TY  - JOUR
TI  - The associations of RENAL, PADUA and C-index nephrometry scores 
with perioperative outcomes and postoperative renal function in 
minimally invasive partial nephrectomy
AB  - Objective: This study aimed to assess the utility of the radius, exophytic/endophytic, nearness, anterior/posterior, location (RENAL); preoperative aspects and dimensions used for an anatomic evaluation (PADUA), 
and centrality index (C-index) scores for the outcomes of partial nephrectomy (PN).
Material and methods: The patients who underwent PN with contrast-enhanced preoperative imaging from 
January 2015 to June 2018 were identified. The RENAL, PADUA, and C-index scores were assigned. The correlation between these scoring systems and perioperative and long-term renal functional outcomes were evaluated.
Results: A total of 78 patients were included in the study (58 men and 20 women; age, 58±11.4 years). Median warm ischemia time (WIT), estimated blood loss (EBL), and operation time (OT) were 26 min, 115 
mL, and 140 min, respectively. The RENAL score was related to WIT, EBL, and OT (p<0.001, p=0.003, 
and p=0.023, respectively). The PADUA score was associated with WIT, EBL, and OT (p<0.001, p=0.013, 
and p=0.005, respectively). The C-index score was correlated with WIT, EBL, and OT (p<0.001, p=0.010, 
and p=0.001, respectively). The C-index score also correlated with the percentage change in the estimated 
glomerular filtration rate (p=0.037). However, on univariable and multivariable regression analyses, only 
WIT significantly affected the postoperative estimated glomerular filtration rate reduction.
Conclusion: The RENAL, PADUA, and C-index scores were significantly associated with perioperative 
outcomes of PN. In addition, the C-index score was correlated with long-term renal functional outcomes.
AU  - ERDEMIR, AHMET GÜRKAN
AU  - Anıl, Hakan
AU  - EROL, İBRAHİM
AU  - Islamoglu, Ekrem
AU  - Ateş, Mutlu
AU  - savas, murat
AU  - yildiz, ali
AU  - Karamık, Kaan
DO  - 10.5152/tud.2020.20247
PY  - 2021
JO  - Turkish Journal of Urology
VL  - 47
IS  - 1
SN  - 2149-3235
SP  - 14
EP  - 21
DB  - TRDizin
UR  - http://search/yayin/detay/520470
ER  -