Navigation Links
Kidney stone surgery: More women, more complications with minimally invasive procedure

DETROIT While the number of people especially women who have a minimally invasive procedure to remove kidney stones has risen in recent years, so has the rate of complications related to the surgery, according to a published study by Henry Ford Hospital.

The research, from Khurshid R. Ghani, M.D., of Henry Ford Hospital's Vattikuti Urology Institute, appears in the current issue of Journal of Urology.

The focus of the investigation was the procedure, percutaneous nephrolithotomy, or PCNL, in which a surgeon removes medium to large kidney stones through a small incision in the back using a hollow scope.

Minimally invasive procedures used for treating a wide range of medical conditions have increased in recent years, and the Henry Ford researchers set out to find how much and to what effect this is true for this specific procedure.

"What we found is that the use of PCNL in this country has increased," Dr. Ghani said, "and more women than men have the procedure.

"We also discovered that while the rate of PCNL-related death is low and has remained so, incidence of blood infection and overall complications has increased."

The population-based study looked at data from the Nationwide Inpatient Sample, a database of inpatient hospital stays used by researchers to find, track and analyze national health care trends. The database catalogs some 8 million cases from more than 1,000 hospitals in 44 states.

It was used in this study to identify patients who underwent PCNL between 1999 and 2009. A weighted sample was then formulated to estimate utilization rates across the country.

In addition, Henry Ford researchers tracked and analyzed trends in patient age; complications before, during and after the procedure; other disorders or diseases that existed at the time of the surgery; and in-hospital deaths.

A total of 80,097 patients over the age of 18 and with a median age of 53 were found to have undergone PCNL during the study period, during which the number of times the procedure was performed climbed by 47 percent.

The results showed:

  • PCNL use rose from 3.0 to 3.63 per 100,000 men, and from 2.99 to 4.07 per 100,000 women during the study period. This represented a 0.03 percent increase in men who underwent the procedure compared to a 2.54 percent increase in women.

  • Co-morbidity, or the presence of other disorders or disease at the time of surgery, increased during the study time-span.

  • At the same time, overall complications increased from 12.2 percent in 1999 to 15.6 percent in 2009.

  • Significantly, the incidence of sepsis or blood infection doubled, rising from 1.2 percent to 2.4 percent.

  • The rate of PCNL-related death remained essentially unchanged at 0 to 0.4 percent.

Dr. Ghani and his associates concluded that patients were at higher risk of developing complications if they were older, sicker and treated in more recent years. And though the rate of deaths associated with the procedure remained statistically flat, those cases that did occur were found with older patients.

"We believe the broad use of this procedure, especially in older and sicker patients, may be the reason for these changes," Dr. Ghani said.

Contact: Dwight Angell
Henry Ford Health System

Related medicine news :

1. d'Oliveira & Associates Releases New Byetta Infographic on Potential Kidney and Pancreas Health Risks Associated with the Drug
2. BIDMC investigator James Mier, M.D., awarded prominent grant for kidney cancer research
3. High-Dose Statins Linked to Acute Kidney Damage
4. New study points to the aggressive potential of small kidney tumors, advocates treatment
5. New Method Quickly Spots Kidney Damage After Surgery
6. Blacks With Kidney Disease Should Watch for Blood Pressure Shifts: Study
7. More U.S. Kidney Exchanges Would Allow 1,000 Additional Transplants Yearly
8. After years of growth, fewer transplants done through kidney chains
9. Trio of biomarkers may help identify kidney cancer in early stages
10. Kidney Disease Diet
11. How “Kidney Diet Secrets” Helps People Get Rid Of Their Kidney Disease Permanently – Health Review Center
Post Your Comments:
(Date:6/24/2016)... ... ... was in a crisis. Her son James, eight, was out of control. Prone to extreme ... “When something upset him, he couldn’t control his emotions,” remembers Marcy. “If there was ... other children and say he was going to kill them. If we were driving ...
(Date:6/24/2016)... Francisco, CA (PRWEB) , ... June 24, 2016 ... ... CitiDent, is now offering micro-osteoperforation for accelerated orthodontic treatment. Dr. Cheng has extensive ... self-ligating Damon brackets , AcceleDent, and accelerated osteogenic orthodontics. , Micro-osteoperforation ...
(Date:6/24/2016)... Plano, TX (PRWEB) , ... June 24, 2016 , ... ... taking part in Genome magazine’s Code Talker Award, an essay contest in which patients ... for an award to be presented at the 2016 National Society of Genetic Counselors ...
(Date:6/24/2016)... Vegas, Nevada (PRWEB) , ... June 24, 2016 ... ... Las Vegas client, The Grove Investment Group (TGIG), has initiated cultivation and processing ... Grove, in Las Vegas and Pahrump, Nevada. , Puradigm is the manufacturer of ...
(Date:6/24/2016)... ... 2016 , ... Venture Construction Group (VCG) sponsors Luke’s Wings ... at the Woodmont Country Club at 1201 Rockville Pike, Rockville, Maryland, 20852. The ... members that have been wounded in battle and their families. Venture Construction Group is ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... 23, 2016  MedSource announced today that it ... software solution of choice.  This latest decision demonstrates ... to their clients by offering a state-of-the-art electronic ... establishes nowEDC as the EDC platform of choice ... clients.  "nowEDC has long been a preferred EDC ...
(Date:6/23/2016)... Any dentist who has made an implant supported ... Many of them do not even offer this as a ... laboratory costs involved. And those who ARE able to offer ... high cost that the majority of today,s patients would not ... Zadeh , founder of Dental Evolutions Inc. and inventor of ...
(Date:6/23/2016)... , June 23, 2016  In a startling report released today, ... their residents by lacking a comprehensive, proven plan to eliminate prescription ... definitive ranking of how states are tackling the worst drug crisis ... four states – Kentucky , New ... Vermont . Of the 28 failing states, three – ...
Breaking Medicine Technology: