JOCS
Journal of Comprehensive Surgery

The aim of the Comprehensive Surgery is to publish original research articles of the highest scientific and clinical value at the international level in all surgical fields.

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Original Article
The effectiveness of modified stone recurrence predictive score in predicting recurrence of urinary stone disease
Abstract
Aims: The present study is intended to define the scoring system consisting of questions to be answered by the patients in an outpatient clinic setting in order to predict recurrence of urinary system stone disease.
Methods: Two hundred patients who were admitted for urinary system stone treatment in our clinic between 2016 and 2017 were included in the study. A Modified Stone Recurrence Predictive Score (MSRPS) comprising 23 questions under 14 headings including risk factors such as age, gender, smoking and alcohol consumption, family history of stone, number of stones, additional diseases and medications, presence of urinary tract infection, dietary characteristics, stress factors, occupation, and obesity was created. Three-year follow-up data of all patients were recorded.
Results: The mean MSRPS was 18.4±6.2 (6-35). We noted that the high Modified Stone Recurrence Predictive Score correlated significantly with the incidence of recurrent stone formation (p<0.001 r2: 0.923). When the cutoff value was considered as 18, the sensitivity was 89.4% and the specificity was 93.1% in predicting recurrent stones. Recurrent stone formation was observed within 3 years in all patients with an MSRPS value of 26 and above.
Conclusion: Thanks to this scoring system developed by expanding the scope of similar studies conducted in previous years, the possibility of recurrence of urinary stone disease is predicted using a questionnaire that can be filled easily, and it would be an appropriate choice regarding both patient health and cost-effectiveness in terms of directing patients to metabolic analyses or recommending preventive measures.

Keywords : Urolithiasis, reccurence, nomogram, predictive

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1. Pearle MS, Calhoun EA, Curhan GC. Urologic Diseases of AmericaProject. Urologic diseases in America project: urolithiasis. J Urol.2005;173(3):848-857.
2. Liu Y, Chen Y, Liao B, et al. Epidemiology of urolithiasis in Asia. AsianJ Urol. 2018;5(4):205-214.
3. Table 14-47. Economic impact of urologic disease. In: Litwin MS, SaigalCS, eds. Urologic Diseases in America. US Department of Health andHuman Services, Public Health Service, National Institutes of Health,National Institute of Diabetes and Digestive and Kidney Diseases.Washington, DC: US Government Printing Office 486. NIH Publication2012;12-7865.
4. 4. Fink HA, Wilt TJ, Eidman KE, et al. Recurrent Nephrolithiasis inAdults: comparative Effectiveness of Preventive Medical Strategies.Rockville, MD: Agency for Healthcare Research and Quality;Comparative Effectiveness Review 2012; No. 61. AHRQ Publication No.12-EHC049-EF.
5. 5. Ferrari P, Piazza R, Ghidini N et al. Lithiasis and risk factors. Urol Int.2007;79(Suppl 1):8-15.
6. 6. Aune D, Mahamat-Saleh Y, Norat T, et al. Body fatness, diabetes,physical activity and risk of kidney stones: a systematic review andmeta-analysis of cohort studies. Eur J Epidemiol. 2018;33(11):1033-1047.
7. Najem GR, Seebode JJ, Samady AJ, et al. Stressful life events and risk ofsymptomatic kidney stones. Int J Epidemiol. 1997;26(5):1017-1023.
8. Borghi L, Schianchi T, Meschi T, et al. Comparison of two diets for theprevention of recurrent stones in idiopathic hypercalciuria. N Engl JMed. 2002;346(2):77-84.
9. Borghi LA, Nouvenne, Meschi T. Nephrolithiasis and urinary tractinfections: &lsquo;the chicken or the egg&rsquo; dilemma? Nephrol Dial Transplant.2012;27(11):3982-3984.
10. Shekarriz B, Stoller ML. Uric acid nephrolithiasis: current concepts andcontroversies. J Urol. 2012; 168:1307-1314.
11. Yamasaki A. Long-term results of endourological treatment of urinarycalculi: multivariate analyses of the risk factors related to recurrence orre-growth. Nihon Hinyokika Gakkai Zasshi. 1994;85(1): 1601-1609.
12. Curhan GC, Willet WC, Rimm EB, et al. Family history and risk ofkidney stones. J Am Soc Nephrol. 1997;8(10):1568-1573.
13. Curhan GC, Willet WC, Rimm EB, et al. A prospective study of dietarycalcium and other nutrients and the risk of symptomatic kidney stones.N Engl J Med. 1993;328(12):833-838.
14. Taylor EN, Stampfer MJ, Curhan GC. Obesity, weight gain, and the riskof kidney stones. JAMA. 2005;293(4):455-462.
15. Manzoor H, Saikali SW. Renal Extracorporeal Lithotripsy. StatPearls[Internet]. Treasure Island (FL): StatPearls Publishing. 2021.
16. Pengbo J , Lillian X , Raphael A, et al. Qualitative Review of ClinicalGuidelines for Medical and Surgical Management of Urolithiasis:Consensus and Controversy. J Urol. 2020;205(4):999-1008.
17. Pearle MS, Goldfarb DS, Assimos DG, et al. Medical management ofkidney stones: AUA guideline. J Urol. 2014;192(29):316-324.
18. Skolarikos A, Straub M, Knoll T, et al. Metabolic evaluation andrecurrence prevention for urinary stone patients: EAU Guidelines. EurUrol. 2015;67(4):750-763.
19. Lee YH, Huan, WC, Lu CM, et al. Stone recurrence predictive score(SRPS) for patients with calcium oxalate stones. J Urol. 2003;170(2):404-407.
20. Rule AD, Lieske JC, Li X, et al. The ROKS nomogram forpredicting a second symptomatic stone episode. J Am Soc Nephrol.2014;25(12):2878-2886.
21. Vaughan LE, Enders FT, Lieske JC, et al. Predictors of symptomatickidney stone recurrence after the first and subsequent episodes. MayoClin Proc. 2019;94(2):202-210.
22. Ferrandino MN, Pietrow PK, Preminger GM. Evaluation and medicalmanagement of urinary lithiasis. In:Wein AJ, Kavoussi LR, NovickAC, Partin AW, Peters CA. Campbell-Walsh Urology. Philadelphia:Saunders Elsevier 2012;1287-1302.
23. Ferraro PM, Curhan GC, D&rsquo;Addessi A, et al. Risk of recurrence ofidiopathic calcium kidney stones: analysis of data from the literature. JNephrol. 2017;30(2):227-233.
24. Stamatelou KK, Francis ME, Jones CA, et al. Time trends in reportedprevalence of kidney stones in the United States: 1976-1994. Kidney Int.2003;63(5):1817-1823.
25. Matlaga BR. The need for better decision tools in managing stonedisease. J Urol. 2012;188(3):698-699.
Article available in :
Volume 1, Issue 3, 2023
Page : 49-52
https://doi.org/10.51271/JOCS-0012
Article Information
Received : 11 Ağu 2023
Accepted : 27 Ağu 2023
Published : 31 Ağu 2023
Corresponding Author :

Ercan Yuvanç: Department of Urology, Faculty of Medicine, Kırıkkale University, Kırıkkale, Turkiye

[email protected]
Citation : Beşer İ, Yuvanç E, Yılmaz E. The effectiveness of modified stone recurrence predictive score in predicting recurrence of urinary stone disease. J Compr Surg. 2023;1(3):49-52.

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