Surgical Management of Stones: American Urological Association/Endourological Society Guideline, PART II
Surgical Management of Stones: American Urological Association/Endourological Society Guideline, PART II
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DOI：
10.1016/j.juro.2016.05.091
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发表时间：
2016-10-01
影响因子：
6.6
通讯作者：
Matlaga, Brian R.
中科院分区：
文献类型：
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作者：
Assimos, Dean;Krambeck, Amy;Matlaga, Brian R.
目的：本指南旨在为肾结石和/或输尿管结石患者的手术治疗提供临床框架。本文的总结代表了两部分系列的第二部分，专门介绍结石的外科治疗：美国泌尿外科协会/腔内泌尿外科学会指南。请参阅第一部分的介绍性信息和术前影像学和特殊cases.Materials和方法的讨论：进行了文献的系统回顾（检索日期1/1/1985至5/31/2015），以确定同行评议的研究相关的结石手术管理。在应用纳入/排除标准后，该综述产生了1，911篇文章的证据基础。这些出版物被用于创建指南声明。基于患者受益和风险/负担，制定了强烈、中等或有条件建议的循证声明。其他指令提供临床原则和专家意见时，证据不足existing.Results：该小组确定了12个成年指数患者代表在临床实践中看到的最常见的情况。还创建了另外3例索引患者，以描述更常见的特殊病例，包括儿科和妊娠患者。考虑到这些患者，指南声明的制定，以帮助临床医生在确定最佳management.Conclusions：正确的治疗选择，这是由患者和结石的具体因素，仍然是最大的预测成功的治疗结果。本指南旨在与个体患者的治疗目标结合使用。在所有情况下，在选择管理策略时，应考虑患者的偏好和个人目标。
Purpose: This Guideline is intended to provide a clinical framework for the surgical management of patients with kidney and/or ureteral stones. The summary presented herein represents Part II of the two-part series dedicated to Surgical Management of Stones: American Urological Association/Endourological Society Guideline. Please refer to Part I for introductory information and a discussion of pre-operative imaging and special cases.Materials and Methods: A systematic review of the literature (search dates 1/1/1985 to 5/31/2015) was conducted to identify peer-reviewed studies relevant to the surgical management of stones. The review yielded an evidence base of 1,911 articles after application of inclusion/exclusion criteria. These publications were used to create the Guideline statements. Evidence-based statements of Strong, Moderate, or Conditional Recommendation were developed based on benefits and risks/burdens to patients. Additional directives are provided as Clinical Principles and Expert Opinions when insufficient evidence existed.Results: The Panel identified 12 adult Index Patients to represent the most common cases seen in clinical practice. Three additional Index Patients were also created to describe the more commonly encountered special cases, including pediatric and pregnant patients. With these patients in mind, Guideline statements were developed to aid the clinician in identifying optimal management.Conclusions: Proper treatment selection, which is directed by patient-and stone-specific factors, remains the greatest predictor of successful treatment outcomes. This Guideline is intended for use in conjunction with the individual patient's treatment goals. In all cases, patient preferences and personal goals should be considered when choosing a management strategy.