Comparison of safety and outcomes of shock wave lithotripsy between elderly and non-elderly patients

Yi-Zhong Chen,1 Wun-Rong Lin,1,2 Chih-Chiao Lee,1,2 Fang-Ju Sun,1,3 Yung-Chiong Chow,1,2 Wei-Kung Tsai,1,2 Pai-Kai Chiang,1,2 Ting-Po Lin,1,2 Marcelo Chen,1–3 Allen W Chiu1,4 1Department of Urology, MacKay Memorial Hospital, 2School of Medicine, MacKay Medical College, 3Department of Cosm...

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Autores principales:	Chen YZ, Lin WR, Lee CC, Sun FJ, Chow YC, Tsai WK, Chiang PK, Lin TP, Chen M, Chiu AW
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	elderly shock wave lithotripsy urolithiasis Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/3008225859934e57a15f2bc618a84298
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spelling	oai:doaj.org-article:3008225859934e57a15f2bc618a842982021-12-02T01:36:24ZComparison of safety and outcomes of shock wave lithotripsy between elderly and non-elderly patients1178-1998https://doaj.org/article/3008225859934e57a15f2bc618a842982017-04-01T00:00:00Zhttps://www.dovepress.com/comparison-of-safety-and-outcomes-of-shock-wave-lithotripsy-between-el-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Yi-Zhong Chen,1 Wun-Rong Lin,1,2 Chih-Chiao Lee,1,2 Fang-Ju Sun,1,3 Yung-Chiong Chow,1,2 Wei-Kung Tsai,1,2 Pai-Kai Chiang,1,2 Ting-Po Lin,1,2 Marcelo Chen,1–3 Allen W Chiu1,4 1Department of Urology, MacKay Memorial Hospital, 2School of Medicine, MacKay Medical College, 3Department of Cosmetic Applications and Management, MacKay Junior College of Medicine, Nursing and Management, 4School of Medicine, National Yang-Ming University, Taipei, Taiwan Background: This study compared the clinical outcomes of extracorporeal shock wave lithotripsy between elderly (aged ≥65 years) and non-elderly (aged <65 years) patients.Methods: A retrospective review of medical records was performed on 483 (non-elderly: 245, elderly: 238) patients with upper urinary tract stones who underwent shock wave lithotripsy between 2007 and 2015. The demographic data, stone parameters, stone-free rate, retreatment rate, and complication rate were analyzed in both elderly and non-elderly patient groups.Results: There was no significant difference between non-elderly and elderly patients in terms of stone-free rate (46.5% vs 41.1%, P>0.05) regardless of stone site or stone size and overall retreatment rate (41.6% vs 37.0%, P>0.05). Elderly patients had a higher complication rate than non-elderly patients (15.5% vs 23.5%, P=0.026). The most common complication was flank pain. Receiver operating characteristic curves predicted that elderly patients (cutoff value: 65 years of age) had a higher risk of complications and that patients with smaller stones (cutoff value: 0.8 cm) had a higher stone-free rate.Conclusion: This study showed that elderly patients with upper urinary tract stones undergoing shock wave lithotripsy had comparable efficacy for stone-free rates and retreatment rates, but higher complication rates. Keywords: elderly, shock wave lithotripsy, upper urinary tract stone, safety, outcomeChen YZLin WRLee CCSun FJChow YCTsai WKChiang PKLin TPChen MChiu AWDove Medical Pressarticleelderlyshock wave lithotripsyurolithiasisGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 12, Pp 667-672 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	elderly shock wave lithotripsy urolithiasis Geriatrics RC952-954.6
spellingShingle	elderly shock wave lithotripsy urolithiasis Geriatrics RC952-954.6 Chen YZ Lin WR Lee CC Sun FJ Chow YC Tsai WK Chiang PK Lin TP Chen M Chiu AW Comparison of safety and outcomes of shock wave lithotripsy between elderly and non-elderly patients
description	Yi-Zhong Chen,1 Wun-Rong Lin,1,2 Chih-Chiao Lee,1,2 Fang-Ju Sun,1,3 Yung-Chiong Chow,1,2 Wei-Kung Tsai,1,2 Pai-Kai Chiang,1,2 Ting-Po Lin,1,2 Marcelo Chen,1–3 Allen W Chiu1,4 1Department of Urology, MacKay Memorial Hospital, 2School of Medicine, MacKay Medical College, 3Department of Cosmetic Applications and Management, MacKay Junior College of Medicine, Nursing and Management, 4School of Medicine, National Yang-Ming University, Taipei, Taiwan Background: This study compared the clinical outcomes of extracorporeal shock wave lithotripsy between elderly (aged ≥65 years) and non-elderly (aged <65 years) patients.Methods: A retrospective review of medical records was performed on 483 (non-elderly: 245, elderly: 238) patients with upper urinary tract stones who underwent shock wave lithotripsy between 2007 and 2015. The demographic data, stone parameters, stone-free rate, retreatment rate, and complication rate were analyzed in both elderly and non-elderly patient groups.Results: There was no significant difference between non-elderly and elderly patients in terms of stone-free rate (46.5% vs 41.1%, P>0.05) regardless of stone site or stone size and overall retreatment rate (41.6% vs 37.0%, P>0.05). Elderly patients had a higher complication rate than non-elderly patients (15.5% vs 23.5%, P=0.026). The most common complication was flank pain. Receiver operating characteristic curves predicted that elderly patients (cutoff value: 65 years of age) had a higher risk of complications and that patients with smaller stones (cutoff value: 0.8 cm) had a higher stone-free rate.Conclusion: This study showed that elderly patients with upper urinary tract stones undergoing shock wave lithotripsy had comparable efficacy for stone-free rates and retreatment rates, but higher complication rates. Keywords: elderly, shock wave lithotripsy, upper urinary tract stone, safety, outcome
format	article
author	Chen YZ Lin WR Lee CC Sun FJ Chow YC Tsai WK Chiang PK Lin TP Chen M Chiu AW
author_facet	Chen YZ Lin WR Lee CC Sun FJ Chow YC Tsai WK Chiang PK Lin TP Chen M Chiu AW
author_sort	Chen YZ
title	Comparison of safety and outcomes of shock wave lithotripsy between elderly and non-elderly patients
title_short	Comparison of safety and outcomes of shock wave lithotripsy between elderly and non-elderly patients
title_full	Comparison of safety and outcomes of shock wave lithotripsy between elderly and non-elderly patients
title_fullStr	Comparison of safety and outcomes of shock wave lithotripsy between elderly and non-elderly patients
title_full_unstemmed	Comparison of safety and outcomes of shock wave lithotripsy between elderly and non-elderly patients
title_sort	comparison of safety and outcomes of shock wave lithotripsy between elderly and non-elderly patients
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/3008225859934e57a15f2bc618a84298
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Comparison of safety and outcomes of shock wave lithotripsy between elderly and non-elderly patients

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