Does the Radiologic Technologist or the Fluoroscopy Time Affect Treatment Success with Shockwave Lithotripsy?

2012 ◽  
Vol 26 (8) ◽  
pp. 1065-1069 ◽  
Author(s):  
Michael Ordon ◽  
Daniela Ghiculete ◽  
Kenneth T. Pace ◽  
R. John D'A. Honey
Keyword(s):  
Treatment Success ◽  
Fluoroscopy Time ◽  
Shockwave Lithotripsy ◽  
Radiologic Technologist

scholarly journals The prediction of treatment success and complications of shockwave lithotripsy using artificial intelligence

2020 ◽  
Vol 19 ◽  
pp. e1865
Author(s):  
R.G.N. Seltzer ◽  
B.D. Hamilton ◽  
D.E. Klett ◽  
Z. Chen ◽  
S.Y. Nakada ◽  
...  
Keyword(s):  
Artificial Intelligence ◽  
Treatment Success ◽  
Shockwave Lithotripsy

Prognostic variables for shockwave lithotripsy (SWL) treatment success: no impact of body mass index (BMI) using a third generation lithotripter

2011 ◽  
Vol 108 (7) ◽  
pp. 1192-1197 ◽  
Author(s):  
Gencay Hatiboglu ◽  
Valentin Popeneciu ◽  
Martin Kurosch ◽  
Johannes Huber ◽  
Sascha Pahernik ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Treatment Success ◽  
Shockwave Lithotripsy ◽  
Third Generation ◽  
Prognostic Variables

scholarly journals The Influence of Pain on the Outcome of Extracorporeal Shockwave Lithotripsy

2018 ◽  
Vol 12 (2) ◽  
pp. 81-87 ◽  
Author(s):  
Elke Bovelander ◽  
Saskia Weltings ◽  
Mandana Rad ◽  
Paulien van Kampen ◽  
Rob C.M. Pelger ◽  
...  
Keyword(s):  
Success Rate ◽  
Pain Perception ◽  
Pearson Correlation ◽  
Treatment Success ◽  
Univariate Analysis ◽  
Multivariate Logistic Regression Analysis ◽  
Secondary Outcome ◽  
Shockwave Lithotripsy ◽  
Pain Scores ◽  
Predictive Risk

Introduction: The aim of this study was to determine the predictive value of pain scores on the efficacy of extracor-poreal shockwave lithotripsy (ESWL) and to identify other predictive risk factors for treatment success. Materials and Methods: A total of 476 patients who underwent ESWL (piezoelectric lithotripsy) for urolithiasis between September 2011 and December 2015 were identified. The primary end-point of this study was success rate, which was evaluated 4 months after ESWL. The secondary outcome was the occurrence of complications as a result of ESWL. Results: The average pain perception was reported at 5 on a scale from 0 to 10. The overall success rate of ESWL was found to be 43.9% and the success rate after the first ESWL was 35.1%. Univari-ate analysis showed no significant correlation between pain score and success of ESWL (p = 0.135). The level of intensity was correlated with pain scores (Pearson correlation -0.423, p < 0.001). Univariate analysis identified five predictive factors: sex, stone location, stone size, hydronephrosis and the use of tamsulosin. Multivariate logistic regression analysis showed that sex, stone location and size independently in-fluenced the success of ESWL (p = 0.045, p = 0.001 and p < 0.001). Conclusion: No correlation was found between the pain scores and efficacy of ESWL. Despite this absence, pain scores during ESWL sessions remain high and additional analgesia would improve patient satisfaction.

scholarly journals Assessing radiation exposure during endoscopic-guided percutaneous nephrolithotomy

2014 ◽  
Vol 8 (9-10) ◽  
pp. 347 ◽  
Author(s):  
Andrea G Lantz ◽  
Padraic O'Malley ◽  
Michael Ordon ◽  
Jason Y Lee
Keyword(s):  
Radiation Exposure ◽  
Effective Dose ◽  
Percutaneous Nephrolithotomy ◽  
Treatment Success ◽  
Fluoroscopy Time ◽  
Success Rates ◽  
Stone Size ◽  
Lower Treatment ◽  
The Mean ◽  
Stone Characteristics

Introduction: Percutaneous nephrolithotomy (PCNL) may be associated with significant ionizing radiation exposure for patients and operating room staff. Endoscopic-guided PCNL (ePCNL) is a technique that may be associated with less radiation exposure. This study examines ePCNL-related radiation exposure (fluoroscopytime, effective dose) and investigates variables that may predict increased exposure.Methods: A retrospective review of all consecutive ePCNLs performed at our institution, by a single surgeon, was conducted between November 2011 and November 2013. Patient demographics, stone characteristics and perioperative details were recorded, including radiation exposure. Pearson and Spearman correlation were used to assess variables correlated with radiation exposure.Results: In total, 55 ePCNL cases were included in the study. The mean age was 60 ± 15 years, mean body mass index (BMI) 30.0 ± 6.4 kg/m2 and mean stone size 3.2 × 2.1 cm. Seven cases (13%) involved complete staghorn stones, and 69% involved supracostal punctures. The mean fluoroscopy time was 3.4 ± 2.3 minutes, mean ED 2.4 ± 1.9 mSv. The treatment success rate, assessed 1-week postoperatively, was 87.3% and 7.3% of cases required ancillary procedures. The overall complication rate was 29%, but only 3 cases (5.5%) were Clavien ≥3. Longer fluoroscopy time correlated with increased stone size (p < 0.01), longer operative time (p < 0.01) and lower treatment success rates (p < 0.01); higher effective dose correlated with longer fluoroscopy time (p < 0.01) and increased skin-to-stone distance (p < 0.01). BMI did not correlate with fluoroscopy time or effective dose.Conclusions: Outcomes of ePCNL are comparable to traditional PCNL techniques and may be associated with lower radiation exposure, particularly beneficial for patients with higher BMI.

scholarly journals CUA Guideline: Management of ureteral calculi

2015 ◽  
Vol 9 (11-12) ◽  
pp. 837 ◽  
Author(s):  
Michael Ordon ◽  
Sero Andonian ◽  
Brian Blew ◽  
Trevor Schuler ◽  
Ben Chew ◽  
...  
Keyword(s):  
Treatment Outcomes ◽  
Conservative Management ◽  
Treatment Success ◽  
Ureteral Stones ◽  
Shockwave Lithotripsy ◽  
Evidence Based ◽  
Extensive Literature ◽  
Factors Affecting ◽  
Medical Expulsive Therapy ◽  
Literature Reviews

The focus of this guideline is the management of ureteral stones. Specifically, the topics covered include: conservative management, medical expulsive therapy, active intervention with either shockwave lithotripsy (SWL) or ureteroscopy (URS), factors affecting SWL treatment success, optimizing success, and special considerations (e.g., pregnancy, urinary diversion). By performing extensive literature reviews for each topic evaluated, we have generated an evidence-based consensus on the management of ureteral stones. The objective of this guideline is to help standardize the treatment of ureteral stones to optimize treatment outcomes.

The Link Between Verbal Short-Term Memory and Anomia Treatment Gains

2019 ◽  
Vol 28 (3) ◽  
pp. 1039-1052
Author(s):  
Reva M. Zimmerman ◽  
JoAnn P. Silkes ◽  
Diane L. Kendall ◽  
Irene Minkina
Keyword(s):  
Short Term Memory ◽  
Controlled Trial ◽  
Treatment Success ◽  
Linear Regression Models ◽  
Language Performance ◽  
Short Term ◽  
Term Memory ◽  
Treatment Gains ◽  
Post Hoc

Purpose A significant relationship between verbal short-term memory (STM) and language performance in people with aphasia has been found across studies. However, very few studies have examined the predictive value of verbal STM in treatment outcomes. This study aims to determine if verbal STM can be used as a predictor of treatment success. Method Retrospective data from 25 people with aphasia in a larger randomized controlled trial of phonomotor treatment were analyzed. Digit and word spans from immediately pretreatment were run in multiple linear regression models to determine whether they predict magnitude of change from pre- to posttreatment and follow-up naming accuracy. Pretreatment, immediately posttreatment, and 3 months posttreatment digit and word span scores were compared to determine if they changed following a novel treatment approach. Results Verbal STM, as measured by digit and word spans, did not predict magnitude of change in naming accuracy from pre- to posttreatment nor from pretreatment to 3 months posttreatment. Furthermore, digit and word spans did not change from pre- to posttreatment or from pretreatment to 3 months posttreatment in the overall analysis. A post hoc analysis revealed that only the less impaired group showed significant changes in word span scores from pretreatment to 3 months posttreatment. Discussion The results suggest that digit and word spans do not predict treatment gains. In a less severe subsample of participants, digit and word span scores can change following phonomotor treatment; however, the overall results suggest that span scores may not change significantly. The implications of these findings are discussed within the broader purview of theoretical and empirical associations between aphasic language and verbal STM processing.

Pancreatic stones shockwave lithotripsy induces oxidative stress. A study of lipoperoxidation products in pure pancreatic juice

2001 ◽  
Vol 120 (5) ◽  
pp. A217-A217
Author(s):  
C SPADA ◽  
S SANTINI ◽  
F FOSCHIA ◽  
M PANDOLFI ◽  
V PERRI ◽  
...  
Keyword(s):  
Oxidative Stress ◽  
Pancreatic Juice ◽  
Shockwave Lithotripsy ◽  
Pure Pancreatic Juice ◽  
Pancreatic Stones

1874: 5-Year-Follow-Up of Patients with Clinically Insignificant Residual Stones after Extracorporeal Shockwave Lithotripsy

2004 ◽  
Vol 171 (4S) ◽  
pp. 495-495
Author(s):  
Thomas Knoll ◽  
Yvonne Alfano ◽  
Stefan Kamp ◽  
Axel Haecker ◽  
Peter Aiken ◽  
...  
Keyword(s):  
Extracorporeal Shockwave Lithotripsy ◽  
Shockwave Lithotripsy ◽  
Extracorporeal Shockwave ◽  
Residual Stones

Goal Attainment and Treatment Compliance in a Cognitive-Behavioral Telephone Intervention for Family Caregivers of Persons with Dementia

GeroPsych ◽  
2011 ◽  
Vol 24 (3) ◽  
pp. 115-125 ◽  
Author(s):  
Gabriele Wilz ◽  
Denise Schinköthe ◽  
Renate Soellner
Keyword(s):  
Family Caregivers ◽  
Mentally Ill ◽  
Goal Attainment ◽  
Outcome Measurement ◽  
Controlled Trial ◽  
Treatment Success ◽  
Treatment Compliance ◽  
Control Group ◽  
Telephone Intervention ◽  
Effective Interventions

Introduction: The evaluation of effective interventions is still needed to prevent family caregivers of persons with dementia from becoming physically or mentally ill. However, in most existing intervention studies, primary outcomes are not well matched to the treatment goals. Method: A randomized controlled trial (N = 229) was conducted to compare a treatment group (CBT), a treated control group, and an untreated control group. In theses analyses we focused on the primary outcome measurement (GAS) as a perceived treatment success as well as treatment compliance and participants’ evaluation. Results: Results showed that 30.1% achieved complete goal attainment, 39.8% partial goal attainment, and 24.1% declared no change (overachievement 2.4%; deterioration 3.6%). Discussion: The intervention can be considered to have been successful.

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