Analysis and prediction of postoperative recurrence of unilateral upper ureteral calculi in 243 cases (nomogram)

Autor: Qi Zhou, Jun Ouyang, Zhi-yu Zhang
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: SAGE Open Medicine, Vol 11 (2023)
Druh dokumentu: article
ISSN: 2050-3121
20503121
DOI: 10.1177/20503121231191995
Popis: Objective: This study aimed to identify the risk factors for postoperative recurrence of unilateral upper ureteral calculi and develop a predictive nomogram. Patients and Methods: A retrospective analysis was conducted on 243 patients diagnosed with unilateral upper ureteral calculi who were treated at our hospital between January 1, 2016 and December 31, 2018. Patients were divided into two groups: recurrence or non-recurrence cohort. Differences in age, gender, smoking and/or drinking habit, laterality, stone diameter, ureteral stricture, stone incarceration, urinary tract infection, surgical intervention, operation time, body mass index, and metabolic syndrome were analyzed. Discrete risk factors were screened, and a nomogram was developed to predict the probability of stone recurrence. Results: The study found that the recurrence of ureteral calculi was associated with factors including stone diameter, ureteral stricture, stone incarceration, surgical intervention, operation time, metabolic syndrome, body mass index, triglycerides, diabetes, and high blood pressure ( p < 0.05). Ureteral stricture, surgical intervention, metabolic syndrome, and triglycerides were found to be discrete risk factors for stone recurrence ( p
Databáze: Directory of Open Access Journals