Predictive factors for postoperative decline in renal functions following partial nephrectomy: preliminary results

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dc.contributor.authorSelvı, İsmail
dc.contributor.authorBasar, Halil
dc.date.accessioned2024-09-29T16:31:08Z
dc.date.available2024-09-29T16:31:08Z
dc.date.issued2020
dc.departmentKarabük Üniversitesien_US
dc.description.abstractObjective: We aimed to determine the risk factors related to patient, tumor characteristics and surgery that may be associated with decline in renalfunction during follow-up after partial nephrectomy (PN).Materials and Methods: Sixty-one patients who underwent PN due to localized stage Ia renal cell carcinoma between January 2010 and October2018 were retrospectively analyzed. Demographic characteristics of the patients, clinical and pathological data, information about surgicaltechniques, preoperative score to predict postoperative mortality (POSPOM), Age-adjusted Charlson Comorbidity index (ACCI), Eastern CooperativeOncology Group score, American Society of Anesthesiologists’ score, preoperative estimated glomerular filtration rate (eGFR) and eGFR levels duringpostoperative follow-up were recorded.Results: Twelve (19.7%) patients experienced a decline in eGFR (<60 mL/min/1.73 m2) at the postoperative follow-up of median 30 months. Olderage, higher Body Mass index, presence of hypertension, Diabetes Mellitus, tumor in the hilar region, higher scores of POSPOM, ACCI, RENAL andPADUA, lower preoperative eGFR, cold ischemia technique, total arterial clamping technique, longer warm ischemia time, longer cold ischemiatime and lower preserved renal parenchymal volume (RPV) were found to be associated with both short- and long-term decline in eGFR (<60 mL/min/1.73 m2).Conclusion: Although lower percentage of preserved RPV is a significant predictor of the postoperative deterioration of renal function, our resultshave shown that preoperative POSPOM score, ACCI and eGFR levels are just as important as surgical factors.en_US
dc.identifier.doi10.4274/jus.galenos.2020.3217
dc.identifier.endpage102en_US
dc.identifier.issue2en_US
dc.identifier.startpage92en_US
dc.identifier.trdizinid363616en_US
dc.identifier.urihttps://doi.org/10.4274/jus.galenos.2020.3217
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/363616
dc.identifier.urihttps://hdl.handle.net/20.500.14619/11182
dc.identifier.volume7en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.relation.ispartofJournal of Urological Surgeryen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titlePredictive factors for postoperative decline in renal functions following partial nephrectomy: preliminary resultsen_US
dc.typeArticleen_US

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