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|Title:||RIRS in the elderly: Is it feasible and safe?|
|Authors:||Berardinelli, F;De Francesco, P;Marchioni, M;Cera, N;Proietti, S;Hennessey, Derek B;Dalpiaz, O;Cracco, C;Scoffone, C;Giusti, G;Cindolo, L;Schips, L|
|Affiliation:||Department of Urology, "S. Pio da Pietrelcina'' Hospital, Vasto, CH, Italy|
Faculty of Psychology and Educational Sciences, University of Porto, Porto, Portugal
Urology Dept, Urological Research Institute, IRCCS Ospedale San Raffaele, Ville Turro Division, Milan, Italy
Department of Urology, Austin Health, Heidelberg, Victoria, Australia
Urologische Klinik, Medizinische Universität, Graz, Austria
Urologia, Ospedale Cottolengo, Torino, Italy
|Citation:||International journal of surgery (London, England) 2017; 42: 147-151|
|Abstract:||The aim of this study was to compare the safety and efficacy of RIRS in men ≥65 years to those <65 years. Patients who underwent RIRS were prospectively collected from March 2013 to March 2014 in 5 European centers. Perioperative outcomes and complications in elderly men were compared with men <65 years. Univariable and multivariable analyses were performed for factors predicting overall complications. The groups were compared using Mann-Whitney U test. Categorical variables were compared using chi-squared test and the Yates correction or the Fisher's exact test. A total of 399 patients with renal stones were included, 308 (77.19%) were aged <65 years, 91 (22.8%) were aged ≥65 years. Elderly patients were more likely to have higher ASA scores (35.7% vs 92.3%; p < 001), Charlson Comorbidity Index (1.8 vs. 5.2, p < 0.001), hyperlipidemia (10.06% vs. 30.76%; p = 0,0005) and coronary heart disease (5.51% vs. 17.58; p = 0.005) compared to younger cohort. Perioperative outcomes (stone free rate, operative time and re-intervention rate) did not show differences between the two groups (p > 0.05). Surgical and medical complication rates were similar between the cohorts (14.28% vs 9.89%; p = 0.38). Multivariate analysis did not identify any predictive factors of complications among the two groups (p > 0.05). In this study, elderly RIRS patients had comparable short term efficacy and perioperative complications to younger patients, despite a higher prevalence of comorbidity. Age itself should not be considered as a risk factor for the development of complications in patients undergoing RIRS for renal stone.|
|Appears in Collections:||Journal articles|
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