Percutaneous nephrolithotomy in children in different age groups: data from the Clinical Research Office of the Endourological Society (CROES) Percutaneous Nephrolithotomy Global Study

Selcuk Guven, Antonio Frattini, Bulent Onal, Mahesh Desai, Emanuele Montanari, Jan Kums, Marco Garofalo, Jean de la Rosette, CROES PCNL Study Group, Palle Jørn Sloth Osther

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

Study Type - Therapy (case series) Level of Evidence 4 What's known on the subject? and What does the study add? Without age being a limiting risk factor, recent reports have shown that almost any version of percutaneous nephrolithotomy (PCNL) can be safely applied in children. As there has been no standardisation in the age categorisation of children, there are inconsistencies among the age subgroups in the current literature. To achieve a standard terminology and thus a common language, the World Health Organization age classification criterion was used in the present study. Based on the findings, we can suggest that PCNL can be applied safely and effectively in children in different age groups. OBJECTIVES: •  To present the overall results of paediatric percutaneous nephrolithotomy (PCNL) compared with adults. •  To present the indications, complications and outcomes of patients treated in the participating centres in the PCNL Global Study, as categorised in different age groups. PATIENTS AND METHODS: •  The Clinical Research Office of the Endourological Society (CROES) Study was conducted from November 2007 to December 2009, and included 96 centres and >5800 patients. •  All children aged ≤14 years in the PCNL Global Study database were the focus of the study. RESULTS: •  In all, 107 children aged ≤14 years were included in the analysis. •  The PCNL procedure was conducted in 13 patients (12.1%) in the supine position; tubeless PCNL was performed in 15 patients (14%); and balloon dilatation was preferred in 22 patients (20.5%). The overall mean operative duration was 97.02 min; blood transfusion rate, fever and stone-free rates were 9%, 14% and 70.1%, respectively. •  A comparison of the paediatric PCNL cases according to age groups showed no statistically significant differences between the subgroups for patient characteristics, co-morbidities, renal anomalies, or previous surgical history. •  In the evaluation of the operative details, the mean sheath size and nephrostomy tube size were larger in school-age children than the preschool children (P= 0.01 and 0.002, respectively). There was a difference in the preferred methods for confirming stone-free status, with ultrasonography preferred more in preschool children (P <0.001). •  The PCNL procedure position, puncture site, dilatation method, postoperative tube application, and surgical outcomes were comparable in school- and preschool-age children. While operative details showed some differences between children and adults, the surgical outcomes were comparable. CONCLUSIONS: •  A considerable number (45.7%) of the paediatric patients had a previous history of stone intervention. •  Based on the findings of the present study, we can suggest that PCNL can be applied safely and effectively in children in different age groups. •  Outcomes appear comparable with those in adults for the success and complication rates, in the presence of substantial indications, appropriate equipment and adequate experience.
OriginalsprogEngelsk
TidsskriftB J U International (Print)
Vol/bind111
Udgave nummer1
Sider (fra-til)148-156
ISSN1464-4096
DOI
StatusUdgivet - 2013

Fingeraftryk

Percutaneous Nephrostomy
Age Groups
Research
Preschool Children
Pediatrics
Dilatation
Supine Position
Terminology
Ultrasonography
Language
History
Databases
Kidney

Citer dette

Guven, Selcuk ; Frattini, Antonio ; Onal, Bulent ; Desai, Mahesh ; Montanari, Emanuele ; Kums, Jan ; Garofalo, Marco ; de la Rosette, Jean ; CROES PCNL Study Group ; Osther, Palle Jørn Sloth. / Percutaneous nephrolithotomy in children in different age groups : data from the Clinical Research Office of the Endourological Society (CROES) Percutaneous Nephrolithotomy Global Study. I: B J U International (Print). 2013 ; Bind 111, Nr. 1. s. 148-156.
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title = "Percutaneous nephrolithotomy in children in different age groups: data from the Clinical Research Office of the Endourological Society (CROES) Percutaneous Nephrolithotomy Global Study",
abstract = "Study Type - Therapy (case series) Level of Evidence 4 What's known on the subject? and What does the study add? Without age being a limiting risk factor, recent reports have shown that almost any version of percutaneous nephrolithotomy (PCNL) can be safely applied in children. As there has been no standardisation in the age categorisation of children, there are inconsistencies among the age subgroups in the current literature. To achieve a standard terminology and thus a common language, the World Health Organization age classification criterion was used in the present study. Based on the findings, we can suggest that PCNL can be applied safely and effectively in children in different age groups. OBJECTIVES: •  To present the overall results of paediatric percutaneous nephrolithotomy (PCNL) compared with adults. •  To present the indications, complications and outcomes of patients treated in the participating centres in the PCNL Global Study, as categorised in different age groups. PATIENTS AND METHODS: •  The Clinical Research Office of the Endourological Society (CROES) Study was conducted from November 2007 to December 2009, and included 96 centres and >5800 patients. •  All children aged ≤14 years in the PCNL Global Study database were the focus of the study. RESULTS: •  In all, 107 children aged ≤14 years were included in the analysis. •  The PCNL procedure was conducted in 13 patients (12.1{\%}) in the supine position; tubeless PCNL was performed in 15 patients (14{\%}); and balloon dilatation was preferred in 22 patients (20.5{\%}). The overall mean operative duration was 97.02 min; blood transfusion rate, fever and stone-free rates were 9{\%}, 14{\%} and 70.1{\%}, respectively. •  A comparison of the paediatric PCNL cases according to age groups showed no statistically significant differences between the subgroups for patient characteristics, co-morbidities, renal anomalies, or previous surgical history. •  In the evaluation of the operative details, the mean sheath size and nephrostomy tube size were larger in school-age children than the preschool children (P= 0.01 and 0.002, respectively). There was a difference in the preferred methods for confirming stone-free status, with ultrasonography preferred more in preschool children (P <0.001). •  The PCNL procedure position, puncture site, dilatation method, postoperative tube application, and surgical outcomes were comparable in school- and preschool-age children. While operative details showed some differences between children and adults, the surgical outcomes were comparable. CONCLUSIONS: •  A considerable number (45.7{\%}) of the paediatric patients had a previous history of stone intervention. •  Based on the findings of the present study, we can suggest that PCNL can be applied safely and effectively in children in different age groups. •  Outcomes appear comparable with those in adults for the success and complication rates, in the presence of substantial indications, appropriate equipment and adequate experience.",
author = "Selcuk Guven and Antonio Frattini and Bulent Onal and Mahesh Desai and Emanuele Montanari and Jan Kums and Marco Garofalo and {de la Rosette}, Jean and {CROES PCNL Study Group} and Osther, {Palle J{\o}rn Sloth}",
note = "{\circledC} 2012 THE AUTHORS. BJU INTERNATIONAL {\circledC} 2012 BJU INTERNATIONAL.",
year = "2013",
doi = "10.1111/j.1464-410X.2012.11239.x",
language = "English",
volume = "111",
pages = "148--156",
journal = "B J U International (Print)",
issn = "1464-4096",
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Percutaneous nephrolithotomy in children in different age groups : data from the Clinical Research Office of the Endourological Society (CROES) Percutaneous Nephrolithotomy Global Study. / Guven, Selcuk; Frattini, Antonio; Onal, Bulent; Desai, Mahesh; Montanari, Emanuele; Kums, Jan; Garofalo, Marco; de la Rosette, Jean; CROES PCNL Study Group ; Osther, Palle Jørn Sloth.

I: B J U International (Print), Bind 111, Nr. 1, 2013, s. 148-156.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Percutaneous nephrolithotomy in children in different age groups

T2 - data from the Clinical Research Office of the Endourological Society (CROES) Percutaneous Nephrolithotomy Global Study

AU - Guven, Selcuk

AU - Frattini, Antonio

AU - Onal, Bulent

AU - Desai, Mahesh

AU - Montanari, Emanuele

AU - Kums, Jan

AU - Garofalo, Marco

AU - de la Rosette, Jean

AU - CROES PCNL Study Group

AU - Osther, Palle Jørn Sloth

N1 - © 2012 THE AUTHORS. BJU INTERNATIONAL © 2012 BJU INTERNATIONAL.

PY - 2013

Y1 - 2013

N2 - Study Type - Therapy (case series) Level of Evidence 4 What's known on the subject? and What does the study add? Without age being a limiting risk factor, recent reports have shown that almost any version of percutaneous nephrolithotomy (PCNL) can be safely applied in children. As there has been no standardisation in the age categorisation of children, there are inconsistencies among the age subgroups in the current literature. To achieve a standard terminology and thus a common language, the World Health Organization age classification criterion was used in the present study. Based on the findings, we can suggest that PCNL can be applied safely and effectively in children in different age groups. OBJECTIVES: •  To present the overall results of paediatric percutaneous nephrolithotomy (PCNL) compared with adults. •  To present the indications, complications and outcomes of patients treated in the participating centres in the PCNL Global Study, as categorised in different age groups. PATIENTS AND METHODS: •  The Clinical Research Office of the Endourological Society (CROES) Study was conducted from November 2007 to December 2009, and included 96 centres and >5800 patients. •  All children aged ≤14 years in the PCNL Global Study database were the focus of the study. RESULTS: •  In all, 107 children aged ≤14 years were included in the analysis. •  The PCNL procedure was conducted in 13 patients (12.1%) in the supine position; tubeless PCNL was performed in 15 patients (14%); and balloon dilatation was preferred in 22 patients (20.5%). The overall mean operative duration was 97.02 min; blood transfusion rate, fever and stone-free rates were 9%, 14% and 70.1%, respectively. •  A comparison of the paediatric PCNL cases according to age groups showed no statistically significant differences between the subgroups for patient characteristics, co-morbidities, renal anomalies, or previous surgical history. •  In the evaluation of the operative details, the mean sheath size and nephrostomy tube size were larger in school-age children than the preschool children (P= 0.01 and 0.002, respectively). There was a difference in the preferred methods for confirming stone-free status, with ultrasonography preferred more in preschool children (P <0.001). •  The PCNL procedure position, puncture site, dilatation method, postoperative tube application, and surgical outcomes were comparable in school- and preschool-age children. While operative details showed some differences between children and adults, the surgical outcomes were comparable. CONCLUSIONS: •  A considerable number (45.7%) of the paediatric patients had a previous history of stone intervention. •  Based on the findings of the present study, we can suggest that PCNL can be applied safely and effectively in children in different age groups. •  Outcomes appear comparable with those in adults for the success and complication rates, in the presence of substantial indications, appropriate equipment and adequate experience.

AB - Study Type - Therapy (case series) Level of Evidence 4 What's known on the subject? and What does the study add? Without age being a limiting risk factor, recent reports have shown that almost any version of percutaneous nephrolithotomy (PCNL) can be safely applied in children. As there has been no standardisation in the age categorisation of children, there are inconsistencies among the age subgroups in the current literature. To achieve a standard terminology and thus a common language, the World Health Organization age classification criterion was used in the present study. Based on the findings, we can suggest that PCNL can be applied safely and effectively in children in different age groups. OBJECTIVES: •  To present the overall results of paediatric percutaneous nephrolithotomy (PCNL) compared with adults. •  To present the indications, complications and outcomes of patients treated in the participating centres in the PCNL Global Study, as categorised in different age groups. PATIENTS AND METHODS: •  The Clinical Research Office of the Endourological Society (CROES) Study was conducted from November 2007 to December 2009, and included 96 centres and >5800 patients. •  All children aged ≤14 years in the PCNL Global Study database were the focus of the study. RESULTS: •  In all, 107 children aged ≤14 years were included in the analysis. •  The PCNL procedure was conducted in 13 patients (12.1%) in the supine position; tubeless PCNL was performed in 15 patients (14%); and balloon dilatation was preferred in 22 patients (20.5%). The overall mean operative duration was 97.02 min; blood transfusion rate, fever and stone-free rates were 9%, 14% and 70.1%, respectively. •  A comparison of the paediatric PCNL cases according to age groups showed no statistically significant differences between the subgroups for patient characteristics, co-morbidities, renal anomalies, or previous surgical history. •  In the evaluation of the operative details, the mean sheath size and nephrostomy tube size were larger in school-age children than the preschool children (P= 0.01 and 0.002, respectively). There was a difference in the preferred methods for confirming stone-free status, with ultrasonography preferred more in preschool children (P <0.001). •  The PCNL procedure position, puncture site, dilatation method, postoperative tube application, and surgical outcomes were comparable in school- and preschool-age children. While operative details showed some differences between children and adults, the surgical outcomes were comparable. CONCLUSIONS: •  A considerable number (45.7%) of the paediatric patients had a previous history of stone intervention. •  Based on the findings of the present study, we can suggest that PCNL can be applied safely and effectively in children in different age groups. •  Outcomes appear comparable with those in adults for the success and complication rates, in the presence of substantial indications, appropriate equipment and adequate experience.

U2 - 10.1111/j.1464-410X.2012.11239.x

DO - 10.1111/j.1464-410X.2012.11239.x

M3 - Journal article

C2 - 22578216

VL - 111

SP - 148

EP - 156

JO - B J U International (Print)

JF - B J U International (Print)

SN - 1464-4096

IS - 1

ER -