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[PMID]: 29376598
[Au] Autor:Arustamov LD; Katibov MI; Merinov DS; Gurbanov SS; Artemov AV; Epishov VA
[Ad] Address:N.A. Lopatkin Scientific Research Institute of Urology and Interventional Radiology branch of the NMRRC of Minzdrav of Russia, Moscow, Russia.
[Ti] Title:[Analysis of clinical effectiveness and risk factors for complication of percutaneous nephrolototripsia in patients with a solitary kidney].
[So] Source:Urologiia;(6):65-71, 2017 Dec.
[Is] ISSN:1728-2985
[Cp] Country of publication:Russia (Federation)
[La] Language:rus
[Ab] Abstract:RELEVANCE: Management of patients with large and staghorn stones of a solitary kidney is widely debated among urologists and has not been sufficiently investigated, which determined the relevance of this study. MATERIALS AND METHODS: The study comprised 80 patients with large (>20 mm) and staghorn stones of an anatomically or functionally solitary kidney. Of them, 58 patients underwent percutaneous nephrolithotripsy (PNL), and 22 had open surgery. The criterion of the treatment effectiveness was the complete stone clearance or small residual fragments sized less than 3 mm. The safety criterion was the absence of intra- and postoperative complications, according to Clavien-Dindo grading system. The study analyzed the following factors influencing the effectiveness and safety of PNL: the number of accesses; nephroscope diameter; use of a nephroscope sheath; type of lithotripter; size, density, type and composition of the stone. RESULTS: Percutaneous nephrolithotripsy demonstrated statistically significantly better safety results compared with open surgery with comparable effectiveness. Long-term stone recurrence rate after PNL and open surgery was 10.4 and 18.2%, respectively. PNL resulted in a statistically significant improvement in the kidney function while it worsened after open surgery. The effectiveness of PNL depends on the stone type and size and the kind of lithotripter. It was 7.5 times greater for a large stone than for staghorn calculi and 4.6 times higher for stones sized less or equal 45 mm than for those sized > 45 mm. Ultrasonic lithotripter was 2.2 times more effective than another type of lithotripter. The safety of PNL depends on the nephroscope diameter, of a sheath, the number of accesses, the type of lithotripter and the type of stone. Using a 24-Ch nephroscope was 3.6 times safer than that with a diameter greater than 24-Ch; not using a sheath was 3.2 times safer than using it; one access was 3 times safer than at multiple ones; using an ultrasound lithotripter was 2.7 times safer than with another type of lithotripter; treating a large stone was 2.1 times safer than a staghorn stone. CONCLUSION: The study findings can be used to optimize the treatment of patients with large and staghorn stones of a solitary kidney.
[Mh] MeSH terms primary: Kidney Calculi
Kidney
Nephrolithotomy, Percutaneous/methods
Postoperative Complications/prevention & control
[Mh] MeSH terms secundary: Adult
Female
Follow-Up Studies
Humans
Kidney/diagnostic imaging
Kidney/surgery
Kidney Calculi/diagnostic imaging
Kidney Calculi/surgery
Male
Middle Aged
Nephrolithotomy, Percutaneous/adverse effects
Retrospective Studies
Risk Factors
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180309
[Lr] Last revision date:180309
[Js] Journal subset:IM
[Da] Date of entry for processing:180130
[St] Status:MEDLINE

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[PMID]: 27776839
[Au] Autor:Haley WE; Enders FT; Vaughan LE; Mehta RA; Thoman ME; Vrtiska TJ; Krambeck AE; Lieske JC; Rule AD
[Ad] Address:Division of Nephrology and Hypertension, Mayo Clinic, Rochester, MN.
[Ti] Title:Kidney Function After the First Kidney Stone Event.
[So] Source:Mayo Clin Proc;91(12):1744-1752, 2016 Dec.
[Is] ISSN:1942-5546
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:OBJECTIVE: To determine whether there is a persistent decline in kidney function after the first kidney stone event. PATIENT AND METHODS: Incident symptomatic stone formers and age- and sex-matched controls underwent 2 study visits 90 days apart to assess kidney function, complete a survey, and have their medical records reviewed. Kidney function was compared between stone formers and controls adjusting for clinical, blood, and urine risk factors. RESULTS: There were 384 stone formers and 457 controls. At visit 1, a median of 104 days after the stone event, stone formers compared with controls had similar serum creatinine (0.86 vs 0.84 mg/dL; P=.23), higher serum cystatin C (0.83 vs 0.72 mg/L; P<.001), higher urine protein (34.2 vs 19.7 mg/24 h; P<.001) levels, and were more likely to have albuminuria (24 h urine albumin >30 mg: 5.4% vs 2.2%; P=.02). Findings were similar after adjustment for risk factors and at visit 2, a median of 92 days after visit 1. In the 173 stone formers with serum creatinine levels from care before study participation, the mean serum creatinine level was 0.84 mg/dL before the stone event, increased to 0.97 mg/dL (P<.001) at the stone event, but returned to 0.85 mg/dL (P=.38) after the stone event (visit 1). CONCLUSIONS: Incident symptomatic stone formers have a rise in serum creatinine levels that resolves. However, stone formers have sustained higher cystatin C levels and proteinuria that may affect long-term risk of chronic kidney disease.
[Mh] MeSH terms primary: Kidney Calculi/metabolism
Kidney Calculi/physiopathology
Kidney/physiopathology
[Mh] MeSH terms secundary: Adult
Albuminuria/metabolism
Case-Control Studies
Creatinine/blood
Cystatin C/blood
Female
Humans
Male
Middle Aged
Reference Values
[Pt] Publication type:JOURNAL ARTICLE
[Nm] Name of substance:0 (Cystatin C); AYI8EX34EU (Creatinine)
[Em] Entry month:1705
[Cu] Class update date: 180307
[Lr] Last revision date:180307
[Js] Journal subset:AIM; IM
[Da] Date of entry for processing:161108
[St] Status:MEDLINE

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[PMID]: 29206824
[Au] Autor:Sedano-Portillo I; Ochoa-León G; Fuentes-Orozco C; Irusteta-Jiménez L; Michel-Espinoza LR; Salazar-Parra M; Cuesta-Márquez L; González-Ojeda A
[Ad] Address:Departamento de Urología, Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jal., México.
[Ti] Title:Abordaje para nefrolitotomía percutánea. Comparación del procedimiento en un solo paso contra la secuencial con dilatadores metálicos. [Approach to percutaneous nephrolithotomy. Comparison of the procedure in a one-shot versus the sequential with metal dilata].
[So] Source:Gac Med Mex;153(6):677-682, 2017 Nov-Dec.
[Is] ISSN:0016-3813
[Cp] Country of publication:Mexico
[La] Language:spa
[Ab] Abstract:INTRODUCTION: Percutaneous nephrolithotomy is an efficient approach for treatment of different types of kidney stones. Various types of access techniques have been described like sequential dilatation and one-shot procedure. OBJECTIVE: To determine the differences in time of exposure to X-rays and hemoglobin levels between techniques. METHODS: Controlled clinical trial. Patients older than 18 years with complex/uncomplicated kidney stones, without urine infection were included. They were assigned randomly to one of the two techniques. Response variables were determined before and 24 h after procedures. RESULTS: 59 patients were included: 30 underwent one-shot procedure (study-group) and 29 sequential dilatation (control-group). Baseline characteristics were similar. Study group had a lower postoperative hemoglobin decline than control group (0.81 vs. 2.03 g/dl, respectively; p < 0.001); X-ray exposure time (69.6 vs. 100.62 s; p < 0.001) and postoperative creatinine serum levels (0.93 ± 0.29 vs. 1.13 ± 0.4 mg/dl; p = 0.039). No significant differences in postoperative morbidity were found. CONCLUSION: One-shot technique demonstrated better results compared to sequential dilatation.
[Mh] MeSH terms primary: Dilatation/methods
Kidney Calculi/surgery
Nephrolithotomy, Percutaneous/methods
Postoperative Complications/epidemiology
[Mh] MeSH terms secundary: Adult
Creatinine/blood
Female
Hemoglobins/metabolism
Humans
Male
Metals
Middle Aged
Treatment Outcome
[Pt] Publication type:COMPARATIVE STUDY; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Name of substance:0 (Hemoglobins); 0 (Metals); AYI8EX34EU (Creatinine)
[Em] Entry month:1803
[Cu] Class update date: 180301
[Lr] Last revision date:180301
[Js] Journal subset:IM
[Da] Date of entry for processing:171206
[St] Status:MEDLINE
[do] DOI:10.24875/GMM.17002655

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[PMID]: 29390476
[Au] Autor:Sun W; Liu MN; Yang ZW; Wang Q; Xu Y
[Ad] Address:Department of Ultrasound, Daqing Oilfield General Hospital, Daqing, China.
[Ti] Title:Ultrasound-guided percutaneous nephrolithotomy for the treatment in patients with kidney stones.
[So] Source:Medicine (Baltimore);96(51):e9232, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:BACKGROUND: In this study, we aimed to explore the effect of ultrasound-guided percutaneous nephrolithotomy (UGPN) for the treatment in patients with kidney stones (KS). METHODS: We randomly assigned 86 patients with KS to a UGPN group or a control group, each group comprising 43 patients. Patients from the UGPN group underwent UGPN whereas those from control group underwent fluoroscopic-guided percutaneous nephrolithotomy (FGPN). The primary outcome included the stone-free rate. Secondary outcomes included complication rates, operative time, and length of hospitalization. RESULTS: UGPN did not show better efficacy than the FGPN procedure in decreasing stone-free rate (UGPN group 79.1% vs control group 69.8%, P = .45), operative time (UGPN group 108.4 ±â€Š31.7 minute vs control group 113.2 ±â€Š34.5 minute, P = .50), and length of hospitalization (UGPN group 2.7 ±â€Š1.3 days vs control group 3.1 ±â€Š1.5 days, P = .19). Additionally, no complications, except fever (UGPN group 4.7% vs control group 9.3%, P = .41) and hemoglobin slightly reduced (UGPN group 7.0% vs control group 11.6%, P = .46) were noted in patients from both groups in this study. CONCLUSIONS: To summarize, we demonstrated that both UGPN and FGPN techniques showed similar efficacy and complications when used for the management of KS.
[Mh] MeSH terms primary: Kidney Calculi/diagnostic imaging
Kidney Calculi/surgery
Nephrolithotomy, Percutaneous/methods
Ultrasonography, Doppler/methods
[Mh] MeSH terms secundary: Adult
Aged
Aged, 80 and over
Chi-Square Distribution
China
Fluoroscopy
Follow-Up Studies
Hospitals, University
Humans
Male
Middle Aged
Minimally Invasive Surgical Procedures/methods
Reference Values
Risk Assessment
Severity of Illness Index
Statistics, Nonparametric
Treatment Outcome
Young Adult
[Pt] Publication type:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Entry month:1802
[Cu] Class update date: 180214
[Lr] Last revision date:180214
[Js] Journal subset:AIM; IM
[Da] Date of entry for processing:180203
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009232

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[PMID]: 29186263
[Au] Autor:Veasey JV; Avila RB; Miguel BAF; Muramatu LH
[Ad] Address:Dermatology Clinic, Hospital da Irmandade da Santa Casa de Misericórdia de São Paulo - São Paulo (SP) Brazil.
[Ti] Title:White piedra, black piedra, tinea versicolor, and tinea nigra: contribution to the diagnosis of superficial mycosis.
[So] Source:An Bras Dermatol;92(3):413-416, 2017 May-Jun.
[Is] ISSN:1806-4841
[Cp] Country of publication:Brazil
[La] Language:eng
[Ab] Abstract:Superficial mycoses are fungal infections restricted to the stratum corneum and to the hair shafts, with no penetration in the epidermis; they are: white piedra, black piedra, tinea versicolor, and tinea nigra. This study presents images of mycological tests performed in the laboratory, as well as exams performed at the authors office, in order to improve the dermatologist's knowledge about the diagnosis of these dermatoses, which are common in many countries.
[Mh] MeSH terms primary: Piedra/diagnosis
Tinea/diagnosis
[Mh] MeSH terms secundary: Humans
Piedra/classification
Piedra/pathology
Tinea/classification
Tinea/pathology
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1801
[Cu] Class update date: 180131
[Lr] Last revision date:180131
[Js] Journal subset:IM
[Da] Date of entry for processing:171130
[St] Status:MEDLINE

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[PMID]: 29360892
[Au] Autor:Landero J
[Ad] Address:Premier Dermatology, Abilene, Texas, USA.
[Ti] Title:Long-term pubic dermatitis diagnosed as white piedra.
[So] Source:Cutis;100(6):448-450, 2017 Dec.
[Is] ISSN:2326-6929
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:The case of a 58-year-old man with a pruritic rash involving the pubic area that had been undiagnosed for 30 years is presented. At least 15 different primary care physicians and dermatologists evaluated the patient during this time period. Multiple treatments were unsuccessful and a definitive diagnosis was not rendered. Wood lamp evaluation of the pubic area revealed hair shaft concretions that were confirmed on histologic evaluation to be white piedra (WP). The patient was successfully treated with topical ketoconazole and the eruption completely resolved. Our case raises awareness of the use of Wood lamp and dermoscopy to evaluate for parasitic infections of the pubic hair shafts when nonspecific dermatitis presents in this area.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1801
[Cu] Class update date: 180123
[Lr] Last revision date:180123
[St] Status:In-Process

  7 / 16047 MEDLINE  
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[PMID]: 29240373
[Au] Autor:Goldstein B; Goldfarb DS
[Ti] Title:Early Recognition and Management of Rare Kidney Stone Disorders.
[So] Source:Urol Nurs;37(2):81-9, 102, 2017 Mar-Apr.
[Is] ISSN:1053-816X
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Kidney stones, especially those that present in childhood/adolescence, may be due to rare inherited disorders such as cystinuria. Early recognition and prompt treatment can help reduce or even prevent the serious long-term complications of these rare stone disorders.
[Mh] MeSH terms primary: Adenine Phosphoribosyltransferase/deficiency
Cystinuria/diagnosis
Dent Disease/diagnosis
Hyperoxaluria, Primary/diagnosis
Kidney Calculi/etiology
Metabolism, Inborn Errors/diagnosis
Rare Diseases
Urolithiasis/diagnosis
[Mh] MeSH terms secundary: Cystinuria/complications
Cystinuria/therapy
Dent Disease/complications
Dent Disease/therapy
Early Diagnosis
Early Medical Intervention
Humans
Hyperoxaluria, Primary/complications
Hyperoxaluria, Primary/therapy
Metabolism, Inborn Errors/complications
Metabolism, Inborn Errors/therapy
Urolithiasis/complications
Urolithiasis/therapy
[Pt] Publication type:JOURNAL ARTICLE
[Nm] Name of substance:EC 2.4.2.7 (Adenine Phosphoribosyltransferase)
[Em] Entry month:1801
[Cu] Class update date: 180123
[Lr] Last revision date:180123
[Js] Journal subset:N
[Da] Date of entry for processing:171215
[St] Status:MEDLINE

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[PMID]: 29240374
[Au] Autor:Goldfarb DS; Grasso M
[Ti] Title:Case Study - Case Studies in Cystinuria.
[So] Source:Urol Nurs;37(2):90-3, 2017 Mar-Apr.
[Is] ISSN:1053-816X
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:The diagnosis and treatment of patients with rare inherited metabolic disorders associated with recurrent and often obstructive kidney stones are important to the prevention of chronic kidney disease or end stage renal disease. Two case studies in this article describe the diagnosis and management of cystinuria, the most common rare kidney stone disorder.
[Mh] MeSH terms primary: Cystinuria/diagnosis
Ileum/transplantation
Kidney Calculi/surgery
Ureter/surgery
[Mh] MeSH terms secundary: Adolescent
Adult
Cystinuria/complications
Cystinuria/therapy
Diet Therapy
Diuretics/therapeutic use
Female
Fluid Therapy
Humans
Kidney Calculi/etiology
Male
Medication Adherence
Potassium Citrate/therapeutic use
Reconstructive Surgical Procedures
Renal Insufficiency, Chronic/etiology
Sodium Bicarbonate
Tiopronin/therapeutic use
Tomography, X-Ray Computed
Ureteroscopy
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE
[Nm] Name of substance:0 (Diuretics); 8MDF5V39QO (Sodium Bicarbonate); C5W04GO61S (Tiopronin); EE90ONI6FF (Potassium Citrate)
[Em] Entry month:1801
[Cu] Class update date: 180123
[Lr] Last revision date:180123
[Js] Journal subset:N
[Da] Date of entry for processing:171215
[St] Status:MEDLINE

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[PMID]: 29240349
[Au] Autor:Tackitt HM; Eaton SH; Lentz AC
[Ti] Title:Nurse-Initiated Telephone Follow Up after Ureteroscopic Stone Surgery.
[So] Source:Urol Nurs;36(6):283-8, 2016 Nov-Dec.
[Is] ISSN:1053-816X
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:This article presents findings of a quality improvement (QI) project using the DMAIC (define, measure, analyze, improve, and control) model designed to decrease the rate of emergency department (ED) visits and nurse advice line calls after ureteroscopic stone surgery. Results indicated that nurse-initiated follow- up phone calls can decrease ED visits.
[Mh] MeSH terms primary: Aftercare
Kidney Calculi/surgery
Nephrology Nursing
Pain, Postoperative/nursing
Surgical Wound Infection/nursing
Telephone
Ureteral Calculi/surgery
Ureteroscopy
Urinary Tract Infections/nursing
[Mh] MeSH terms secundary: Emergency Service, Hospital/utilization
Female
Humans
Male
Quality Improvement
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1801
[Cu] Class update date: 180123
[Lr] Last revision date:180123
[Js] Journal subset:N
[Da] Date of entry for processing:171215
[St] Status:MEDLINE

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[PMID]: 29245347
[Au] Autor:Kang SK; Cho KS; Kang DH; Jung HD; Kwon JK; Lee JY
[Ad] Address:aDepartment of Urology, Severance HospitalbDepartment of Urology, Gangnam Severance Hospital, Urological Science Institute, Yonsei University College of Medicine, SeoulcDepartment of Urology, Inha University School of Medicine, IncheondDepartment of Urology, Yongin Severance Hospital, Yonsei University Health System, YongineDepartment of Urology, Severance Check-Up, Yonsei University Health System, Seoul, Korea.
[Ti] Title:Systematic review and meta-analysis to compare success rates of retrograde intrarenal surgery versus percutaneous nephrolithotomy for renal stones >2 cm: An update.
[So] Source:Medicine (Baltimore);96(49):e9119, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:BACKGROUND: We performed a systematic review and meta-analysis comparing stone-free rates between retrograde intrarenal surgery (RIRS) and percutaneous nephrolithotomy (PCNL), using updated, more reliable evidence. MATERIALS AND METHODS: Randomized controlled trials comparing RIRS and PCNL for >2 cm stones were identified from electronic databases. Stone-free rates for the procedures were compared by qualitative and quantitative syntheses (meta-analyses). Outcome variables are shown as risk ratios (RRs) with 95% confidence intervals (CIs). RESULTS: Eleven articles were included in this study. Most recently published studies exhibited relatively low quality during quality assessment. For the meta-analysis comparing success (stone-free) rates between PCNL and RIRS, the forest plot using the random-effects model showed an RR of 1.11 (95% CI 1.02-1.21, P < .014) favoring PCNL. After determining the among-study heterogeneity, subgroup analysis was performed of 9 studies with less heterogeneity: the stone-free rate of PCNL was superior to that of RIRS using a fixed-effect model (RR 1.07, 95% CI 1.01-1.14, P < .019) for these studies. CONCLUSIONS: RIRS can be a safe and effective procedure for selected patients with large renal stones. However, in this meta-analysis, the postoperative stone-free rate of PCNL was higher than that of RIRS in patients with >2 cm renal stones.
[Mh] MeSH terms primary: Kidney Calculi/surgery
Urologic Surgical Procedures/methods
[Mh] MeSH terms secundary: Humans
Nephrolithotomy, Percutaneous/methods
Randomized Controlled Trials as Topic
[Pt] Publication type:JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Em] Entry month:1801
[Cu] Class update date: 180105
[Lr] Last revision date:180105
[Js] Journal subset:AIM; IM
[Da] Date of entry for processing:171217
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009119


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