nach oben

Erschienen in:

13.04.2020 | Original Article

Negative impact of being underweight on the outcomes of single-session shockwave lithotripsy in patients with upper urinary tract calculi: a retrospective cohort study

verfasst von: Takashi Yoshioka, Kenji Omae, Tatsushi Kawada, Yosuke Inoue, Morito Sugimoto, Tadashi Oeda, Tomoya Yamasaki, Kei Fujio, Hideo Otsuki, Shinya Uehara, Motoo Araki, Shunichi Fukuhara

Erschienen in: World Journal of Urology | Ausgabe 2/2021

Einloggen, um Zugang zu erhalten

Abstract

Purpose

To evaluate the association between being underweight and shockwave lithotripsy outcomes.

Methods

This retrospective two-centre cohort study conducted in Japan involved 597 patients diagnosed with a single urinary tract calculus based on computed tomography and who underwent shockwave lithotripsy between 2006 and 2016. We divided the patients into four groups based on their body mass index (underweight, ≤ 18.4; normal weight, 18.5–24.9; overweight, 25–29.9; obese, ≥ 30 kg/m²). We performed multivariable logistic regression analysis and estimated the odds ratio for success of single-session shockwave lithotripsy.

Results

Of the 597 patients, 25 (4.2%) were underweight and 34 (5.7%) were obese. After adjusting for age, sex, calculus localisation, maximum stone length, mean stone density, and skin-to-stone distance, being underweight showed a significantly negative association with success of single-session shockwave lithotripsy (odds ratio 0.25, 95% confidence interval 0.09–0.69) compared to being normal weight.

Conclusions

This study showed the negative impact of being underweight on the outcomes of shockwave lithotripsy in patients with upper urinary tract calculi. This finding provides a novel viewpoint regarding the body mass index and should aid improved treatment selection for patients with upper urinary tract calculi.

Nur mit Berechtigung zugänglich

Türk C, Petřík A, Sarica K et al (2016) EAU guidelines on interventional treatment for urolithiasis. Eur Urol 69:475–482CrossRef

Surgical Management of Stones: AUA/endourology society guideline (2016). [Internet] https://www.auanet.org/guidelines/kidney-stones-surgical-management-guideline. Accessed 7 Sep 2019.

Drake T, Grivas N, Dabestani S et al (2017) What are the benefits and harms of ureteroscopy compared with shock-wave lithotripsy in the treatment of upper ureteral stones? A systematic review. Eur Urol 72:772–786CrossRef

Bach C, Buchholz N (2011) Shock wave lithotripsy for renal and ureteric stones. Eur Urol Suppl 10:423–432CrossRef

Choo MS, Uhmn S, Kim JK et al (2018) A prediction model using machine learning algorithm for assessing stone-free status after single session shock wave lithotripsy to treat ureteral stones. J Urol 200:1371–1377CrossRef

Shu X, Cai H, Xiang YB et al (2017) Nephrolithiasis among middle aged and elderly urban Chinese: a report from prospective cohort studies in Shanghai. J Endourol 31:1327–1334CrossRef

Nussberger F, Roth B, Metzger T, Kiss B, Thalmann GN, Seiler R (2017) A low or high BMI is a risk factor for renal hematoma after extracorporeal shock wave lithotripsy for kidney stones. Urolithiasis 45:317–321CrossRef

Japanese Urological Association, Japanese Society of Endourology, Japanese Society of Urolithiasis Research (2013) Japanese Guideline on Urolithiasis 2nd edition. [Internet] https://minds.jcqhc.or.jp/n/med/4/med0022/G0000634/0021. Accessed 7 Sep 2019

Osman MM, Alfano Y, Kamp S et al (2005) 5-Year-follow-up of patients with clinically insignificant residual fragments after extracorporeal shockwave lithotripsy. Eur Urol 47:860–864CrossRef

10.

Türk C, Petřík A, Sarica K et al (2016) EAU guidelines on diagnosis and conservative management of urolithiasis. Eur Urol 69:468–474CrossRef

11.

Obesity and overweight. [Internet] https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight. Accessed 7 Sep 2019.

12.

Underweight adults—NHS. [Internet] https://www.nhs.uk/live-well/healthy-weight/advice-for-underweight-adults/. Accessed 7 Sep 2019.

13.

Yamashita S, Kohjimoto Y, Iwahashi Y et al (2018) Noncontrast computed tomography parameters for predicting shock wave lithotripsy outcome in upper urinary tract stone cases. Biomed Res Int 2018:9253952CrossRef

14.

Alexander CE, Gowland S, Cadwallader J et al (2016) Shock wave lithotripsy (SWL): outcomes from a national SWL database in New Zealand. BJU Int 117:76–81CrossRef

15.

Wiesenthal JD, Ghiculete D, Ray AA et al (2011) A clinical nomogram to predict the successful shock wave lithotripsy of renal and ureteral calculi. J Urol 186:556–562CrossRef

16.

Pareek G, Armenakas NA, Panagopoulos G, Bruno JJ, Fracchia JA (2005) Extracorporeal shock wave lithotripsy success based on body mass index and Hounsfield units. Urology 65:33–36CrossRef

17.

Hatiboglu G, Popeneciu V, Kurosch M et al (2011) Prognostic variables for shockwave lithotripsy (SWL) treatment success: no impact of body mass index (BMI) using a third generation lithotripter. BJU Int 108:1192–1197CrossRef

18.

Kroczak T, Scotland KB, Chew B, Pace KT (2017) Shockwave lithotripsy: techniques for improving outcomes. World J Urol 35:1341–1346CrossRef

19.

Merrill RM, Richardson JS (2009) Validity of self-reported height, weight, and body mass index: findings from the National Health and Nutrition Examination Survey, 2001–2006. Prev Chronic Dis 6:A121PubMedPubMedCentral

Titel: Negative impact of being underweight on the outcomes of single-session shockwave lithotripsy in patients with upper urinary tract calculi: a retrospective cohort study
verfasst von: Takashi Yoshioka
Kenji Omae
Tatsushi Kawada
Yosuke Inoue
Morito Sugimoto
Tadashi Oeda
Tomoya Yamasaki
Kei Fujio
Hideo Otsuki
Shinya Uehara
Motoo Araki
Shunichi Fukuhara
Publikationsdatum: 13.04.2020
Verlag: Springer Berlin Heidelberg
Erschienen in: World Journal of Urology / Ausgabe 2/2021
Print ISSN: 0724-4983
Elektronische ISSN: 1433-8726
DOI: https://doi.org/10.1007/s00345-020-03199-8

Neu im Fachgebiet Urologie

„Überwältigende“ Evidenz für Tripeltherapie beim metastasierten Prostata-Ca.

22.05.2024 Prostatakarzinom Nachrichten

Patienten mit metastasiertem hormonsensitivem Prostatakarzinom sollten nicht mehr mit einer alleinigen Androgendeprivationstherapie (ADT) behandelt werden, mahnt ein US-Team nach Sichtung der aktuellen Datenlage. Mit einer Tripeltherapie haben die Betroffenen offenbar die besten Überlebenschancen.

Update Urologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Die Highlights vom Kongress des American College of Cardiology 2024

Springer Medizin

Negative impact of being underweight on the outcomes of single-session shockwave lithotripsy in patients with upper urinary tract calculi: a retrospective cohort study