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Trends in Percutaneous Nephrolithotomy Use and Outcomes in the United States

2013; Lippincott Williams & Wilkins; Volume: 190; Issue: 2 Linguagem: Inglês

10.1016/j.juro.2013.02.036

1527-3792

Khurshid R. Ghani, Jesse D. Sammon, Naeem Bhojani, Pierre I. Karakiewicz, Maxine Sun, Shyam Sukumar, Ray H. Littleton, James O. Peabody, Mani Menon, Quoc‐Dien Trinh,

Diverticular Disease and Complications

No AccessJournal of UrologyAdult Urology1 Aug 2013Trends in Percutaneous Nephrolithotomy Use and Outcomes in the United States Khurshid R. Ghani, Jesse D. Sammon, Naeem Bhojani, Pierre I. Karakiewicz, Maxine Sun, Shyam Sukumar, Ray Littleton, James O. Peabody, Mani Menon, and Quoc-Dien Trinh Khurshid R. GhaniKhurshid R. Ghani Vattikuti Urology Institute, Henry Ford Health System, Detroit, Michigan , Jesse D. SammonJesse D. Sammon Vattikuti Urology Institute, Henry Ford Health System, Detroit, Michigan , Naeem BhojaniNaeem Bhojani Department of Urology, Indiana University Health, Methodist Hospital, Indianapolis, Indiana , Pierre I. KarakiewiczPierre I. Karakiewicz Cancer Prognostics and Health Outcomes Unit, University of Montreal Health Center, Montreal, Quebec, Canada , Maxine SunMaxine Sun Cancer Prognostics and Health Outcomes Unit, University of Montreal Health Center, Montreal, Quebec, Canada , Shyam SukumarShyam Sukumar Vattikuti Urology Institute, Henry Ford Health System, Detroit, Michigan , Ray LittletonRay Littleton Vattikuti Urology Institute, Henry Ford Health System, Detroit, Michigan , James O. PeabodyJames O. Peabody Vattikuti Urology Institute, Henry Ford Health System, Detroit, Michigan , Mani MenonMani Menon Vattikuti Urology Institute, Henry Ford Health System, Detroit, Michigan , and Quoc-Dien TrinhQuoc-Dien Trinh Vattikuti Urology Institute, Henry Ford Health System, Detroit, Michigan Cancer Prognostics and Health Outcomes Unit, University of Montreal Health Center, Montreal, Quebec, Canada View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.036AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We investigated recent trends in the use and perioperative outcomes of percutaneous nephrolithotomy in the United States in a population based cohort. Materials and Methods: We obtained the records of patients treated with percutaneous nephrolithotomy between 1999 and 2009 from the Nationwide Inpatient Sample (NIS). A weighted sample was used to estimate national utilization rates. Trends in age, comorbidity, perioperative complications and in-hospital mortality were analyzed. Temporal trends were quantified by the estimated annual percent change. We evaluated the association between patient and hospital characteristics, including complications, prolonged length of stay and in-hospital mortality, using logistic regression models adjusted for clustering. Results: During 1999 to 2009, percutaneous nephrolithotomy use increased in men and women from 3.0/100,000 and 2.99/100,000 to 3.63/100,000 and 4.07/100,000, respectively. Women showed the largest increases in percutaneous nephrolithotomy use with an estimated annual percent change of 4.49% (95% CI 2.7–6.3, p <0.001) vs 2.90% (95% CI 1.5–4.3, p = 0.003) in men. Baseline comorbidity in patients undergoing percutaneous nephrolithotomy increased with time. Overall complications increased from 12.2% to 15.6% (p <0.001), while mortality remained stable at 0.0% to 0.4%. The transfusion rate was 4.0%. Sepsis increased from 1.2% to 2.4% of cases (p <0.001). Patients were at risk for complications if they were older, more ill and treated in more recent years. Age was significantly associated with increased odds of mortality. Conclusions: Percutaneous nephrolithotomy use in the United States has increased and females are now the majority gender. Although mortality remains low, rates of sepsis and overall complications have increased. Broad use of percutaneous nephrolithotomy, especially in older and more ill patients, may account for these changes. References 1 : Nephrolithiasis Clinical Guidelines Panel summary report on the management of staghorn calculi: The American Urological Association Nephrolithiasis Clinical Guidelines Panel. J Urol1994; 151: 1648. Abstract, Google Scholar 2 : Guidelines on Urolithiasis. In: . Arnhelm, The Netherlands: European Association of Urology2012. 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Google Scholar © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByGriebling T (2020) Re: Percutaneous Nephrolithotomy in the 80 Years of age and Older PopulationJournal of Urology, VOL. 204, NO. 1, (163-163), Online publication date: 1-Jul-2020.Yaghoubian A, Batter T, Mozafarpour S, Sacco D, Chew B, Monga M, Krambeck A, Sur R, Knudsen B, Mikkilineni N, Shah O, Stern K, De S, Miller N, Broutian T, Sourial M, Large T, Scotland K, Lundeen C, Lange D, DiPina T, Bechis S and Eisner B (2019) Use of the Quick Sequential Organ Failure Assessment Score for Prediction of Intensive Care Unit Admission Due to Septic Shock after Percutaneous Nephrolithotomy: A Multicenter StudyJournal of Urology, VOL. 202, NO. 2, (314-318), Online publication date: 1-Aug-2019.Dai J, Ahn J, Holt S, May P, Sorensen M and Harper J (2018) National Imaging Trends after Percutaneous NephrolithotomyJournal of Urology, VOL. 200, NO. 1, (147-153), Online publication date: 1-Jul-2018.Alsyouf M, Abourbih S, West B, Hodgson H and Baldwin D (2017) Elevated Renal Pelvic Pressures during Percutaneous Nephrolithotomy Risk Higher Postoperative Pain and Longer Hospital StayJournal of Urology, VOL. 199, NO. 1, (193-199), Online publication date: 1-Jan-2018.Assimos D (2016) Re: Contemporary Trends in Percutaneous Nephrolithotomy in the United States: 1998-2011Journal of Urology, VOL. 196, NO. 3, (776-776), Online publication date: 1-Sep-2016.Omar M, Noble M, Sivalingam S, El Mahdy A, Gamal A, Farag M and Monga M (2016) Systemic Inflammatory Response Syndrome after Percutaneous Nephrolithotomy: A Randomized Single-Blind Clinical Trial Evaluating the Impact of Irrigation PressureJournal of Urology, VOL. 196, NO. 1, (109-114), Online publication date: 1-Jul-2016.Borofsky M, Wollin D, Reddy T, Shah O, Assimos D and Lingeman J (2015) Salvage Percutaneous Nephrolithotomy: Analysis of Outcomes following Initial Treatment FailureJournal of Urology, VOL. 195, NO. 4 Part 1, (977-981), Online publication date: 1-Apr-2016.Ordon M, Urbach D, Mamdani M, Saskin R, Honey R and Pace K (2014) A Population Based Study of the Changing Demographics of Patients Undergoing Definitive Treatment for Kidney Stone DiseaseJournal of Urology, VOL. 193, NO. 3, (869-874), Online publication date: 1-Mar-2015.Oberlin D, Flum A, Bachrach L, Matulewicz R and Flury S (2014) Contemporary Surgical Trends in the Management of Upper Tract CalculiJournal of Urology, VOL. 193, NO. 3, (880-884), Online publication date: 1-Mar-2015.Labadie K, Okhunov Z, Akhavein A, Moreira D, Moreno-Palacios J, del Junco M, Okeke Z, Bird V, Smith A and Landman J (2014) Evaluation and Comparison of Urolithiasis Scoring Systems Used in Percutaneous Kidney Stone SurgeryJournal of Urology, VOL. 193, NO. 1, (154-159), Online publication date: 1-Jan-2015.Ordon M, Urbach D, Mamdani M, Saskin R, D'A Honey R and Pace K (2014) The Surgical Management of Kidney Stone Disease: A Population Based Time Series AnalysisJournal of Urology, VOL. 192, NO. 5, (1450-1456), Online publication date: 1-Nov-2014.Ghani K, Roghmann F, Sammon J, Trudeau V, Sukumar S, Rahbar H, Kumar R, Karakiewicz P, Peabody J, Menon M, Sun M and Trinh Q (2013) Emergency Department Visits in the United States for Upper Urinary Tract Stones: Trends in Hospitalization and ChargesJournal of Urology, VOL. 191, NO. 1, (90-96), Online publication date: 1-Jan-2014. Volume 190Issue 2August 2013Page: 558-564Supplementary Materials Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.Keywordsfemalepercutaneous, nephrolithotomyutilizationkidneyurolithiasisMetricsAuthor Information Khurshid R. Ghani Vattikuti Urology Institute, Henry Ford Health System, Detroit, Michigan Equal study contribution. More articles by this author Jesse D. Sammon Vattikuti Urology Institute, Henry Ford Health System, Detroit, Michigan Equal study contribution. More articles by this author Naeem Bhojani Department of Urology, Indiana University Health, Methodist Hospital, Indianapolis, Indiana More articles by this author Pierre I. Karakiewicz Cancer Prognostics and Health Outcomes Unit, University of Montreal Health Center, Montreal, Quebec, Canada More articles by this author Maxine Sun Cancer Prognostics and Health Outcomes Unit, University of Montreal Health Center, Montreal, Quebec, Canada More articles by this author Shyam Sukumar Vattikuti Urology Institute, Henry Ford Health System, Detroit, Michigan More articles by this author Ray Littleton Vattikuti Urology Institute, Henry Ford Health System, Detroit, Michigan More articles by this author James O. Peabody Vattikuti Urology Institute, Henry Ford Health System, Detroit, Michigan More articles by this author Mani Menon Vattikuti Urology Institute, Henry Ford Health System, Detroit, Michigan More articles by this author Quoc-Dien Trinh Vattikuti Urology Institute, Henry Ford Health System, Detroit, Michigan Cancer Prognostics and Health Outcomes Unit, University of Montreal Health Center, Montreal, Quebec, Canada More articles by this author Expand All Advertisement PDF DownloadLoading ...