook, Jung, Jin-Woo, Cha, Woo Heon, Lee, Byung Ki, Lee, Sangchul, Jeong, Seong Jin, Hong, Sung Kyu, Byun, Seok-Soo, Lee, Sang Eun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3688830/
https://www.ncbi.nlm.nih.gov/pubmed/23824752
http://dx.doi.org/10.1371/journal.pone.0065888
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author Jeong, Chang Wook
Jung, Jin-Woo
Cha, Woo Heon
Lee, Byung Ki
Lee, Sangchul
Jeong, Seong Jin
Hong, Sung Kyu
Byun, Seok-Soo
Lee, Sang Eun
author_facet Jeong, Chang Wook
Jung, Jin-Woo
Cha, Woo Heon
Lee, Byung Ki
Lee, Sangchul
Jeong, Seong Jin
Hong, Sung Kyu
Byun, Seok-Soo
Lee, Sang Eun
author_sort Jeong, Chang Wook
collection PubMed
description OBJECTIVES: Currently, no standardized method is available to predict success rate after percutaneous nephrolithotomy. We devised and validated the Seoul National University Renal Stone Complexity (S-ReSC) scoring system for predicting the stone-free rate after single-tract percutaneous nephrolithotomy (sPCNL). PATIENTS AND METHODS: The data of 155 consecutive patients who underwent sPCNL were retrospectively analyzed. Preoperative computed tomography images were reviewed. The S-ReSC score was assigned from 1 to 9 based on the number of sites involved in the renal pelvis (#1), superior and inferior major calyceal groups (#2–3), and anterior and posterior minor calyceal groups of the superior (#4–5), middle (#6–7), and inferior calyx (#8–9). The inter- and intra-observer agreements were accessed using the weighted kappa (κ). The stone-free rate and complication rate were evaluated according to the S-ReSC score. The predictive accuracy of the S-ReSC score was assessed using the area under the receiver operating characteristic curve (AUC). RESULTS: The overall SFR was 72.3%. The mean S-ReSC score was 3.15±2.1. The weighted kappas for the inter- and intra-observer agreements were 0.832 and 0.982, respectively. The SFRs in low (1 and 2), medium (3 and 4), and high (5 or higher) S-ReSC scores were 96.0%, 69.0%, and 28.9%, respectively (p<0.001). The predictive accuracy was very high (AUC 0.860). After adjusting for other variables, the S-ReSC score was still a significant predictor of the SFR by multiple logistic regression. The complication rates were increased to low (18.7%), medium (28.6%), and high (34.2%) (p = 0.166). CONCLUSIONS: The S-ReSC scoring system is easy to use and reproducible. This score accurately predicts the stone-free rate after sPCNL. Furthermore, this score represents the complexity of surgery.
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spelling pubmed-36888302013-07-02 Seoul National University Renal Stone Complexity Score for Predicting Stone-Free Rate after Percutaneous Nephrolithotomy Jeong, Chang Wook Jung, Jin-Woo Cha, Woo Heon Lee, Byung Ki Lee, Sangchul Jeong, Seong Jin Hong, Sung Kyu Byun, Seok-Soo Lee, Sang Eun PLoS One Research Article OBJECTIVES: Currently, no standardized method is available to predict success rate after percutaneous nephrolithotomy. We devised and validated the Seoul National University Renal Stone Complexity (S-ReSC) scoring system for predicting the stone-free rate after single-tract percutaneous nephrolithotomy (sPCNL). PATIENTS AND METHODS: The data of 155 consecutive patients who underwent sPCNL were retrospectively analyzed. Preoperative computed tomography images were reviewed. The S-ReSC score was assigned from 1 to 9 based on the number of sites involved in the renal pelvis (#1), superior and inferior major calyceal groups (#2–3), and anterior and posterior minor calyceal groups of the superior (#4–5), middle (#6–7), and inferior calyx (#8–9). The inter- and intra-observer agreements were accessed using the weighted kappa (κ). The stone-free rate and complication rate were evaluated according to the S-ReSC score. The predictive accuracy of the S-ReSC score was assessed using the area under the receiver operating characteristic curve (AUC). RESULTS: The overall SFR was 72.3%. The mean S-ReSC score was 3.15±2.1. The weighted kappas for the inter- and intra-observer agreements were 0.832 and 0.982, respectively. The SFRs in low (1 and 2), medium (3 and 4), and high (5 or higher) S-ReSC scores were 96.0%, 69.0%, and 28.9%, respectively (p<0.001). The predictive accuracy was very high (AUC 0.860). After adjusting for other variables, the S-ReSC score was still a significant predictor of the SFR by multiple logistic regression. The complication rates were increased to low (18.7%), medium (28.6%), and high (34.2%) (p = 0.166). CONCLUSIONS: The S-ReSC scoring system is easy to use and reproducible. This score accurately predicts the stone-free rate after sPCNL. Furthermore, this score represents the complexity of surgery. Public Library of Science 2013-06-18 /pmc/articles/PMC3688830/ /pubmed/23824752 http://dx.doi.org/10.1371/journal.pone.0065888 Text en © 2013 Jeong et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Jeong, Chang Wook
Jung, Jin-Woo
Cha, Woo Heon
Lee, Byung Ki
Lee, Sangchul
Jeong, Seong Jin
Hong, Sung Kyu
Byun, Seok-Soo
Lee, Sang Eun
Seoul National University Renal Stone Complexity Score for Predicting Stone-Free Rate after Percutaneous Nephrolithotomy
title Seoul National University Renal Stone Complexity Score for Predicting Stone-Free Rate after Percutaneous Nephrolithotomy
title_full Seoul National University Renal Stone Complexity Score for Predicting Stone-Free Rate after Percutaneous Nephrolithotomy
title_fullStr Seoul National University Renal Stone Complexity Score for Predicting Stone-Free Rate after Percutaneous Nephrolithotomy
title_full_unstemmed Seoul National University Renal Stone Complexity Score for Predicting Stone-Free Rate after Percutaneous Nephrolithotomy
title_short Seoul National University Renal Stone Complexity Score for Predicting Stone-Free Rate after Percutaneous Nephrolithotomy
title_sort seoul national university renal stone complexity score for predicting stone-free rate after percutaneous nephrolithotomy
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3688830/
https://www.ncbi.nlm.nih.gov/pubmed/23824752
http://dx.doi.org/10.1371/journal.pone.0065888
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