Safety and efficacy of retrograde intrarenal surgery in geriatric patients by age groups.

International Urology and Nephrology
Aykut Aykac, Ozer Baran

Abstract

To evaluate the effects of aging on the success rate of retrograde intrarenal surgery (RIRS) and the development of medical and surgical complications by dividing geriatric patients into subgroups based on their chronological age. Data of the patients who underwent RIRS due to kidney stones at our clinic between June 2014 and January 2020 were retrospectively reviewed. Patients were divided into three groups based on age: 65-74 years (Group 1), 75-84 years (Group 2), and ≥ 85 years (Group 3). The comorbid diseases of patients were evaluated using the Charlson Comorbidity Index (CCI), total Cumulative Illness Rating Scale for Geriatrics (CIRS-G) score, and CIRS severity index (CIRS-G SI). RIRS success rates and complications were evaluated based on age groups. A total of 336 patients were included in the study. The mean age of the patients was 72.7 ± 6.59 years. Stone-free rate was 81.5% in patients aged > 65 years and did not change with age. The modified Clavien-Dindo grade I/II complication rates for surgical complications were similar in all three groups (p = 0.818). In the evaluation of ROC analysis for medical complications, it was observed that the cut-off values were 76.5 years, CIRS-G score of 4.5, CCI score of 2.5, and...Continue Reading

References

Sep 25, 2008·Journal of the American Geriatrics Society·Fabio SalviPaolo Dessì-Fulgheri
Jan 15, 2009·Clinics·Thaís Cano Miranda de NóbregaWilson Jacob Filho
Sep 3, 2010·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Soo BorsonShaune DeMers
Feb 22, 2011·The Journal of Urology·Thomas KnollGernot Schubert
Dec 6, 2012·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Morgan E Levine
Feb 8, 2014·Urologia Internationalis·Ural OguzAli Unsal
Aug 12, 2014·Journal of the American Society of Nephrology : JASN·Andrew D RuleEric J Bergstralh
Sep 8, 2015·European Urology·Christian TürkThomas Knoll
May 10, 2017·International Journal of Surgery·F BerardinelliL Schips
Feb 18, 2018·Mayo Clinic Proceedings·Wonngarm KittanamongkolchaiAndrew D Rule
Mar 10, 2018·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Sarah PrattleyBhaskar K Somani
Jul 29, 2018·The Lancet. Diabetes & Endocrinology· The Lancet Diabetes Endocrinology
Mar 25, 2020·Advances in Clinical and Experimental Medicine : Official Organ Wroclaw Medical University·Cyprian MichalikJakub Kenig

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