{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T07:28:13Z","timestamp":1787124493977,"version":"build-2736575974"},"reference-count":24,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T00:00:00Z","timestamp":1770768000000},"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":["Journal of Endourology"],"published-print":{"date-parts":[[2026,3,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>\n                      The ASPiration to Improve Renal Calculi Removal Effectiveness study showed steerable ureteroscopic renal evacuation (SURE) with CVAC that significantly reduced residual stone volume at 30 days\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      standard ureteroscopy (URS). This report presents 2-year health care consumption and stone events (SE) and their link to residual stone volume and other variables (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 101 at primary end point;\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 93 at 2 years).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Logistic regression identified predictors of health care consumption events (HCEs), that is, emergency department visits, hospitalization, surgical retreatment, and SE across the study population. Incidence was compared between the treatment groups with Kaplan\u2013Meier survival analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      At 2 years, residual stone volume was significantly associated with both HCEs and SE. For every 100 mm\n                      <jats:sup>3<\/jats:sup>\n                      increase in residual stone volume, the HCE risk increased by 50% to 54%, and the SE risk increased by 70%. Stone-free rate, the number of residual fragments (RFs), and RF total stone burden (based on diameter) were not predictors. Significantly fewer HCEs occurred in the SURE group (3\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      20 events,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.0004). Survival analysis confirmed this (4.3%\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      20%, log-rank\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.02), with a 73% risk reduction (hazard ratio 0.27, 95% Cl 0.09\u20130.80,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.02). Fewer SE occurred in the SURE group, although not statistically significant. These subjects also had longer event-free survival.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>High-quality volumetric analysis supports evaluation of stone removal therapies, as residual stone volume predicts HCEs and SE. SURE significantly reduces the downstream incidence and risk of HCEs compared with standard URS.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08927790261420565","type":"journal-article","created":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T06:35:56Z","timestamp":1770878156000},"page":"328-334","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Residual Stone Volume Predicts Health Care Consumption and Stone Events: Analysis of Two-Year Results of the ASPIRE Study"],"prefix":"10.1177","volume":"40","author":[{"given":"Brian R.","family":"Matlaga","sequence":"first","affiliation":[{"name":"Johns Hopkins University School of Medicine, Baltimore, Maryland, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas J.","family":"Mueller","sequence":"additional","affiliation":[{"name":"New Jersey Urology, Summit Health, Sewell, New Jersey, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brett","family":"Johnson","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical Center, Dallas, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jay B.","family":"Page","sequence":"additional","affiliation":[{"name":"Arizona Urology Specialist, Tucson, Arizona, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Stuart","family":"Wolf","sequence":"additional","affiliation":[{"name":"Dell Medical School, The University of Texas at Austin, Austin, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Glenn M.","family":"Preminger","sequence":"additional","affiliation":[{"name":"Duke University Health System, Durham, North Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Loren","family":"Jones","sequence":"additional","affiliation":[{"name":"Urology Austin, Austin, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilya","family":"Sobol","sequence":"additional","affiliation":[{"name":"Urology of Virginia, Virginia Beach, Virginia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen L.","family":"Stern","sequence":"additional","affiliation":[{"name":"Mayo Clinic, Phoenix, Arizona, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Lipkin","sequence":"additional","affiliation":[{"name":"Duke University Health System, Durham, North Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Cuellar","sequence":"additional","affiliation":[{"name":"Urology Austin, Austin, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaitlan","family":"Cobb","sequence":"additional","affiliation":[{"name":"Urology of Virginia, Virginia Beach, Virginia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Barsky","sequence":"additional","affiliation":[{"name":"New Jersey Urology, Summit Health, Sewell, New Jersey, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Medairos","sequence":"additional","affiliation":[{"name":"Duke University Health System, Durham, North Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Marguet","sequence":"additional","affiliation":[{"name":"Prisma Health, Greenville, South Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naren","family":"Nimmagadda","sequence":"additional","affiliation":[{"name":"Johns Hopkins University School of Medicine, Baltimore, Maryland, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"White","sequence":"additional","affiliation":[{"name":"Albany Medical College, Albany, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Levin","sequence":"additional","affiliation":[{"name":"Arizona Institute of Urology, Tucson, Arizona, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Chi","sequence":"additional","affiliation":[{"name":"The University of Alabama at Birmingham, Birmingham, Alabama, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,11]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.euf.2023.03.010"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2023.09.073"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2020.0933"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2024.0524"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2024.06.001"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.euros.2024.10.024"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2024.0602"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2017.0618"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2018.02.2138"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2015.11.009"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2010.06.056"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2008.10.162"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2018.09.053"},{"issue":"11","key":"e_1_3_3_15_2","first-page":"21664","article-title":"Medium-term follow-up of clinically insignificant residual fragments after minimal invasive percutaneous nephrolithotomy: Prognostic features and risk factors","volume":"8","author":"Li X","year":"2015","unstructured":"Li X, , He L, , Li J, et al. 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