A Prospective Study on the Impact of Clinical Factors and Adjusted Triple D System for Success Rate of ESWL
Abstract
:1. Introduction
2. Materials and Methods
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Variable | All Patients (N = 71) | Successful Treatment (N = 47) | Treatment Failure (N = 24) | p-Value * |
---|---|---|---|---|
Age [years] Mean ± SD | 50.85 (13.65) | 50.81 (14.40) | 50.92 (12.35) | 0.975 |
Gender, N (%): Male Female | 46 (64.8%) 25 (35.2%) | 34 (72.3%) 13 (27.7%) | 12 (50%) 12 (50%) | 0.072 |
BMI Mean ± SD | 26.76 (4.34) | 25.98 (3.87) | 28.18 (4.87) | 0.239 |
Stone location, N (%): | 0.443 | |||
Other | 26 (36.6%) | 18 (69.2%) | 8 (30.8%) | |
Lower calyx | 45 (63.4%) | 29 (64.2%) | 16 (35.6%) | |
Max. stone diameter [mm] Mean (± SD) | 8.58 (3.07) | 7.732 (2.84) | 10.229 (2.82) | 0.001 |
Stone volume [mm3] Mean (± SD) | 196.40 (191.74) | 151.340 (159.56) | 284.625 (220.67) | 0.005 |
Mean stone density [HU] (± SD) | 752.28 (271.58) | 689.57 (261.44) | 875.08 (252.97) | 0.006 |
Skin to stone distance [mm] Mean (± SD) | 100.62 (19.81) | 97.94 (18.05) | 105.88 (22.36) | 0.111 |
SMLI Mean (± SD) | 310.45 (105.61) | 293.96 (133.63) | 318.87 (100.80) | 0.349 |
SMLI/stone volume ratio Mean (± SD) | 3.30 (2.85) | 4.02 (3.08) | 1.87 (1.58) | 0.002 |
Clinical Factor | Treatment Efficacy | N of Cases | Mean (SD) | p-Value | Stone-Free after Treatment | N of Cases | Mean (SD) | p-Value |
---|---|---|---|---|---|---|---|---|
SSD | SFR or fragments <4 mm | 47 | 97.94 18.05 | 0.111 | Totally stone free | 18 | 96.17 15.23 | 0.273 |
Fragments >4 mm | 24 | 105.88 22.36 | Residual fragments | 53 | 102.13 21.06 | |||
MSD | SFR or fragments <4 mm | 47 | 7.73 2.84 | 0.001 | Totally stone free | 18 | 6.94 2.34 | 0.003 |
Fragments >4 mm | 24 | 10.23 2.88 | Residual fragments | 53 | 9.13 3.11 | |||
SV | SFR or fragments <4 mm | 47 | 151.34 159.56 | 0.005 | Totally stone free | 18 | 113.38 131.56 | 0.01 |
Fragments >4 mm | 24 | 284.63 220.67 | Residual fragments | 53 | 224.58 201.58 | |||
MD | SFR or fragments <4 mm | 47 | 689.57 261.44 | 0.006 | Totally stone free | 18 | 661.33 245.07 | 0.087 |
Fragments >4 mm | 24 | 875.08 252.97 | Residual fragments | 53 | 783.17 275.335 | |||
Maximum HU score | SFR or fragments <4 mm | 47 | 961.64 369.30 | 0.009 | Totally stone free | 18 | 975.06 365.286 | 0.375 |
Fragments >4 mm | 24 | 1191.83 268.18 | Residual fragments | 53 | 1061.3 350.86 | |||
SMLI/SV ratio | SFR or fragments <4 mm | 47 | 4.02 3.08 | 0.002 | Totally stone free | 18 | 5.32 3.72 | 0.009 |
Fragments >4 mm | 24 | 1.87 1.58 | Residual fragments | 53 | 2.60 2.08 |
Variable | Univariate | Multivariate | ||||
---|---|---|---|---|---|---|
OR | 95% CI | p Value | OR | 95% CI | p Value | |
SV | 0.99 | 0.99–1.00 | 0.012 | 1.00 | 0.99–1.00 | 0.670 |
Maximum diameter of stone | 0.75 | 0.62–0.90 | 0.002 | 0.77 | 0.52–1.13 | 0.174 |
MD | 0.99 | 0.99–1.00 | 0.009 | 0.99 | 0.99–1.00 | 0.176 |
SSD | 0.98 | 0.95–1.01 | 0.115 | 0.98 | 0.95–1.01 | 0.250 |
SMLI/SV ratio | 1.58 | 1.15–2.17 | 0.005 | 1.06 | 0.68–1.65 | 0.811 |
Sum of SMLI | 1.01 | 1.00–1.01 | 0.340 | 1.01 | 0.99–1.01 | 0.210 |
Triple D Score | Successful Treatment | Treatment Failure % |
---|---|---|
0 | 33% (2/6) | 67% (4/6) |
1 | 48% (12/25) | 52% (13/25) |
2 | 76.9% (20/26) | 23.1% (6/26) |
3 | 92.9% (13/14) | 7.1% (1/14) |
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Snicorius, M.; Drevinskaitė, M.; Miglinas, M.; Čekauskas, A.; Urbonienė, V.; Bandzevičiūtė, R.; Čeponkus, J.; Šablinskas, V.; Želvys, A. A Prospective Study on the Impact of Clinical Factors and Adjusted Triple D System for Success Rate of ESWL. Medicina 2023, 59, 1827. https://doi.org/10.3390/medicina59101827
Snicorius M, Drevinskaitė M, Miglinas M, Čekauskas A, Urbonienė V, Bandzevičiūtė R, Čeponkus J, Šablinskas V, Želvys A. A Prospective Study on the Impact of Clinical Factors and Adjusted Triple D System for Success Rate of ESWL. Medicina. 2023; 59(10):1827. https://doi.org/10.3390/medicina59101827
Chicago/Turabian StyleSnicorius, Marius, Mingailė Drevinskaitė, Marius Miglinas, Albertas Čekauskas, Vidita Urbonienė, Rimantė Bandzevičiūtė, Justinas Čeponkus, Valdas Šablinskas, and Arunas Želvys. 2023. "A Prospective Study on the Impact of Clinical Factors and Adjusted Triple D System for Success Rate of ESWL" Medicina 59, no. 10: 1827. https://doi.org/10.3390/medicina59101827