지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.1
- 수록면
- 455 - 461 (7page)
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초록· 키워드
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Purpose: This study aimed to develop a simple nomogram based on the Mayo Adhesive Probability (MAP) score combined with the RENAL nephrometry score (RNS) to predict intraoperative complications before partial nephrectomy (PN) in Asian populations. Materials and Methods: This study retrospectively collected patients undergoing PN at three medical centers. Each component of the MAP score and the RNS (6 variables) was evaluated to assess its association with intraoperative complications by multivariable logistic regression with backward elimination. Results: A total of 46 cases (7.2%) with intraoperative complications were identified among 637 patients. After backward elimination, three variables, including tumor diameter (4–7 cm vs. ≤4 cm: odds ratio [OR], 4.339; 95% confidence interval [CI], 1.943–9,692; ≥7 cm vs. ≤4 cm: OR, 8.434; 95% CI, 1.225–58.090), nearness to the collecting system (4–7 mm vs. ≥7 mm: OR, 2.988; 95% CI, 1.293–6.907; ≤4 mm vs. ≥7 mm: OR, 21.394; 95% CI, 6.122–74.756), and perirenal fat stranding type (type 1 vs. no stranding: OR, 3.119; 95% CI, 1.079–9.017; type 2 vs. no stranding: OR, 18.722; 95% CI, 6.757–51.868), were retained. The predictive power (measured by area under the curve [AUC]) of the nomogram was observed to be superior to the RNS or MAP score alone (RNS: 0.686, MAP score: 0.729, the nomogram: 0.837), but comparable to their combination (0.813). Conclusions: The simple nomogram contains fewer components than the combination of the RNS and MAP scores yet demonstrates equivalent predictive power for intraoperative complications.
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참고문헌 (19)
참고문헌 신청
Ward RD / 2018 / 2017 AUA renal mass and localized renal cancer guidelines : imaging implications / Radiographics 38:2021~2033
Veccia A / 2020 / Predictive value of nephrometry scores in nephronsparing surgery : a systematic review and meta-analysis / Eur Urol Focus 6:490~504
Kutikov A / 2009 / The R.E.N.A.L. nephrometry score: a comprehensive standardized system for quantitating renal tumor size, location and depth / J Urol 182:844~853
Davidiuk AJ / 2014 / Mayo adhesive probability score : an accurate image-based scoring system to predict adherent perinephric fat in partial nephrectomy / Eur Urol 66:1165~1171
Davidiuk AJ / 2015 / Prospective evaluation of the association of adherent perinephric fat with perioperative outcomes of robotic-assisted partial nephrectomy / Urology 85:836~842
Veccia A / 2020 / Predictive value of nephrometry scores in nephronsparing surgery : a systematic review and meta-analysis / Eur Urol Focus 6:490~504
Kutikov A / 2009 / The R.E.N.A.L. nephrometry score: a comprehensive standardized system for quantitating renal tumor size, location and depth / J Urol 182:844~853
Davidiuk AJ / 2014 / Mayo adhesive probability score : an accurate image-based scoring system to predict adherent perinephric fat in partial nephrectomy / Eur Urol 66:1165~1171
Davidiuk AJ / 2015 / Prospective evaluation of the association of adherent perinephric fat with perioperative outcomes of robotic-assisted partial nephrectomy / Urology 85:836~842
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