Recent scoring systems predicting stone-free status after retrograde intrarenal surgery; a systematic review and meta-analysis

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dc.authorscopusid57191474931
dc.authorscopusid57220590363
dc.authorscopusid42161159900
dc.authorscopusid55753628300
dc.authorscopusid57189872977
dc.authorscopusid56656269600
dc.authorscopusid8416588900
dc.contributor.authorÖzman, Oktay
dc.contributor.authorAkgül, Hacı Murat
dc.contributor.authorBaşataç, Cem
dc.contributor.authorSancak, Eyüp Burak
dc.contributor.authorÇınar, Önder
dc.contributor.authorÇakır, Hakan
dc.contributor.authorYazıcı, Cenk Murat
dc.date.accessioned2023-04-20T08:01:16Z
dc.date.available2023-04-20T08:01:16Z
dc.date.issued2022
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalı
dc.description.abstractIntroduction Several scoring systems and nomograms have been developed to predict the success of retrograde intrarenal surgery. But no meta-analysis for the performance of scoring systems has yet been performed. The aim of this study was to compare predictive ability of recent scoring systems for stone-free rate of retrograde intrarenal surgery. Materials and methods PubMed and Web of Science databases were searched systematically between April and May 2021. The scoring systems which were validated externally or studied at least by two different researcher groups were selected for further analysis. Of 59 records, 14 studies met the inclusion criteria (n = 4137). Area under curve (AUC) values of selected scoring systems were pooled in random or fixed effects. Thertest was used to quantify heterogeneity. Results Eight, 5, 8, 4 and 3 studies included in meta-analyses for the modified Seoul National University Renal Stone Complexity Score (S-ReSC), R.I.R.S., Resorlu-Unsal Score (RUS), S.T.O.N.E., and Ito's Nomogram, respectively. We found pooled AUC values 0.709 (95% CI 0.670-0.748), 0.704 (95% CI 0.668-0.739), 0.669 (95% CI 0.646 to 0.692), and 0.771 (95% CI 0.724 to 0.818), for first four of them, respectively. Heterogeneity was very high to pool AUC values for Ito's nomogram. Conclusions Although S.T.O.N.E. score showed higer pooled AUC value, this systematic review and meta-analysis has not revealed superiority of any scoring system. High heterogeneity between studies and dependencies between scoring systems make it difficult to design a comparative statistical model to generalize the findings. Also, limitations aside, neither scoring system has demonstrated good predictive/discriminative performance.
dc.identifier.doi10.5173/ceju.2022.0277
dc.identifier.endpage80
dc.identifier.issn2080-4806
dc.identifier.issn2080-4873
dc.identifier.issue1en_US
dc.identifier.pmid35591955
dc.identifier.scopus2-s2.0-85129074873
dc.identifier.scopusqualityQ3
dc.identifier.startpage72
dc.identifier.urihttps://doi.org/10.5173/ceju.2022.0277
dc.identifier.urihttps://hdl.handle.net/20.500.11776/10833
dc.identifier.volume75
dc.identifier.wosWOS:000788682000009
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorAkgül, Hacı Murat
dc.institutionauthorYazici, Cenk Murat
dc.language.isoen
dc.publisherPolish Urological Assoc
dc.relation.ispartofCentral European Journal of Urology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectKidney Stone
dc.subjectRetrograde Intrarenal Surgery
dc.subjectScoring System
dc.subjectNomogram
dc.subjectStone
dc.subjectExternal Validation
dc.subjectFlexible Ureteroscopy
dc.titleRecent scoring systems predicting stone-free status after retrograde intrarenal surgery; a systematic review and meta-analysis
dc.typeReview Article

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