Factors Associated with Ureteral Stent Failure in Patients with Malignant Ureteral Obstruction

Pickersgill, Nicholas; Wahba, Brandon Malik; Vetter, Joel; Cope, Sky Jin; Barashi, Nimrod; Henning, Grant; Du, Kefu; Figenshau, R. Sherburne; Desai, Alana; Venkatesh, Ramakrishna

doi:10.1089/end.2021.0364

Cited by 7 publications

(14 citation statements)

References 22 publications

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“…Also, between 2016 and 2019, only four studies were reviewed[ 34 - 37 ], but they included two comparative studies[ 36 , 37 ] and one prospective study[ 34 ]. Furthermore, we included three studies published in 2020[ 8 , 38 , 39 ], one comparative study in 2021[ 40 ], and three studies in 2022[ 5 , 41 , 42 ]. Table 1 included only four prospective studies[ 5 , 29 , 34 , 40 ], one large data base study[ 8 ], and two multicenter studies[ 39 , 40 ].…”

Section: Description Of Summarized Literaturementioning

confidence: 99%

“…Despite developing these prognostic models, there should be a shared decision-making approach to perform invasive procedures like PCN and JJ, with a questionable degree of the effect on renal function recovery and the risk of complications. There should be a proper explanation of prognosis, subsequent treatment possibilities, and expected results before proceeding to these invasive maneuvers[ 42 ].…”

Section: Prognostic Parameters After Drainage Of Boks Due To Muomentioning

confidence: 99%

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Acute kidney injury due to bilateral malignant ureteral obstruction: Is there an optimal mode of drainage?

Gadelkareem¹,

Abdelraouf²,

El-Taher³

et al. 2022

World J Nephrol

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There is a well-known relationship between malignancy and impairment of kidney functions, either in the form of acute kidney injury or chronic kidney disease. In the former, however, bilateral malignant ureteral obstruction is a surgically correctable factor of this complex pathology. It warrants urgent drainage of the kidneys in emergency settings. However, there are multiple controversies and debates about the optimal mode of drainage of the bilaterally obstructed kidneys in these patients. This review addressed most of the concerns and provided a comprehensive presentation of this topic from the recent literature. Also, we provided different perspectives on the management of the bilateral obstructed kidneys due to malignancy. Despite the frequent trials for improving the success rates and functions of ureteral stents, placement of a percutaneous nephrostomy tube remains the most recommended tool of drainage due to bilateral ureteral obstruction, especially in patients with advanced malignancy. However, the disturbance of the quality of life of those patients remains a major unresolved concern. Beside the unfavorable prognostic potential of the underlying malignancy and the various risk stratification models that have been proposed, the response of the kidney to initial drainage can be anticipated and evaluated by multiple renal prognostic factors, including increased urine output, serum creatinine trajectory, and time-to-nadir serum creatinine after drainage.

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Section: Description Of Summarized Literaturementioning

confidence: 99%

Section: Prognostic Parameters After Drainage Of Boks Due To Muomentioning

confidence: 99%

Acute kidney injury due to bilateral malignant ureteral obstruction: Is there an optimal mode of drainage?

Gadelkareem¹,

Abdelraouf²,

El-Taher³

et al. 2022

World J Nephrol

View full text Add to dashboard Cite

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“…Of these, 468 were excluded by title and abstract screening, and a further 189 were excluded after full‐text assessment. Of the studies screened, 82 met the study criteria and were included in this review 4–85 . Figure 1 illustrates the process.…”

Section: Resultsmentioning

confidence: 99%

“…In the 38 papers, which recorded if an intervention for MUUTO was performed on one renal unit or two simultaneously, survival after decompression of one renal unit versus two renal units was described by only Nariculam et al in 25 patients (unilateral: 3 months in seven patients; bilateral: 9.3 months in 18 patients) 11 . There were six papers that investigated laterality as a predictor of survival with regression analysis; none of these papers found it to be significant in univariate analysis 8,13,16–19 . However, Izumi et al use laterality in their validated multivariate Primary site, Laterality, serum Creatinine level, and Treatment for primary site (‘PLaCT’) score, which is a predictor for survival 16 …”

Section: Resultsmentioning

confidence: 99%

“…Of the studies screened, 82 met the study criteria and were included in this review. 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 ,…”

Section: Resultsmentioning

confidence: 99%

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Malignant upper urinary tract obstruction in cancer patients: A systematic review

Shah,

Blest,

Blackmur

et al. 2024

BJUI Compass

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ObjectiveTo systematically summarise the current clinical evidence for de novo malignant upper urinary tract obstruction treatment with a focus on standards of reporting, patient outcomes and future research needs.MethodsThis review protocol was published via PROSPERO (CRD42022341588). OVID MEDLINE (R), EMBASE, Cochrane Central Register of Controlled Trials—CENTRAL were searched up to June 2022 in accordance with the Preferred Reporting Items for Systematic Reviews and Meta‐analyses. Prospective and retrospective studies were included.ResultsOf 941 articles identified, 82 with 8796 patients were eligible for inclusion.Most studies in the published literature are retrospective and investigate heterogenous malignancies. Percutaneous nephrostomy and ureteric stenting are the most studied interventions. Few studies describe the outcomes from no intervention or investigate patient perspectives. Overall reported median survival after intervention was around 11.7 months. A lack of standardised reporting of outcomes was evident.ConclusionsMalignant upper urinary tract obstruction is an important clinical condition affecting patients globally. Overall survival after intervention appears poor however the current evidence base has significant limitations due to studies of low methodological quality and the lack of a standardised framework for reporting outcomes.We have provided a pragmatic framework for future studies based on the review to ensure a uniform methodology is utilised moving forward.

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Malignant ureteral obstruction: comparison of metallic, 8 French and 6 French ureteric stents after failure of initial ureteric stent

Ong,

Chen,

Kong

et al. 2024

World J Urol

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Factors Associated with Ureteral Stent Failure in Patients with Malignant Ureteral Obstruction

Cited by 7 publications

References 22 publications

Acute kidney injury due to bilateral malignant ureteral obstruction: Is there an optimal mode of drainage?

Acute kidney injury due to bilateral malignant ureteral obstruction: Is there an optimal mode of drainage?

Malignant upper urinary tract obstruction in cancer patients: A systematic review

Malignant ureteral obstruction: comparison of metallic, 8 French and 6 French ureteric stents after failure of initial ureteric stent

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