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首页> 外文期刊>BMC Urology >Evaluation of three stone-scoring systems for predicting SFR and complications after percutaneous nephrolithotomy: a systematic review and meta-analysis
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Evaluation of three stone-scoring systems for predicting SFR and complications after percutaneous nephrolithotomy: a systematic review and meta-analysis

机译：评估经皮肾镜取石术后SFR和并发症的三种结石评分系统的评估：系统评价和荟萃分析

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Clinical studies assessing the feasibility and accuracy of three stone scoring systems’s (SSSs: Guy’s stone score, CROES nomogram and S.T.O.N.E nephrolithometry scoring system) have reported contradictory outcomes. This systematic evaluation was performed to obtain comprehensive evidence with regard to the feasibility and accuracy of three SSSs. A systematic search of Embase, Pubmed, Medline, and the Cochrane Library was conducted to identify studies that compared three SSSs up to Mar 2018. Patients were categorized according to stone free (SF) and no-stone free (NSF), Outcomes of interest included perioperative variables, stone-free rate (SFR), and complications. Ten studies estimating three SSSs were included for meta-analysis. The results showed that SF patients had a significantly lower proportion of male (OR?=?1.48, P?=?0.0007), lower stone burden (WMD?=?-504.28, P??0.0001), fewer No of involved calyces (OR?=?-1.23, P?=?0.0007) and lower proportion of staghorn stone (OR?=?0.33, P??0.0001). Moreover, SF patients had significantly lower score of Guy score (WMD?=?-0.64, P??0.0001), but, S.T.O.N.E. score (WMD?=?-1.23, P??0.0001) and a higher score of CROES nomogram (WMD?=?29.48, P?=?0.003). However, the comparison of area under curves (AUC) of predicting SFR indicated that there was no remarkable difference between three SSSs. Nonetheless, Guy score was the only stone scoring system that predicted complications after PCNL (WMD?=?-0.29, 95% CI: ??0.57 to ??0.02, P?=?0.03). Our meta-analysis indicated that the three SSSs were equally, feasible and accurate for predicting SFR after PCNL. However, Guy score was the only stone scoring system that predicted complications after PCNL.
机译：评估三种结石评分系统（SSS：Guy结石评分，CROES诺模图和S.T.O.N.E肾密度测定法评分系统）的可行性和准确性的临床研究报告了相互矛盾的结果。进行了系统的评估以获得关于三个SSS的可行性和准确性的全面证据。对Embase，Pubmed，Medline和Cochrane库进行了系统搜索，以鉴定比较截至2018年3月的三种SSS的研究。根据无结石（SF）和无结石（NSF）对患者进行分类，关注结果包括围手术期变量，无结石率（SFR）和并发症。十项估计三个SSS的研究被纳入荟萃分析。结果显示，SF患者的男性比例显着较低（OR = 1.48，P = 0.0007），结石负担较低（WMD ==-504.28，P <0.0001），受累肾盏数量较少（OR ＝＝-1.23，P ＝＝ 0.0007）和鹿角石的比例较低（OR ＝＝ 0.33，P ＜＜ 0.0001）。此外，SF患者的盖伊评分显着较低（WMD≤=-0.64，P≤<0.0001），但是，S.T.O.N.E。得分（WMD≥＝ -1.23，P≤＜0.0001）和较高的CROES列线图得分（WMD≥＝ 29.48，P≤0.003）。但是，比较预测SFR的曲线下面积（AUC）表明，三个SSS之间没有显着差异。但是，Guy评分是唯一预测PCNL后并发症的结石评分系统（WMD≥0.29，95％CI：0.57至0.02，P = 0.03）。我们的荟萃分析表明，这三种SSS在PCNL后对SFR的预测是同等，可行和准确的。但是，盖伊评分是唯一可以预测PCNL术后并发症的结石评分系统。

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