Active stone removal is a safe option for ocotogenarians and nonagenarians with nephrolithiasis

Klaus Eredics, Martin Drerup, Mehmet Özsoy, Clemens Wehrberger, Matthias Lenz, Christian Ramesmayer, Philipp Stolzlechner, Johannes Zanier, Claudia E Falkensammer, Ivan Handjiev, Andreas Wasserscheid, Stephan Seklehner

Research output: Journal article (peer-reviewed)Journal article

3 Citations (Scopus)

Abstract

PURPOSE: To assess the contemporary in-hospital management of octogenarians and nonagenarians with renal calculi.

MATERIAL AND METHODS: A multicentric retrospective evaluation of patients aged ≥ 80 years hospitalized with kidney stones between 01/2000 and 12/2019. Stone and patient related data were collected, including stone size and location, geriatric status and comorbidities. Surgical treatment patterns and outcome were assessed.

RESULTS: A total of 299 patients (57% female) with kidney stones were analyzed. Mean age was 84.7 years. Patients were largely multimorbid (ASA ≥ 3 in 70%) and about 25% were classified as frail. Active stone treatment was performed in 65% and 35% were treated with urinary diversion (stent or nephrostomy). Prognostic factors for receiving an active stone treatment were age < 90 years, male sex, stone size and quantity, and performance status. Mean overall survival was 23.7 months and when stratified to treatment mean survival were 21 months after urinary diversion, 28 months after URS, 29 months after PCNL and 45 months after SWL.

CONCLUSION: Age, frailty and performance-status as well as stone size and quantity are predictors for active stone treatment. Octogenarians and nonagenarians, who are considered fit for surgery, tend to live long enough to profit from active stone treatment.

Original languageEnglish
Pages (from-to)849-856
Number of pages8
JournalWorld Journal of Urology
Volume41
Issue number3
Early online date08 Feb 2023
DOIs
Publication statusPublished - Mar 2023

Keywords

  • Elderly patients
  • Geriatric patients
  • Kidney stones
  • Nephrolithiasis
  • Nonagenarians
  • Octogenarians
  • Outcome

ASJC Scopus subject areas

  • Urology

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