Outcomes and Long-term Follow-up of Patients with Cystine Stones: a Systematic Review
| Autor: | Olivier Traxer, Laurian Dragos, Sacha Moore, Bhaskar K. Somani, Iqbal S. Shergill, Etienne Xavier Keller, Paul Cook, Vincent De Coninck |
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| Přispěvatelé: | University of Zurich, Moore, Sacha L |
| Rok vydání: | 2019 |
| Předmět: |
2748 Urology
Nephrology Male medicine.medical_specialty Long term follow up Urology 030232 urology & nephrology Cystine Psychological intervention 610 Medicine & health 03 medical and health sciences chemistry.chemical_compound Kidney Calculi 0302 clinical medicine Internal medicine medicine Humans Ureteroscopy medicine.diagnostic_test business.industry General surgery General Medicine Patient data Cystinuria medicine.disease 10062 Urological Clinic Treatment Outcome chemistry 030220 oncology & carcinogenesis Observational study Female business Follow-Up Studies |
| Zdroj: | Current urology reports. 20(6) |
| ISSN: | 1534-6285 |
| Popis: | Cystine stone patients can be difficult to manage with frequent recurrences. We performed a systematic review with a view to assessing interventions, compliance and their long-term outcomes. Ten retrospective observational studies (253 patients) assessed the outcomes and long-term follow-up of cystine stone patients. The mean length of follow-up was 9.6 years (range 3.5–21.8 years). The overall mean number of surgical procedures/patient was 5.7 (range 2–9.8/patient) with the overall mean number of surgical procedures/patient/year at 0.59 (range 0.22–1.32/patient/year). While open surgery has decreased over the last decade and PCNL has been stable, there seems to be a rise of RIRS during this period. Patients with cystine stones need periodic interventions for stone recurrences despite medical management, with limited data showing the impact on renal function. While the management is individualised, wide variability exists with often poor and incomplete patient data. |
| Databáze: | OpenAIRE |
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