Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Berardinelli, F; De Francesco, P; Marchioni, M; Cera, N; Proietti, S; Hennessey, D; Dalpiaz, O; Cracco, C; Scoffone, C; Giusti, G; Cindolo, L; Schips, L.
RIRS in the elderly: Is it feasible and safe?
Int J Surg. 2017; 42(7):147-151
Doi: 10.1016/j.ijsu.2017.04.062
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- Co-Autor*innen der Med Uni Graz
- Dalpiaz Orietta
- Schips Luigi
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- Abstract:
- The aim of this study was to compare the safety and efficacy of RIRS in men ≥65 years to those <65 years. Patients who underwent RIRS were prospectively collected from March 2013 to March 2014 in 5 European centers. Perioperative outcomes and complications in elderly men were compared with men <65 years. Univariable and multivariable analyses were performed for factors predicting overall complications. The groups were compared using Mann-Whitney U test. Categorical variables were compared using chi-squared test and the Yates correction or the Fisher's exact test. A total of 399 patients with renal stones were included, 308 (77.19%) were aged <65 years, 91 (22.8%) were aged ≥65 years. Elderly patients were more likely to have higher ASA scores (35.7% vs 92.3%; p < 001), Charlson Comorbidity Index (1.8 vs. 5.2, p < 0.001), hyperlipidemia (10.06% vs. 30.76%; p = 0,0005) and coronary heart disease (5.51% vs. 17.58; p = 0.005) compared to younger cohort. Perioperative outcomes (stone free rate, operative time and re-intervention rate) did not show differences between the two groups (p > 0.05). Surgical and medical complication rates were similar between the cohorts (14.28% vs 9.89%; p = 0.38). Multivariate analysis did not identify any predictive factors of complications among the two groups (p > 0.05). In this study, elderly RIRS patients had comparable short term efficacy and perioperative complications to younger patients, despite a higher prevalence of comorbidity. Age itself should not be considered as a risk factor for the development of complications in patients undergoing RIRS for renal stone. Copyright © 2017 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Age Factors -
- Aged -
- Comorbidity -
- Female -
- Humans -
- Kidney - surgery
- Kidney Calculi - surgery
- Male -
- Middle Aged -
- Operative Time -
- Postoperative Complications - etiology
- Find related publications in this database (Keywords)
- RIRS
- Flexible ureteroscopy
- Elderly patients
- Age