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

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dc.authoridAYKAC, AYKUT/0000-0001-7078-0135
dc.authoridBaran, Ozer/0000-0001-9799-8134
dc.contributor.authorAykac, Aykut
dc.contributor.authorBaran, Ozer
dc.date.accessioned2024-09-29T15:51:26Z
dc.date.available2024-09-29T15:51:26Z
dc.date.issued2020
dc.departmentKarabük Üniversitesien_US
dc.description.abstractPurpose 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. Method 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. Results 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 CIRS-SI score of 1.18 (p < 0.001). Conclusion RIRS is an effective and safe treatment option for kidney and proximal ureteral stones in geriatric patients. Although there is an increase in medical complications post-RIRS with aging, surgical complications and stone-free rates remain unchanged.en_US
dc.identifier.doi10.1007/s11255-020-02564-1
dc.identifier.endpage2236en_US
dc.identifier.issn0301-1623
dc.identifier.issn1573-2584
dc.identifier.issue12en_US
dc.identifier.pmid32676812en_US
dc.identifier.scopus2-s2.0-85088050264en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage2229en_US
dc.identifier.urihttps://doi.org/10.1007/s11255-020-02564-1
dc.identifier.urihttps://hdl.handle.net/20.500.14619/4069
dc.identifier.volume52en_US
dc.identifier.wosWOS:000549286200001en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofInternational Urology and Nephrologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectRetrograde intrarenal surgeryen_US
dc.subjectKidney stonesen_US
dc.subjectGeriatric patientsen_US
dc.subjectComorbidityen_US
dc.titleSafety and efficacy of retrograde intrarenal surgery in geriatric patients by age groupsen_US
dc.typeArticleen_US

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