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The Percutaneous Nephrolithotomy Global Study: Classification of Complications

Purpose: This study evaluated postoperative complications of percutaneous nephrolithotomy (PCNL) and the influence of selected factors on the risk of complications using the Clinical Research Office of the Endourological Society (CROES) PCNL Global Study database. Patients and Methods: The CROES PCN... Full description

Journal Title: Journal of endourology 2011-08-01, Vol.25 (8), p.1275-1280
Main Author: Labate, Gaston
Other Authors: Modi, Pranjal , Timoney, Anthony , Cormio, Luigi , Zhang, Xiaochun , Louie, Michael , Grabe, Magnus , de la Rosette, on behalf of the CROES PCNL Study Group, Jean
Format: Electronic Article Electronic Article
Language: English
Subjects:
Quelle: Alma/SFX Local Collection
Publisher: Larchmont, NY: Mary Ann Liebert, Inc
ID: ISSN: 0892-7790
Zum Text:
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recordid: cdi_swepub_primary_oai_lup_lub_lu_se_0638820f_c91f_4e4b_9718_6bcaf2d31830
title: The Percutaneous Nephrolithotomy Global Study: Classification of Complications
format: Article
creator:
  • Labate, Gaston
  • Modi, Pranjal
  • Timoney, Anthony
  • Cormio, Luigi
  • Zhang, Xiaochun
  • Louie, Michael
  • Grabe, Magnus
  • de la Rosette, on behalf of the CROES PCNL Study Group, Jean
subjects:
  • Anesthesia
  • Anticoagulants (Medicine)
  • Biological and medical sciences
  • Clinical Medicine
  • Complications
  • Complications and side effects
  • Health aspects
  • Humans
  • Internationality
  • Klinisk medicin
  • Medical and Health Sciences
  • Medical sciences
  • Medicin och hälsovetenskap
  • Multivariate Analysis
  • Nephrology
  • Nephrology. Urinary tract diseases
  • Nephrostomy, Percutaneous - adverse effects
  • Percutaneous nephrostomy
  • Postoperative Complications - classification
  • Postoperative Complications - etiology
  • Regression Analysis
  • Risk Factors
  • Surgery
  • Ureteroscopy and Percutaneous Procedures
  • Urologi och njurmedicin
  • Urology
  • Urology and Nephrology
ispartof: Journal of endourology, 2011-08-01, Vol.25 (8), p.1275-1280
description: Purpose: This study evaluated postoperative complications of percutaneous nephrolithotomy (PCNL) and the influence of selected factors on the risk of complications using the Clinical Research Office of the Endourological Society (CROES) PCNL Global Study database. Patients and Methods: The CROES PCNL Global Study collected prospective data for consecutive patients who were treated with PCNL at centers around the world for 1 year. Complications were evaluated by the modified Clavien classification system. Results: Of 5724 patients with Clavien scores, 1175 (20.5%) patients experienced one or more complications. The most frequent complications were fever and bleeding. Urinary leakage, hydrothorax, hematuria, urinary tract infection, pelvic perforation, and urinary fistula also occurred in ≥20 patients in each group. The majority of complications (n=634, 54.0%) were classified as Clavien grade I. Two patients died in the postoperative period. The largest absolute increases in mean Clavien score were associated with American Society of Anesthesiologists (ASA) physical status classification IV (0.75) or III (0.34), anticoagulant medication use (0.29), positive microbiologic culture from urine (0.24), and the presence of concurrent cardiovascular disease (0.15). Multivariate regression analysis revealed that operative time and ASA score were significant predictors of higher mean Clavien scores. Conclusion: The majority of complications after PCNL are minor. Longer operative time and higher ASA scores are associated with the risk of more severe postoperative complications in PCNL.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0892-7790
fulltext: fulltext
issn:
  • 0892-7790
  • 1557-900X
url: Link


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titleThe Percutaneous Nephrolithotomy Global Study: Classification of Complications
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creatorLabate, Gaston ; Modi, Pranjal ; Timoney, Anthony ; Cormio, Luigi ; Zhang, Xiaochun ; Louie, Michael ; Grabe, Magnus ; de la Rosette, on behalf of the CROES PCNL Study Group, Jean
creatorcontribLabate, Gaston ; Modi, Pranjal ; Timoney, Anthony ; Cormio, Luigi ; Zhang, Xiaochun ; Louie, Michael ; Grabe, Magnus ; de la Rosette, on behalf of the CROES PCNL Study Group, Jean
descriptionPurpose: This study evaluated postoperative complications of percutaneous nephrolithotomy (PCNL) and the influence of selected factors on the risk of complications using the Clinical Research Office of the Endourological Society (CROES) PCNL Global Study database. Patients and Methods: The CROES PCNL Global Study collected prospective data for consecutive patients who were treated with PCNL at centers around the world for 1 year. Complications were evaluated by the modified Clavien classification system. Results: Of 5724 patients with Clavien scores, 1175 (20.5%) patients experienced one or more complications. The most frequent complications were fever and bleeding. Urinary leakage, hydrothorax, hematuria, urinary tract infection, pelvic perforation, and urinary fistula also occurred in ≥20 patients in each group. The majority of complications (n=634, 54.0%) were classified as Clavien grade I. Two patients died in the postoperative period. The largest absolute increases in mean Clavien score were associated with American Society of Anesthesiologists (ASA) physical status classification IV (0.75) or III (0.34), anticoagulant medication use (0.29), positive microbiologic culture from urine (0.24), and the presence of concurrent cardiovascular disease (0.15). Multivariate regression analysis revealed that operative time and ASA score were significant predictors of higher mean Clavien scores. Conclusion: The majority of complications after PCNL are minor. Longer operative time and higher ASA scores are associated with the risk of more severe postoperative complications in PCNL.
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subjectAnesthesia ; Anticoagulants (Medicine) ; Biological and medical sciences ; Clinical Medicine ; Complications ; Complications and side effects ; Health aspects ; Humans ; Internationality ; Klinisk medicin ; Medical and Health Sciences ; Medical sciences ; Medicin och hälsovetenskap ; Multivariate Analysis ; Nephrology ; Nephrology. Urinary tract diseases ; Nephrostomy, Percutaneous - adverse effects ; Percutaneous nephrostomy ; Postoperative Complications - classification ; Postoperative Complications - etiology ; Regression Analysis ; Risk Factors ; Surgery ; Ureteroscopy and Percutaneous Procedures ; Urologi och njurmedicin ; Urology ; Urology and Nephrology
ispartofJournal of endourology, 2011-08-01, Vol.25 (8), p.1275-1280
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1Modi, Pranjal
2Timoney, Anthony
3Cormio, Luigi
4Zhang, Xiaochun
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7de la Rosette, on behalf of the CROES PCNL Study Group, Jean
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descriptionPurpose: This study evaluated postoperative complications of percutaneous nephrolithotomy (PCNL) and the influence of selected factors on the risk of complications using the Clinical Research Office of the Endourological Society (CROES) PCNL Global Study database. Patients and Methods: The CROES PCNL Global Study collected prospective data for consecutive patients who were treated with PCNL at centers around the world for 1 year. Complications were evaluated by the modified Clavien classification system. Results: Of 5724 patients with Clavien scores, 1175 (20.5%) patients experienced one or more complications. The most frequent complications were fever and bleeding. Urinary leakage, hydrothorax, hematuria, urinary tract infection, pelvic perforation, and urinary fistula also occurred in ≥20 patients in each group. The majority of complications (n=634, 54.0%) were classified as Clavien grade I. Two patients died in the postoperative period. The largest absolute increases in mean Clavien score were associated with American Society of Anesthesiologists (ASA) physical status classification IV (0.75) or III (0.34), anticoagulant medication use (0.29), positive microbiologic culture from urine (0.24), and the presence of concurrent cardiovascular disease (0.15). Multivariate regression analysis revealed that operative time and ASA score were significant predictors of higher mean Clavien scores. Conclusion: The majority of complications after PCNL are minor. Longer operative time and higher ASA scores are associated with the risk of more severe postoperative complications in PCNL.
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1Anticoagulants (Medicine)
2Biological and medical sciences
3Clinical Medicine
4Complications
5Complications and side effects
6Health aspects
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8Internationality
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titleThe Percutaneous Nephrolithotomy Global Study: Classification of Complications
authorLabate, Gaston ; Modi, Pranjal ; Timoney, Anthony ; Cormio, Luigi ; Zhang, Xiaochun ; Louie, Michael ; Grabe, Magnus ; de la Rosette, on behalf of the CROES PCNL Study Group, Jean
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abstractPurpose: This study evaluated postoperative complications of percutaneous nephrolithotomy (PCNL) and the influence of selected factors on the risk of complications using the Clinical Research Office of the Endourological Society (CROES) PCNL Global Study database. Patients and Methods: The CROES PCNL Global Study collected prospective data for consecutive patients who were treated with PCNL at centers around the world for 1 year. Complications were evaluated by the modified Clavien classification system. Results: Of 5724 patients with Clavien scores, 1175 (20.5%) patients experienced one or more complications. The most frequent complications were fever and bleeding. Urinary leakage, hydrothorax, hematuria, urinary tract infection, pelvic perforation, and urinary fistula also occurred in ≥20 patients in each group. The majority of complications (n=634, 54.0%) were classified as Clavien grade I. Two patients died in the postoperative period. The largest absolute increases in mean Clavien score were associated with American Society of Anesthesiologists (ASA) physical status classification IV (0.75) or III (0.34), anticoagulant medication use (0.29), positive microbiologic culture from urine (0.24), and the presence of concurrent cardiovascular disease (0.15). Multivariate regression analysis revealed that operative time and ASA score were significant predictors of higher mean Clavien scores. Conclusion: The majority of complications after PCNL are minor. Longer operative time and higher ASA scores are associated with the risk of more severe postoperative complications in PCNL.
copLarchmont, NY
pubMary Ann Liebert, Inc
pmid21751882
doi10.1089/end.2011.0067
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