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PADUA and R.E.N.A.L. nephrometry scores correlate with perioperative outcomes of robot-assisted partial nephrectomy: analysis of the Vattikuti Global Quality Initiative in Robotic Urologic Surgery (GQI-RUS) database

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PADUA and R.E.N.A.L. nephrometry scores correlate with perioperative outcomes of robot-assisted partial nephrectomy : analysis of the Vattikuti Global Quality Initiative in Robotic Urologic Surgery (GQI-RUS) database. / Schiavina, Riccardo; Novara, Giacomo; Borghesi, Marco; Ficarra, Vincenzo; Ahlawat, Rajesh; Moon, Daniel A.; Porpiglia, Francesco; Challacombe, Benjamin J.; Dasgupta, Prokar; Brunocilla, Eugenio; La Manna, Gaetano; Volpe, Alessandro; Verma, Hema; Martorana, Giuseppe; Mottrie, Alexandre.

In: BJU International, 11.09.2016.

Research output: Contribution to journalArticle

Harvard

Schiavina, R, Novara, G, Borghesi, M, Ficarra, V, Ahlawat, R, Moon, DA, Porpiglia, F, Challacombe, BJ, Dasgupta, P, Brunocilla, E, La Manna, G, Volpe, A, Verma, H, Martorana, G & Mottrie, A 2016, 'PADUA and R.E.N.A.L. nephrometry scores correlate with perioperative outcomes of robot-assisted partial nephrectomy: analysis of the Vattikuti Global Quality Initiative in Robotic Urologic Surgery (GQI-RUS) database', BJU International. https://doi.org/10.1111/bju.13628

APA

Schiavina, R., Novara, G., Borghesi, M., Ficarra, V., Ahlawat, R., Moon, D. A., ... Mottrie, A. (2016). PADUA and R.E.N.A.L. nephrometry scores correlate with perioperative outcomes of robot-assisted partial nephrectomy: analysis of the Vattikuti Global Quality Initiative in Robotic Urologic Surgery (GQI-RUS) database. BJU International. https://doi.org/10.1111/bju.13628

Vancouver

Schiavina R, Novara G, Borghesi M, Ficarra V, Ahlawat R, Moon DA et al. PADUA and R.E.N.A.L. nephrometry scores correlate with perioperative outcomes of robot-assisted partial nephrectomy: analysis of the Vattikuti Global Quality Initiative in Robotic Urologic Surgery (GQI-RUS) database. BJU International. 2016 Sep 11. https://doi.org/10.1111/bju.13628

Author

Schiavina, Riccardo ; Novara, Giacomo ; Borghesi, Marco ; Ficarra, Vincenzo ; Ahlawat, Rajesh ; Moon, Daniel A. ; Porpiglia, Francesco ; Challacombe, Benjamin J. ; Dasgupta, Prokar ; Brunocilla, Eugenio ; La Manna, Gaetano ; Volpe, Alessandro ; Verma, Hema ; Martorana, Giuseppe ; Mottrie, Alexandre. / PADUA and R.E.N.A.L. nephrometry scores correlate with perioperative outcomes of robot-assisted partial nephrectomy : analysis of the Vattikuti Global Quality Initiative in Robotic Urologic Surgery (GQI-RUS) database. In: BJU International. 2016.

Bibtex Download

@article{baf6f30576f849bca81b5f5915e637a2,
title = "PADUA and R.E.N.A.L. nephrometry scores correlate with perioperative outcomes of robot-assisted partial nephrectomy: analysis of the Vattikuti Global Quality Initiative in Robotic Urologic Surgery (GQI-RUS) database",
abstract = "Objectives To evaluate and compare the correlations between Preoperative Aspects and Dimensions Used for an Anatomical (PADUA) and R.E.N.A.L. [Radius (tumour size as maximal diameter), Exophytic/endophytic properties of the tumour, Nearness of tumour deepest portion to the collecting system or sinus, Anterior (a)/posterior (p) descriptor and the Location relative to the polar line] nephrometry scores and perioperative outcomes and postoperative complications in a multicentre, international series of patients undergoing robot-assisted partial nephrectomy (RAPN) for masses suspicious for renal cell carcinoma (RCC). Patients and Methods We retrospectively evaluated the clinical records of patients who underwent RAPN between 2010 and 2013 for clinical N0M0 renal tumours in four international centres that completed all the data required for the Vattikuti Global Quality Initiative in Robotic Urologic Surgery (GQI-RUS) database. All patients underwent preoperative computed tomography or magnetic resonance imaging to define the clinical stage and anatomical characteristics of the tumours. PADUA and R.E.N.A.L. scores were retrospectively assessed in each centre. Univariate and multivariate analyses were used to evaluate the correlations between age, gender, Charlson comorbidity index, clinical tumour size, PADUA and R.E.N.A.L. complexity group categories and warm ischaemia time (WIT) of >20 min, urinary calyceal system closure, and grade of postoperative complications. Results Overall, 277 patients were evaluated. The median (interquartile range) tumour size was 33.0 (22.0–43.0) mm. The median PADUA and R.E.N.A.L. scores were eight and seven, respectively; 112 (40.4{\%}), 86 (31.0{\%}) and 79 (28.5{\%}) patients were classified in the low-, intermediate- or high-complexity group according to PADUA score, while 118 (42.5{\%}), 139 (50.1{\%}) and 20 (7.2{\%}) were classified in the low-, intermediate- or high-complexity group according to R.E.N.A.L. score, respectively. Both nephrometry tools significantly correlated with perioperative outcomes at univariate and multivariate analyses. Conclusion A precise stratification of patients before PN is recommended to consider both the potential threats and benefits of nephron-sparing surgery. In our present analysis, both PADUA and R.E.N.A.L. were significantly associated with predicting prolonged WIT and high-grade postoperative complications after RAPN.",
keywords = "renal cell carcinoma, robot-assisted partial nephrectomy, nephrometry score, PADUA score, R.E.N.A.L. score, perioperative complications",
author = "Riccardo Schiavina and Giacomo Novara and Marco Borghesi and Vincenzo Ficarra and Rajesh Ahlawat and Moon, {Daniel A.} and Francesco Porpiglia and Challacombe, {Benjamin J.} and Prokar Dasgupta and Eugenio Brunocilla and {La Manna}, Gaetano and Alessandro Volpe and Hema Verma and Giuseppe Martorana and Alexandre Mottrie",
year = "2016",
month = "9",
day = "11",
doi = "10.1111/bju.13628",
language = "Undefined/Unknown",
journal = "BJU International",
issn = "1464-4096",
publisher = "Wiley-Blackwell",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - PADUA and R.E.N.A.L. nephrometry scores correlate with perioperative outcomes of robot-assisted partial nephrectomy

T2 - analysis of the Vattikuti Global Quality Initiative in Robotic Urologic Surgery (GQI-RUS) database

AU - Schiavina, Riccardo

AU - Novara, Giacomo

AU - Borghesi, Marco

AU - Ficarra, Vincenzo

AU - Ahlawat, Rajesh

AU - Moon, Daniel A.

AU - Porpiglia, Francesco

AU - Challacombe, Benjamin J.

AU - Dasgupta, Prokar

AU - Brunocilla, Eugenio

AU - La Manna, Gaetano

AU - Volpe, Alessandro

AU - Verma, Hema

AU - Martorana, Giuseppe

AU - Mottrie, Alexandre

PY - 2016/9/11

Y1 - 2016/9/11

N2 - Objectives To evaluate and compare the correlations between Preoperative Aspects and Dimensions Used for an Anatomical (PADUA) and R.E.N.A.L. [Radius (tumour size as maximal diameter), Exophytic/endophytic properties of the tumour, Nearness of tumour deepest portion to the collecting system or sinus, Anterior (a)/posterior (p) descriptor and the Location relative to the polar line] nephrometry scores and perioperative outcomes and postoperative complications in a multicentre, international series of patients undergoing robot-assisted partial nephrectomy (RAPN) for masses suspicious for renal cell carcinoma (RCC). Patients and Methods We retrospectively evaluated the clinical records of patients who underwent RAPN between 2010 and 2013 for clinical N0M0 renal tumours in four international centres that completed all the data required for the Vattikuti Global Quality Initiative in Robotic Urologic Surgery (GQI-RUS) database. All patients underwent preoperative computed tomography or magnetic resonance imaging to define the clinical stage and anatomical characteristics of the tumours. PADUA and R.E.N.A.L. scores were retrospectively assessed in each centre. Univariate and multivariate analyses were used to evaluate the correlations between age, gender, Charlson comorbidity index, clinical tumour size, PADUA and R.E.N.A.L. complexity group categories and warm ischaemia time (WIT) of >20 min, urinary calyceal system closure, and grade of postoperative complications. Results Overall, 277 patients were evaluated. The median (interquartile range) tumour size was 33.0 (22.0–43.0) mm. The median PADUA and R.E.N.A.L. scores were eight and seven, respectively; 112 (40.4%), 86 (31.0%) and 79 (28.5%) patients were classified in the low-, intermediate- or high-complexity group according to PADUA score, while 118 (42.5%), 139 (50.1%) and 20 (7.2%) were classified in the low-, intermediate- or high-complexity group according to R.E.N.A.L. score, respectively. Both nephrometry tools significantly correlated with perioperative outcomes at univariate and multivariate analyses. Conclusion A precise stratification of patients before PN is recommended to consider both the potential threats and benefits of nephron-sparing surgery. In our present analysis, both PADUA and R.E.N.A.L. were significantly associated with predicting prolonged WIT and high-grade postoperative complications after RAPN.

AB - Objectives To evaluate and compare the correlations between Preoperative Aspects and Dimensions Used for an Anatomical (PADUA) and R.E.N.A.L. [Radius (tumour size as maximal diameter), Exophytic/endophytic properties of the tumour, Nearness of tumour deepest portion to the collecting system or sinus, Anterior (a)/posterior (p) descriptor and the Location relative to the polar line] nephrometry scores and perioperative outcomes and postoperative complications in a multicentre, international series of patients undergoing robot-assisted partial nephrectomy (RAPN) for masses suspicious for renal cell carcinoma (RCC). Patients and Methods We retrospectively evaluated the clinical records of patients who underwent RAPN between 2010 and 2013 for clinical N0M0 renal tumours in four international centres that completed all the data required for the Vattikuti Global Quality Initiative in Robotic Urologic Surgery (GQI-RUS) database. All patients underwent preoperative computed tomography or magnetic resonance imaging to define the clinical stage and anatomical characteristics of the tumours. PADUA and R.E.N.A.L. scores were retrospectively assessed in each centre. Univariate and multivariate analyses were used to evaluate the correlations between age, gender, Charlson comorbidity index, clinical tumour size, PADUA and R.E.N.A.L. complexity group categories and warm ischaemia time (WIT) of >20 min, urinary calyceal system closure, and grade of postoperative complications. Results Overall, 277 patients were evaluated. The median (interquartile range) tumour size was 33.0 (22.0–43.0) mm. The median PADUA and R.E.N.A.L. scores were eight and seven, respectively; 112 (40.4%), 86 (31.0%) and 79 (28.5%) patients were classified in the low-, intermediate- or high-complexity group according to PADUA score, while 118 (42.5%), 139 (50.1%) and 20 (7.2%) were classified in the low-, intermediate- or high-complexity group according to R.E.N.A.L. score, respectively. Both nephrometry tools significantly correlated with perioperative outcomes at univariate and multivariate analyses. Conclusion A precise stratification of patients before PN is recommended to consider both the potential threats and benefits of nephron-sparing surgery. In our present analysis, both PADUA and R.E.N.A.L. were significantly associated with predicting prolonged WIT and high-grade postoperative complications after RAPN.

KW - renal cell carcinoma, robot-assisted partial nephrectomy, nephrometry score, PADUA score, R.E.N.A.L. score, perioperative complications

U2 - 10.1111/bju.13628

DO - 10.1111/bju.13628

M3 - Article

JO - BJU International

JF - BJU International

SN - 1464-4096

ER -

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