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Factors influencing...
Factors influencing stone-free rate of Extracorporeal Shock Wave Lithotripsy (ESWL) : a cohort study
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- Wagenius, Magnus (author)
- Lund University,Lunds universitet,Infektionsmedicin,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Infection Medicine (BMC),Section III,Department of Clinical Sciences, Lund,Faculty of Medicine,Helsingborg Hospital
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- Oddason, Karl (author)
- Department of Urology Helsingborg Hospital, Helsingborg, Sweden
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- Utter, Maria (author)
- Department of Urology Helsingborg Hospital, Helsingborg, Sweden
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- Popiolek, Marcin, 1981- (author)
- Örebro universitet,Institutionen för medicinska vetenskaper,Department or Urology, Örebro University Hospital, Örebro, Sweden
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- Forsvall, Andreas (author)
- Lund University,Lunds universitet,Infektionsmedicin,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Infection Medicine (BMC),Section III,Department of Clinical Sciences, Lund,Faculty of Medicine,Helsingborg Hospital
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- Lundström, Karl-Johan (author)
- Umeå University,Umeå universitet,Urologi och andrologi
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- Linder, Adam (author)
- Lund University,Lunds universitet,Infektionsmedicin,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Infection Medicine (BMC),Section III,Department of Clinical Sciences, Lund,Faculty of Medicine
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(creator_code:org_t)
- 2022-04-09
- 2022
- English.
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In: Scandinavian journal of urology. - : Taylor & Francis. - 2168-1805 .- 2168-1813. ; 56:3, s. 237-243
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Abstract
Subject headings
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- Objective: To evaluate the success rate of Extracorporeal Shock Wave Lithotripsy (ESWL) therapy and identify relevant treatment-specific factors affecting stone-free rate (SFR) after ESWL.Materials and methods: All ESWL treatments in the years 2016-2019, in angelholm Hospital, Skane, Sweden were analysed retrospectively. Primary outcome was stone-free rate (SFR) at 3 months. Univariate logistic regression was used followed by multivariable regression. Lasso analysis was made to adjust for treatment-specific factors such as age, stone size, skin-to-stone distance (SSD), stone attenuation, number of treatments, stone location and presence of a urinary stent.Results: Factors affecting successful ESWL treatment were lower age (p < 0.001), smaller stone size and volume (both p = 0.001). SSD, stone attenuation, sex, laterality and drainage did not have an effect on SFR in this study. After the first ESWL treatment session, 46.7% of the patients were stone-free.Conclusion: Results indicate that stone size and age are the most predictive factors for ESWL outcome. Based on this, we present a simple model for prediction of SFR after ESWL, to be used when counseling patients before ESWL treatment.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Urologi och njurmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Urology and Nephrology (hsv//eng)
Keyword
- Extracorporeal shock-wave lithotripsy
- monotherapy
- infection
- stone free rate
- outcome
- ureteric stone
- ureteroscopy
- Extracorporeal shock-wave lithotripsy
- infection
- monotherapy
- outcome
- stone free rate
- ureteric stone
- ureteroscopy
Publication and Content Type
- ref (subject category)
- art (subject category)
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