دورية أكاديمية
A simple score for predicting urinary fistula in patients with renal hydatid cysts
| العنوان: | A simple score for predicting urinary fistula in patients with renal hydatid cysts |
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| المؤلفون: | Kays Chaker, Yassine Nouira, Yassine Ouanes, Mokhtar Bibi |
| المصدر: | Libyan Journal of Medicine, Vol 17, Iss 1 (2022) |
| بيانات النشر: | Taylor & Francis Group, 2022. |
| سنة النشر: | 2022 |
| المجموعة: | LCC:Medicine |
| مصطلحات موضوعية: | Renal hydatid cyst, hydaturia, urinary fistula, Medicine |
| الوصف: | Hydatid cyst is a major health problem in developing countries. The kidney is in third position of organs affected by hydatid cyst. One of the complications of renal hydatid cyst is a urinary fistula. The purpose of this study is to identify preoperative predictive factors of urinary fistula in renal hydatid cyst and to develop a scoring system for this disorder. We retrospectively analyzed all patients operated for renal hydatid cysts between January 2000 and December 2020. We divided our patients into two groups according to whether or not the renal hydatid cysts opened in the urinary tract. Predictive factors of the presence of a urinary fistula have been studied to obtain a simple score to predict the presence of a urinary fistula. Differences were considered significant if p 500/mm3, (p = 0.01), cyst diameter >5 cm (p = 0.02), and upper or lower renal pole location (p = 0.003) were significant and independent predictors of urinary fistula. A score was developed to predict the opening of the cyst in the urinary tract. The total score varies between 0 and 15. The resulting area under the receiver operator characteristic curve was 0.798 (95% CI, 0.726–0.866; p = 0.023). At a cutoff point ≥8, the specificity achieved was 100%. Preoperative detection and management of urinary fistula are important issues in the treatment of renal hydatid cyst. Developing a scoring system based on routinely measured laboratory and radiologic factors will help the clinician to manage patients with renal hydatid cysts. External studies are needed to validate this new scoring system in routine clinical practice. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 19932820 1819-6357 1993-2820 |
| Relation: | https://doaj.org/toc/1993-2820; https://doaj.org/toc/1819-6357 |
| DOI: | 10.1080/19932820.2022.2084819 |
| URL الوصول: | https://doaj.org/article/ab27164e2e64485bbb1b62f7e4514db6 |
| رقم الأكسشن: | edsdoj.b27164e2e64485bbb1b62f7e4514db6 |
| قاعدة البيانات: | Directory of Open Access Journals |
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Full Text Finder | تدمد: | 19932820 18196357 |
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| DOI: | 10.1080/19932820.2022.2084819 |