Development and validation of a predictive model for double-J stent encrustation after upper urinary tract calculi surgery.
Double-J stent encrustation
Double-J tube
Predictive model
Risk factors
Urinary stones
Journal
Urolithiasis
ISSN: 2194-7236
Titre abrégé: Urolithiasis
Pays: Germany
ID NLM: 101602699
Informations de publication
Date de publication:
05 Jul 2024
05 Jul 2024
Historique:
received:
30
09
2023
accepted:
06
03
2024
medline:
5
7
2024
pubmed:
5
7
2024
entrez:
5
7
2024
Statut:
epublish
Résumé
The study is aimed to establish a predictive model of double-J stent encrustation after upper urinary tract calculi surgery. We collected the clinical data of 561 patients with indwelling double-J tubes admitted to a hospital in Shandong Province from January 2019 to December 2020 as the modeling group and 241 cases of indwelling double-J tubes from January 2021 to January 2022 as the verification group. Univariate and binary logistic regression analyses were used to explore risk factors, the risk prediction equation was established, and the receiver operating characteristic (ROC) curve analysis model was used for prediction. In this study, 104 of the 561 patients developed double-J stent encrustation, with an incidence rate of 18.5%. We finally screened out BMI (body mass index) > 23.9 (OR = 1.648), preoperative urine routine white blood cell quantification (OR = 1.149), double-J tube insertion time (OR = 1.566), postoperative water consumption did not reach 2000 ml/d (OR = 8.514), a total of four factors build a risk prediction model. From the ROC curve analysis, the area under the curve (AUC) was 0.844, and the maximum Oden index was 0.579. At this time, the sensitivity was 0.735 and the specificity was 0.844. The research established in this study has a high predictive value for the occurrence of double-J stent encrustation in the double-J tube after upper urinary tract stone surgery, which provides a basis for the prevention and treatment of double-J stent encrustation.
Identifiants
pubmed: 38967805
doi: 10.1007/s00240-024-01554-7
pii: 10.1007/s00240-024-01554-7
doi:
Types de publication
Journal Article
Validation Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
105Informations de copyright
© 2024. The Author(s).
Références
Somiya S, Koterazawa S, Ito K, Haitani T, Yamada H, Kanno T (2022) Extremely slow, half-number shockwave lithotripsy for ureteral stones. Urolithiasis 50(5):635–641. https://doi.org/10.1007/s00240-022-01351-0
doi: 10.1007/s00240-022-01351-0
pubmed: 35969268
Evan AP, Worcester EM, Coe FL, Williams J Jr, Lingeman JE (2015) Mechanisms of human kidney stone formation. Urolithiasis 43(Suppl 1):19–32. https://doi.org/10.1007/s00240-014-0701-0
doi: 10.1007/s00240-014-0701-0
pubmed: 25108546
Rana AM, Sabooh A (2007) Management strategies and results for severely encrusted retained ureteral stents. J Endourol 2:62832
Wang S, Zhang Y, Zhang X, Tang Y, Li J (2020) Upper urinary tract stone compositions: the role of age and gender. Int Braz J Urol 46(1):70–80. https://doi.org/10.1590/S1677-5538.IBJU.2019.0278
doi: 10.1590/S1677-5538.IBJU.2019.0278
pubmed: 31851461
pmcid: 6968895
Cao XM, Liu JM, Liao BH, Zhu CH, Li H, Luo DY, Wang JZ, Wang KJ (2015) The cross-sectional study on the influence factors for encrustation of double J stent in patients with urolithiasis. Sichuan Da Xue Xue Bao Yi Xue Ban 46(3):431–435
pubmed: 26121868
Kadihasanoglu M, Kilciler M, Atahan O (2017) Luminal obstruction of double j stents due to encrustation depends on indwelling time: a pilot study. Aktuelle Urol 48(3):248–251. https://doi.org/10.1055/s-0042-118050
doi: 10.1055/s-0042-118050
pubmed: 28486737
Rodgers AL (2022) Conflicts of interest and the risk of bias are inevitable in urolithiasis research. Urolithiasis 51(1):24. https://doi.org/10.1007/s00240-022-01397-0
doi: 10.1007/s00240-022-01397-0
pubmed: 36580121
Hill F, Sayer JA (2019) Precision medicine in renal stone-formers. Urolithiasis 47(1):99–105. https://doi.org/10.1007/s00240-018-1091-5
doi: 10.1007/s00240-018-1091-5
pubmed: 30460526
Singh I, Gupta NP, Hemal AK et al (2001) Severely encrusted polyurethane ureteral stents: management and analysis of potential risk factors. Urology 58:526–531
doi: 10.1016/S0090-4295(01)01317-6
pubmed: 11597531
Abdelaziz AY, Fouda WB, Mosharafa AA et al (2018) Forgotten ureteral stents: risk factors, complications and management. AFJU 24:28–33
Monga M, Klein E, Castañeda-Zúñiga WR, Thomas R (1995) The forgotten indwelling ureteral stent: a urological dilemma. J Urol 153:1817–1819
doi: 10.1016/S0022-5347(01)67319-1
pubmed: 7752325
Bukkapatnam R, Seigne J, Helal M (2003) 1-step removal of encrusted retained ureteral stents. J Urol 170:1111–1114
doi: 10.1097/01.ju.0000086042.36616.1b
pubmed: 14501703
Stern JM, Burk RD, Asplin J, Krieger NS, Suadicani SO, Wang Y, Usyk M, Lee JA, Chen L, Becker J, Chan M, Bushinsky DA (2021) Kidney stone formation and the gut microbiome are altered by antibiotics in genetic hypercalciuric stone-forming rats. Urolithiasis 49(3):185–193. https://doi.org/10.1007/s00240-020-01223-5
doi: 10.1007/s00240-020-01223-5
pubmed: 33161469
Ziemba JB, Matlaga BR (2017) Epidemiology and economics of nephrolithiasis. Investig Clin Urol 58(5):299–306. https://doi.org/10.4111/icu.2017.58.5.299
doi: 10.4111/icu.2017.58.5.299
pubmed: 28868500
pmcid: 5577325
Wong YV, Cook P, Somani BK (2015) The association of metabolic syndrome and urolithiasis[J]. Int J Endocrinol 2015:570674
doi: 10.1155/2015/570674
pubmed: 25873954
pmcid: 4385647
Lee MR, Ke HL, Huang JC, Huang SP, Geng JH (2022) Obesity-related indices and its association with kidney stone disease: a cross-sectional and longitudinal cohort study. Urolithiasis 50(1):55–63. https://doi.org/10.1007/s00240-021-01288-w
doi: 10.1007/s00240-021-01288-w
pubmed: 34714367
Huang J, Wu W, Zhang S, Huang Y, Zeng T, An L, Liang Y, Huang J, Tiselius HG, Zeng G, Wu W (2021) Characteristics of double-J stent encrustations and factors associated with their development. Urol J 19(1):22–27. https://doi.org/10.22037/uj.v18i.6578
doi: 10.22037/uj.v18i.6578
pubmed: 34431076
Kawahara T, Ito H, Terao H et al (2012) Ureteral stent encrustation, incrustation, and coloring: morbidity related to indwelling times. J Endourol 26:178–182
doi: 10.1089/end.2011.0385
pubmed: 22007916
Legrand F, Saussez T, Ruffion A, Celia A, Djouhri F, Musi G, Kalakech S, Desriac I, Roumeguère T (2021) Double loop ureteral stent encrustation according to indwelling time: results of a European multicentric study. J Endourol 35(1):84–90. https://doi.org/10.1089/end.2020.0254
doi: 10.1089/end.2020.0254
pubmed: 32799700
Tasian GE, Ross M, Song L et al (2019) Ecological momentary assessment of factors associated with water intake among adolescents with kidney stone disease[J]. J Urol 201(3):606–614
doi: 10.1016/j.juro.2018.07.064
pubmed: 30076905
pmcid: 6486374
Goldfarb DS (2019) Empiric therapy for kidney stones. Urolithiasis 47(1):107–113. https://doi.org/10.1007/s00240-018-1090-6
doi: 10.1007/s00240-018-1090-6
pubmed: 30478476