Quadruple-D score in the success rate of extracorporeal shock wave lithotripsy of renal stones in pediatric population.

Autor: Şendoğan F; Medicana Çamlıca Hospital, Clinic of Urology, Istanbul, Turkey., Bulut M; Diyarbakır Selahaddin Eyyubi State Hospital, Clinic of Urology, Diyarbakır, Turkey., Çanakçı C; Kartal Dr. Lutfi Kirdar Training and Research Hospital, Clinic of Urology, Istanbul, Turkey., Dinçer E; Kartal Dr. Lutfi Kirdar Training and Research Hospital, Clinic of Urology, Istanbul, Turkey., Şimşek B; Liv Hospital Ulus, Clinic of Urology, Istanbul, Turkey., Çetin B; Kartal Dr. Lutfi Kirdar Training and Research Hospital, Clinic of Pediatric Urology, Istanbul, Turkey., Sılay S; Medipol Acıbadem Hospital, Clinic of Pediatric Urology, Istanbul, Turkey., Telli O; Memorial Şişli Hospital, Clinic of Urology, Istanbul, Turkey. onurtelli@yahoo.com.
Jazyk: angličtina
Zdroj: Urolithiasis [Urolithiasis] 2024 Nov 16; Vol. 52 (1), pp. 163. Date of Electronic Publication: 2024 Nov 16.
DOI: 10.1007/s00240-024-01657-1
Abstrakt: Objectives: Evaluation of the validity of the Quadruple-D score in the prediction of success in pediatric stone disease.
Materials and Methods: Of the 292 children treated with SWL between 2007 and 2023, a total of 158 children who had adequate follow-up data and evaluated with non-contrast computed tomography before SWL, were included in the study. Parameters were calculated for each of the stone volume (SV), skin-to-stone distance (SSD), stone density (SD) and stone location (SL) variables. Receiver operator characteristic analysis was used to set cut-off values. Quadruple-D scores were calculated, and success rates were determined for each score. Stone-free status was determined as complete clearance after three months of final SWL.
Results: The median age of the study group was 8 (range 1 to 16). One hundred and one of the 158 (64%) children had stone-free status. Mean SV, SSD and SD values were significantly higher in SWL failed group than stone-free group after detecting cutoff values of 150 mm 3 , 6.7 cm, and 540 HU, respectively. Stone-free rates were detected as 19.6%, 24.7%, 37.2%, 76.2%, and 90.2% with the Quadruple-D scores of 0, 1, 2, 3 and 4 points.
Conclusions: Quadruple-D scoring system can further improve Triple-D scoring system by adding stone position parameter to clarify SFR with a simple and easy calculation. We believe that the Quadruple-D score will have better clinical significance than the Triple-D scoring system in predicting the success of SWL in children.
Competing Interests: Declarations Competing interests The authors declare no competing interests.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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