Shakhawan Hama Amin Said, Goran Friad, Mzhda Sahib Jaafar, Lusan Abdulhameed Arkawazi, Mohammed Fahad Raheem, Ismaeel Aghaways, Mohammed I M Gubari
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Demographics, anthropometrics, prior medical history, renal mass features, histological diagnosis, and perioperative data were all collected for examination. Logistic regression and receiver operator characteristic curve analysis were used to predict perioperative problems. The patients' average age was 52.0 ± 13.1 years, with a male-to-female ratio of 1.24:1. The modified R.E.N.A.L score averaged 9.6 ± 1.8. Perioperative problems occurred in 42.6% of cases. The moderate complexity group experienced a lengthier hospital stay (2.7 ± 0.6 days) than the mild complexity group (2.3 ± 0.5 days, p = 0.008). The R.E.N.A.L. score was identified as an independent predictor of perioperative complications (OR: 1.48; 95% CI: 1.03-2.26, p = 0.046), with an acceptable cut-off point of 8.7 (AUC = 0.68). 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引用次数: 0
摘要
肾肾测量评分(RNS)是一种标准化的方法,用于分级肾脏肿块的复杂性,尽管它与开放式部分肾切除术的围手术期结果没有很强的相关性。为了解决这些问题,我们提出了一个修改后的肾移植。该研究的目的是确定改良肾肾测量评分在预测开放式部分肾切除术后围手术期预后方面的有效性。这项介入性多中心试验纳入了47例T1N0M0肾肿块(7cm或以下)的成年患者,这些患者适合进行开放式部分肾切除术。Salah等人提出了一种改进的R.E.N.A.L分类系统,用于评估肾脏复杂性。收集人口统计学、人体测量学、既往病史、肾脏肿块特征、组织学诊断和围手术期资料进行检查。采用Logistic回归和接受者操作者特征曲线分析预测围手术期问题。患者平均年龄52.0±13.1岁,男女比例为1.24:1。改良R.E.N.A.L评分平均9.6±1.8分。42.6%的病例出现围手术期问题。中度并发症组住院时间(2.7±0.6 d)长于轻度并发症组(2.3±0.5 d, p = 0.008)。R.E.N.A.L.评分被确定为围手术期并发症的独立预测因子(OR: 1.48;95% CI: 1.03-2.26, p = 0.046),可接受截断点为8.7 (AUC = 0.68)。改良的肾造影是鉴别肾恶性肿瘤解剖特征的重要工具,有助于预测围手术期并发症的发生率。
The utility of modified RENAL nephrometry score in predicting the perioperative outcomes following open partial nephrectomy.
The RENAL nephrometry score (RNS) is a standardized approach for grading the complexity of renal masses, although it does not have a strong correlation with the perioperative outcomes of open partial nephrectomy. To address these issues, a modified RENAL has been proposed. The study's goal is to determine the usefulness of a modified RENAL nephrometry score in predicting perioperative outcomes after open partial nephrectomy. This interventional multicentric trial included 47 adult patients with T1N0M0 renal masses of 7 cm or less, which were appropriate for open partial nephrectomy. Salah et al. presented a modified R.E.N.A.L classification system, which was used to assess renal complexity. Demographics, anthropometrics, prior medical history, renal mass features, histological diagnosis, and perioperative data were all collected for examination. Logistic regression and receiver operator characteristic curve analysis were used to predict perioperative problems. The patients' average age was 52.0 ± 13.1 years, with a male-to-female ratio of 1.24:1. The modified R.E.N.A.L score averaged 9.6 ± 1.8. Perioperative problems occurred in 42.6% of cases. The moderate complexity group experienced a lengthier hospital stay (2.7 ± 0.6 days) than the mild complexity group (2.3 ± 0.5 days, p = 0.008). The R.E.N.A.L. score was identified as an independent predictor of perioperative complications (OR: 1.48; 95% CI: 1.03-2.26, p = 0.046), with an acceptable cut-off point of 8.7 (AUC = 0.68). The modified RENAL is an important tool for identifying renal malignancies based on their anatomic characteristics, which aids in the prediction of perioperative complication rates.
期刊介绍:
Cellular and Molecular Biology publishes original articles, reviews, short communications, methods, meta-analysis notes, letters to editor and comments in the interdisciplinary science of Cellular and Molecular Biology linking and integrating molecular biology, biophysics, biochemistry, enzymology, physiology and biotechnology in a dynamic cell and tissue biology environment, applied to human, animals, plants tissues as well to microbial and viral cells. The journal Cellular and Molecular Biology is therefore open to intense interdisciplinary exchanges in medical, dental, veterinary, pharmacological, botanical and biological researches for the demonstration of these multiple links.