Current status of nomograms and scoring systems in paediatric endourology: A systematic review of literature

Brown, George; Juliebø‐Jones, Patrick; Keller, Etienne Xavier; Coninck, Vincent De; Beisland, Christian; Somani, Bhaskar K.

doi:10.1016/j.jpurol.2022.08.021

Cited by 5 publications

(3 citation statements)

References 42 publications

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“…The stone free definition should also be standardised with more work focussed on both cost and quality of life [ 37 , 38 ]. A recent study has also recommended a paediatric ureteroscopy (P-URS) reporting checklist and nomogram to aid studies in how outcomes are reported [ 39 , 40 ].…”

Section: Discussionmentioning

confidence: 99%

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

Mani

Pietropaolo

Madarriaga

et al. 2023

JCM

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Aim: To assess and compare the outcomes associated with ureteroscopy and laser fragmentation (URSL) for extremes of age group (≤10 and ≥80 years). Methods: 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. Results: 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. Conclusion: 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.

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Section: Discussionmentioning

confidence: 99%

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

Mani

Pietropaolo

Madarriaga

et al. 2023

JCM

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“…A significant heterogeneity between studies is present; therefore, a direct comparison remains rather difficult. Also, we did not include the data investigating the pediatric population, although analogue conflicting results have emerged from previous systematic reviews [ 38 , 39 ].…”

Section: Discussionmentioning

confidence: 99%

Stone-scoring systems for predicting complications in percutaneous nephrolithotomy: A systematic review of the literature

Mazzon

Choong

Celia

2023

Asian Journal of Urology

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“…Predictive nomograms, which incorporate factors based on imaging, for example, location and stone size, have gained increasing attention to ameliorate operative planning and patient counselling. 18 , 19 However, while certain nomograms have been developed for use specifically in the paediatric setting, others have been developed in adults using NCCT but then applied to paediatric patients where US or plain x-ray is used. 20 NCCT also allows for stone volume measurement, which is arguably a more accurate means of reporting stone size as well as, for example, measuring laser efficiency.…”

Section: Imagingmentioning

confidence: 99%

Paediatric kidney stone surgery: state-of-the-art review

Juliebø‐Jones

Keller

Tzelves

et al. 2023

Therapeutic Advances in Urology

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While urolithiasis in children is rare, the global incidence is rising, and the volume of minimally invasive surgeries being performed reflects this. There have been many developments in the technology, which have supported the advancement of these interventions. However, innovation of this kind has also resulted in wide-ranging practice patterns and debate regarding how they should be best implemented. This is in addition to the extra challenges faced when treating stone disease in children where the patient population often has a higher number of comorbidities and for example, the need to avoid risk such as ionising exposure is higher. The overall result is a number of challenges and controversies surrounding many facets of paediatric stone surgery such as imaging choice, follow-up and different treatment options, for example, medical expulsive therapy, shockwave lithotripsy, ureteroscopy, and percutaneous nephrolithotomy. This article provides an overview of the current status of paediatric stone surgery and discussion on the key topics of debate.

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Current status of nomograms and scoring systems in paediatric endourology: A systematic review of literature

Cited by 5 publications

References 42 publications

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

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

Stone-scoring systems for predicting complications in percutaneous nephrolithotomy: A systematic review of the literature

Paediatric kidney stone surgery: state-of-the-art review

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