STORZ MEDICAL – Literature Databases
STORZ MEDICAL – Literature Databases
Literature Databases
Literature Databases

Snicorius M. et al., 2023: A Prospective Study on the Impact of Clinical Factors and Adjusted Triple D System for Success Rate of ESWL.

Snicorius M, Drevinskaitė M, Miglinas M, Čekauskas A, Urbonienė V, Bandzevičiūtė R, Čeponkus J, Šablinskas V, Želvys A.
Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, 03225 Vilnius, Lithuania.
Institute of Chemical Physics, Faculty of Physics, Vilnius University, 10222 Vilnius, Lithuania.

Abstract

Objective: Our study aimed to evaluate the success rate of ESWL and identify relevant treatment-specific factors affecting treatment outcomes, as well as to assess the accuracy of the updated Triple D scoring system and compare it with older systems. Material and Methods: A prospective study of 71 patients who received ESWL treatment for renal stones that were 5-15 mm in size was completed. The patient having no residual stones or residual stones lesser than 4 mm after ESWL was identified as a treatment success. Univariate and multivariate logistic regression and ROC curves were used to identify important factors for treatment outcomes. Results: Successful treatment was achieved for 66.2% of patients. The stone volume (SV), mean stone density (MD), and delivered power to the stone volume unit ratio (SMLI/SV) were defined as the most critical factors influencing ESWL success. An updated Triple D score system with a, SMLI/SV ratio could be an alternative to older systems and reach an even higher accuracy. A limitation of this study is the limited sample size due to the COVID-19 pandemic. Conclusions: Our results show that the three factors that most influence the success of ESWL are the stone size, mean stone density, and SMLI/SV ratio. Based on this, we present a simple updated triple D score system to predict ESWL success, which could be implemented in future clinical practice.

Medicina (Kaunas). 2023 Oct 13;59(10):1827. doi: 10.3390/medicina59101827. PMID: 37893545 FREE PMC ARTICLE

0
 

Comments 1

Peter Alken on Monday, 29 April 2024 11:00

The rare several reasons why I like this paper: It is a very precise study with no speculation and a detailed discussion on nearly all aspects to predict the ESWL success evaluated in the literature. And! Table 4 is what I am always looking for and rarely find when reading papers on ESWL prediction formulas. It correlates the score with the numbers of patients that profit most or least with ESWL. Of the 71 patients selected for the study in the present paper the 92,9% success rate applied to 13 patients with a triple D Score of 3

Peter Alken

The rare several reasons why I like this paper: It is a very precise study with no speculation and a detailed discussion on nearly all aspects to predict the ESWL success evaluated in the literature. And! Table 4 is what I am always looking for and rarely find when reading papers on ESWL prediction formulas. It correlates the score with the numbers of patients that profit most or least with ESWL. Of the 71 patients selected for the study in the present paper the 92,9% success rate applied to 13 patients with a triple D Score of 3 Peter Alken
Monday, 20 May 2024