Does the 5-Item Modified Frailty Index Predict Adverse Outcomes after Retrograde Intrarenal Surgery? A Case-Control Study by the RIRSearch Group

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dc.contributor.authorBasatac, Cem
dc.contributor.authorSimsekoglu, Muhammed Fatih
dc.contributor.authorTeke, Kerem
dc.contributor.authorTuna, Mustafa Bilal
dc.contributor.authorCinar, Oender
dc.contributor.authorAkguel, Haci Murat
dc.contributor.authorOezman, Oktay
dc.date.accessioned2025-04-06T12:23:50Z
dc.date.available2025-04-06T12:23:50Z
dc.date.issued2025
dc.departmentTekirdağ Namık Kemal Üniversitesi
dc.description.abstractObjectives: We aim to assess whether severely frail patients have an increased risk of complications and worse surgical outcomes after retrograde intrarenal surgery. Methods: The data of 340 consecutive patients undergoing retrograde intrarenal surgery to treat upper tract urinary stones were analyzed retrospectively. The 5-item modified frailty index (mFI-5) was used to assess the frailty status. Using a cutoff value of score 2 in the mFI-5 score, patients were divided into two groups: patients with an mFI-5 score <2 were assigned to a non-frail (Group 1) group, and patients with an mFI-5 score >= 2 were assigned to a frail (Group 2) group. The patients' demographics, stone characteristics, operative outcomes, and complication rates were compared between the groups. The primary objective was to examine whether the surgical outcomes were much better in non-frail patients. Results: After matching confounding factors, Group 1 comprised 255 patients, and Group 2 comprised 85 patients. The baseline characteristics were similar between the groups. There were no statistically significant differences in terms of the median operation time and length of hospital stay among groups. There were no significant differences between groups for intraoperative complication rates (7.6% and 9.4%, respectively; P = .47) and postoperative complication rates (13.8% and 11.8%, respectively; P = .71), and stone-free rates (70.9% versus 72.9%, respectively; P = .73). Conclusions: Retrograde intrarenal surgery is an efficient and feasible treatment option for upper urinary tract stones in severely frail patients.
dc.identifier.doi10.1089/lap.2024.0353
dc.identifier.issn1092-6429
dc.identifier.issn1557-9034
dc.identifier.pmid39951371
dc.identifier.scopus2-s2.0-85219693067
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://doi.org/10.1089/lap.2024.0353
dc.identifier.urihttps://hdl.handle.net/20.500.11776/17197
dc.identifier.wosWOS:001421972700001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherMary Ann Liebert, Inc
dc.relation.ispartofJournal of Laparoendoscopic & Advanced Surgical Techniques
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WOS_20250406
dc.subjectendourology
dc.subjectfrailty
dc.subjectindex
dc.subjecturolithiasis
dc.subjectretrograde intrarenal surgery
dc.titleDoes the 5-Item Modified Frailty Index Predict Adverse Outcomes after Retrograde Intrarenal Surgery? A Case-Control Study by the RIRSearch Group
dc.typeArticle

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