External validation of Modified Seoul National University Renal Stone Complexity Score to predict outcome and complications of retrograde intrarenal surgery: a RIRSearch Group study

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dc.authorscopusid57191474931
dc.authorscopusid42161159900
dc.authorscopusid57220590363
dc.authorscopusid57189872977
dc.authorscopusid57457974700
dc.authorscopusid57211094620
dc.authorscopusid57417887500
dc.contributor.authorÖzman, Oktay
dc.contributor.authorBaşataç, Cem
dc.contributor.authorAkgül, Hacı Murat
dc.contributor.authorÇınar, Önder
dc.contributor.authorSancak, Eyüp Burak
dc.contributor.authorÖzden, Sami Berk
dc.date.accessioned2022-05-11T14:37:01Z
dc.date.available2022-05-11T14:37:01Z
dc.date.issued2022
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalı
dc.description.abstractIntroduction: The Modified Seoul National University Renal Stone Complexity Score (S-ReSC) is a simple model based solely on stone location regardless of stone burden. The aims of this study were to validate S-ReSC for outcomes and complications of retrograde intrarenal surgery (RIRS) and to evaluate its predictive power against the stone burden. Material and methods: Data of 1007 patients with kidney stones who had undergone RIRS were collected from our RIRSearch database. Linear-by-linear association, logistic regression, ANOVA/post hoc analysis and ROC curve (with Hanley and McNeil’s test) were used for evaluation. The main outcomes were stone-free status and complications of RIRS. Results: The overall stone-free rate was 76.8% (773/1007). Higher S-ReSC scores were related to lower stone-free rates and higher total, perioperative and postoperative complication rates (p<.001, p<.001, p=.008 and p<.001, respectively). S-ReSC score (p=.02) and stone burden (p<.001) were independent predictors of stone-free status. But stone burden (AUC = 0.718) had a more powerful discriminating ability than the S-ReSC score (AUC = 0.618). Conclusions: The S-ReSC score is able to predict not only stone-free status but also complications of RIRS. Although this location-only based scoring system has a fair discriminative ability, stone burden is a more powerful predictor of stone-free status after RIRS. An ideal scoring system aiming to predict outcomes of RIRS must include stone burden as a parameter. © 2022 Society of Medical Innovation and Technology.
dc.identifier.doi10.1080/13645706.2021.2025112
dc.identifier.issn1364-5706
dc.identifier.pmid35100522
dc.identifier.scopus2-s2.0-85124820448
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://doi.org/10.1080/13645706.2021.2025112
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8529
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorAkgül, Hacı Murat
dc.language.isoen
dc.publisherTaylor and Francis Ltd.
dc.relation.ispartofMinimally Invasive Therapy and Allied Technologies
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectKidney stone
dc.subjectretrograde intrarenal surgery
dc.subjectscoring system
dc.subjectstone burden
dc.subjecturolithiasis
dc.titleExternal validation of Modified Seoul National University Renal Stone Complexity Score to predict outcome and complications of retrograde intrarenal surgery: a RIRSearch Group study
dc.typeArticle

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