{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T22:50:43Z","timestamp":1777762243114,"version":"3.51.4"},"reference-count":16,"publisher":"PAGEPress Publications","issue":"4","license":[{"start":{"date-parts":[[2020,12,18]],"date-time":"2020-12-18T00:00:00Z","timestamp":1608249600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Ital Urol Androl"],"abstract":"<jats:p>Objective: In this study, it was aimed to evaluate the efficacy and safety of SWL treatment in elderly patients with kidney stones. Materials and methods: Data from a total of 3024 patients who underwent SWL treatment for urinary tract stone disease in three centers of our university were evaluated retrospectively. A total of 1433 patients in the adult age group treated for single kidney stones were included in the study. The patients were divided into 3 groups (18-40, 41-64 and \u2265 65) years depending on their age. Demographic data, stone parameters, stone-free rate (SFR) and clinically insignificant residual fragment (CIRF) rate, number of SWL sessions and complication rate were analyzed according to the age groups. Results: The mean age of the patients was 47.38 \u00b1 13.24 years. Stone size was significantly lower in the 18-40 years age group compared to other groups (p = 0.000) and the stones were mostly located on the right side in this age group (p = 0.007). There was no significant relationship between age groups and gender, stone localization, and number of SWL sessions. The overall SFR was 66.4%. Although the SFR was lower (61.4%) and the rate of multiple sessions (27.2%) was higher in \u2265 65 years group, there was no statistically significant difference between age groups regarding SFR, CIRF, need for additional sessions, and complication rates. Conclusions: Due to its similar clinical results, treatment of SWL should not be ignored as a treatment option in the geriatric patient group with kidney stones.<\/jats:p>","DOI":"10.4081\/aiua.2020.4.350","type":"journal-article","created":{"date-parts":[[2020,12,18]],"date-time":"2020-12-18T16:41:35Z","timestamp":1608309695000},"source":"Crossref","is-referenced-by-count":4,"title":["Clinical results of shock wave lithotripsy treatment in elderly patients with kidney stones: Results of 1433 patients"],"prefix":"10.4081","volume":"92","author":[{"given":"Cevahir","family":"Ozer","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet Ilteris","family":"Tekin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2549","published-online":{"date-parts":[[2020,12,18]]},"reference":[{"key":"27874","doi-asserted-by":"crossref","unstructured":"Morgan MS, Pearle MS. Medical management of renal stones. BMJ 2016;352:i52.","DOI":"10.1136\/bmj.i52"},{"key":"27875","doi-asserted-by":"crossref","unstructured":"Turk C, Petrik A, Sarica K, et al. EAU Guidelines on Interventional Treatment for Urolithiasis. Eur Urol 2016;69:475-482.","DOI":"10.1016\/j.eururo.2015.07.041"},{"key":"27876","doi-asserted-by":"crossref","unstructured":"Assimos D, Krambeck A, Miller NL, et al. Surgical Management of Stones: American Urological Association\/Endourological Society Guideline, PART II. J Urol 2016;196:1161-1169.","DOI":"10.1016\/j.juro.2016.05.091"},{"key":"27877","doi-asserted-by":"crossref","unstructured":"Pradere B, Doizi S, Proietti S, Brachlow J, Traxer O. Evaluation of Guidelines for Surgical Management of Urolithiasis. J Urol 2018;199:1267-1271.","DOI":"10.1016\/j.juro.2017.11.111"},{"key":"27878","doi-asserted-by":"crossref","unstructured":"Knoll T, Buchholz N, Wendt-Nordahl G. Extracorporeal shockwave lithotripsy vs. percutaneous nephrolithotomy vs. flexible ureterorenoscopy for lower-pole stones. Arab J Urol 2012;10:336-341.","DOI":"10.1016\/j.aju.2012.06.004"},{"key":"27879","doi-asserted-by":"crossref","unstructured":"Gokce MI, Akinci A, Akpinar C, Sanci A, Solak VT, Suer E. Comparison of Efficacy of Shock Wave Lithotripsy in Different Age Groups. Journal of Urological Surgery 2017;4:66-70.","DOI":"10.4274\/jus.1414"},{"key":"27880","doi-asserted-by":"crossref","unstructured":"Kocakgol H, Yilmaz AH, Yapanoglu T, et al. Efficacy and Predictive Factors of the Outcome of Extracorporeal Shock Wave Lithotripsy: A Review of One-thousand-nine-hundred-ninety-seven Patients. Journal of Urological Surgery 2019;6:207-212.","DOI":"10.4274\/jus.galenos.2019.2562"},{"key":"27881","doi-asserted-by":"crossref","unstructured":"Abdel-Khalek M, Sheir KZ, Mokhtar AA, Eraky I, Kenawy M, Bazeed M. Prediction of success rate after extracorporeal shock-wave lithotripsy of renal stones--a multivariate analysis model. Scand J Urol Nephrol 2004;38:161-167.","DOI":"10.1080\/00365590310022626"},{"key":"27882","doi-asserted-by":"crossref","unstructured":"Ichiyanagi O, Nagaoka A, Izumi T, Kawamura Y, Kato T. Age-related delay in urinary stone clearance in elderly patients with solitary proximal ureteral calculi treated by extracorporeal shock wave lithotripsy. Urolithiasis 2015;43:419-426.","DOI":"10.1007\/s00240-015-0783-3"},{"key":"27883","doi-asserted-by":"crossref","unstructured":"Abe T, Akakura K, Kawaguchi M, et al. Outcomes of shockwave lithotripsy for upper urinary-tract stones: a large-scale study at a single institution. J Endourol 2005;19:768-773.","DOI":"10.1089\/end.2005.19.768"},{"key":"27884","unstructured":"Kimura M, Sasagawa T. Significance of age on prognosis in patients treated by extracorporeal shock wave lithotripsy. Nihon Hinyokika Gakkai Zasshi 2008;99:571-577."},{"key":"27885","doi-asserted-by":"crossref","unstructured":"Chen YZ, Lin WR, Lee CC, et al. Comparison of safety and outcomes of shock wave lithotripsy between elderly and non-elderly patients. Clin Interv Aging 2017;12:667-672.","DOI":"10.2147\/CIA.S134750"},{"key":"27886","doi-asserted-by":"crossref","unstructured":"Philippou P, Lamrani D, Moraitis K, Wazait H, Masood J, Buchholz N. Shock-wave lithotripsy in the elderly: Safety, efficacy and special considerations. Arab J Urol 2011;9:29-33.","DOI":"10.1016\/j.aju.2011.03.009"},{"key":"27887","doi-asserted-by":"crossref","unstructured":"Sighinolfi MC, Micali S, Grande M, Mofferdin A, De Stefani S, Bianchi G. Extracorporeal shock wave lithotripsy in an elderly population: how to prevent complications and make the treatment safe and effective. J Endourol 2008;22:2223-2226.","DOI":"10.1089\/end.2008.9704"},{"key":"27888","doi-asserted-by":"crossref","unstructured":"Ng CF, Wong A, Tolley D. Is extracorporeal shock wave lithotripsy the preferred treatment option for elderly patients with urinary stone? A multivariate analysis of the effect of patient age on treatment outcome. BJU Int 2007;100:392-395.","DOI":"10.1111\/j.1464-410X.2007.06909.x"},{"key":"27889","doi-asserted-by":"crossref","unstructured":"Polat F, Yesil S, Ak E, et al. Safety of ESWL in elderly: evaluation of independent predictors and comorbidity on stone-free rate and complications. Geriatr Gerontol Int 2012;12:413-417.","DOI":"10.1111\/j.1447-0594.2011.00781.x"}],"container-title":["Archivio Italiano di Urologia e Andrologia"],"original-title":[],"link":[{"URL":"https:\/\/www.pagepressjournals.org\/index.php\/aiua\/article\/download\/aiua.2020.4.350\/9146","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.pagepressjournals.org\/index.php\/aiua\/article\/download\/aiua.2020.4.350\/9146","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,2,19]],"date-time":"2021-02-19T14:56:49Z","timestamp":1613746609000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.pagepressjournals.org\/index.php\/aiua\/article\/view\/aiua.2020.4.350"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,18]]},"references-count":16,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2020,12,18]]}},"URL":"https:\/\/doi.org\/10.4081\/aiua.2020.4.350","relation":{},"ISSN":["2282-4197","1124-3562"],"issn-type":[{"value":"2282-4197","type":"electronic"},{"value":"1124-3562","type":"print"}],"subject":[],"published":{"date-parts":[[2020,12,18]]}}}