{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T10:05:43Z","timestamp":1774346743051,"version":"3.50.1"},"reference-count":20,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,8,17]],"date-time":"2025-08-17T00:00:00Z","timestamp":1755388800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Urologia"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Various nephrolithometry scoring systems have been introduced to assess the outcomes of percutaneous nephrolithotomy (PCNL) and postoperative complications. Previous studies have incorporated various variables to determine factors influencing postoperative acute kidney injury (AKI). Using separate scoring systems or nomograms to predict postoperative outcomes and AKI is cumbersome. Our study aims to find if stone scoring systems can be used to predict AKI following a PCNL procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods:<\/jats:title>\n                    <jats:p>A prospective observational study was conducted at Kasturba Hospital and Medical College from December 2023 to June 2024. All patients undergoing PCNL were included in the study. Scores were calculated for all patients pre-operatively using various nephrolithometry scoring systems. Patients were divided into two groups based on the presence or absence of AKI following PCNL. The various stone scoring systems were assessed for their ability to predict AKI following PCNL.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Out of the 90 patients in the study, 15 (16.66%) developed AKI, and 75 (83.33%) had no AKI following PCNL. Statistical significance was found in stone size (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), stone location (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.011), Staghorn (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), Guy\u2019s Score (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.001), STONE score (0.002), CROES Score (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.001), Amplatz size (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.012) and energy source (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.01). No statistical significance was found when comparing sex, comorbidities, number of stones, the severity of HN, puncture location and number, intraoperative hypotension, operative time, and duration of hospital stay.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Nephrolithometry scoring systems, in addition to assessing postoperative outcomes such as stone-free rate and complications, can also be used to predict the occurrence of AKI. The use of a limited number of scoring systems to assess all the postoperative outcomes will help simplify and facilitate their use in routine clinical practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03915603251355819","type":"journal-article","created":{"date-parts":[[2025,8,17]],"date-time":"2025-08-17T11:28:40Z","timestamp":1755430120000},"page":"705-712","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Nephrolithometry scoring systems in predicting acute kidney injury following percutaneous nephrolithotomy \u2013 A prospective observational study"],"prefix":"10.1177","volume":"92","author":[{"given":"Anupam","family":"Choudhary","sequence":"first","affiliation":[{"name":"Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5536-1693","authenticated-orcid":false,"given":"A. V. B.","family":"Krishnakanth","sequence":"additional","affiliation":[{"name":"Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7314-094X","authenticated-orcid":false,"given":"K. R.","family":"Surag","sequence":"additional","affiliation":[{"name":"Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ankit","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abhijit","family":"Shah","sequence":"additional","affiliation":[{"name":"Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kasi Viswanath","family":"Gali","sequence":"additional","affiliation":[{"name":"Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8426-6986","authenticated-orcid":false,"given":"Padmaraj","family":"Hegde","sequence":"additional","affiliation":[{"name":"Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,8,17]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2015.07.041"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/cc5713"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000011580"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.kint.2023.08.005"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/MNH.0b013e3283588f24"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2010.12.026"},{"issue":"4","key":"e_1_3_3_8_2","first-page":"484","volume":"76","author":"External validation of a nomogram for outcome prediction in management of medium-sized (1-2 cm) kidney stones","year":"2024","unstructured":"External validation of a nomogram for outcome prediction in management of medium-sized (1-2 cm) kidney stones. 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Int J Clin Exp Med 2015; 8(5): 8147\u20138152.","journal-title":"Int J Clin Exp Med"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.5414\/CN110349"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2006.20.1030"},{"key":"e_1_3_3_18_2","first-page":"17","article-title":"Prevalence of acute kidney injury following percutaneous nephrolithotomy","volume":"29","author":"Paymannejad S","year":"2024","unstructured":"Paymannejad S, Dehghani M, Dehkordi RJ, et al Prevalence of acute kidney injury following percutaneous nephrolithotomy. J Res Med Sci Off J Isfahan Univ Med Sci 2024; 29: 17.","journal-title":"J Res Med Sci Off J Isfahan Univ Med Sci"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-024-03960-7"},{"key":"e_1_3_3_20_2","article-title":"MP22-03 acute kidney injury and percutaneous nephrolithotomy: frequency and predictive factors","volume":"203","author":"Fulla J","year":"2020","unstructured":"Fulla J, Calle J, Elia M, et al MP22-03 acute kidney injury and percutaneous nephrolithotomy: frequency and predictive factors. 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