23 May 2019 : Clinical Research
Risk Factors Influencing the Thickness and Stranding of Perinephric Fat of Mayo Adhesive Probability Score in Minimally Invasive Nephrectomy
Yuanxin Yao1BE, Huijie Gong2C, Yuewen Pang2B, Liangyou Gu1C, Shaoxi Niu1D, Yansheng Xu1D, Pin Li1F, Kan Liu1BC, Lu Tang1F, Yundong Xuan1E, Yu Gao1A, Xu Zhang1A*DOI: 10.12659/MSM.916359
Med Sci Monit 2019; 25:3825-3831
Abstract
BACKGROUND: Mayo adhesive probability (MAP) score, an accurate and reliable predictor of adherent perinephric fat (APF), consists of posterior perinephric fat thickness and perinephric fat stranding. The present study aimed to identify the potential clinical characteristics associated with these 2 variables to further our understanding of APF.
MATERIAL AND METHODS: Clinical data of 346 patients subjected to minimally invasive nephrectomy was collected within our prospectively maintained database, between January 2015 and December 2016. Radiological data was assessed by 2 readers in an independent blinded – to each other and APF patient status – fashion. Ordinal logistic regression analyses were performed to evaluate risk factors of posterior perinephric fat thickness and perinephric fat stranding.
RESULTS: On multivariate analysis, posterior perinephric fat thickness was associated with older age (β=1.05 [range, 1.03–1.07], P<0.01); male gender (β=6.06 [3.18–11.54], P<0.01), and higher body mass index (BMI) (β=1.31 [1.21–1.41], P<0.01). Perinephric fat stranding was associated with older age (β=1.05 [1.02–1.07], P<0.01), male gender (β=3.64 [2.09–6.34], P<0.01) and history of diabetes (β=2.09 [1.24–3.52], P<0.01). MAP score was associated with older age (β=1.05 [1.03–1.07], P<0.01), male gender (β=5.07 [2.96–8.71], P<0.01), higher BMI (β=1.14 [1.07–1.21], P<0.01), history of diabetes (β=1.72 [1.06–2.78], P=0.03) and alcoholism (β=1.88 [1.10–3.20], P=0.02).
CONCLUSIONS: The current study highlights that different risk factors influence the posterior perinephric fat thickness and perinephric fat stranding. Posterior perinephric fat thickness was correlated with age, gender, and BMI, while perinephric fat stranding was associated with age, gender, and history of diabetes.
Keywords: Carcinoma, Renal Cell, Intra-Abdominal Fat, Nephrectomy, Adipose Tissue, Body Mass Index, Kidney, Kidney Neoplasms, Magnetic Resonance Imaging, Multivariate Analysis, Risk Factors, Tomography, X-Ray Computed
Editorial
01 June 2024 : Editorial
Editorial: Concerns as Highly Pathogenic Avian Influenza (HPAI) Virus of the H5N1 Subtype is Identified in Dairy Cows and Other MammalsDOI: 10.12659/MSM.945315
Med Sci Monit 2024; 30:e945315
In Press
Laboratory Research
Effect of Dentin Contamination with Hemostatic Agents and Cleaning Techniques on Bonding with Self-Adhesive...Med Sci Monit In Press; DOI: 10.12659/MSM.943353
Clinical Research
Undiagnosed and Untreated Peripheral Complications of Diabetes: Findings from a Pilot Study on Diabetes-Rel...Med Sci Monit In Press; DOI: 10.12659/MSM.944239
Laboratory Research
Molecular Prevalence and Geographical Variations of Carbapenem-Resistant Klebsiella pneumoniae ST15 Isolate...Med Sci Monit In Press; DOI: 10.12659/MSM.943596
Review article
Autism Spectrum Disorders: Etiology, Epidemiology, and Challenges for Public HealthMed Sci Monit In Press; DOI: 10.12659/MSM.944161
Most Viewed Current Articles
14 Dec 2022 : Clinical Research
Prevalence and Variability of Allergen-Specific Immunoglobulin E in Patients with Elevated Tryptase LevelsDOI :10.12659/MSM.937990
Med Sci Monit 2022; 28:e937990
17 Jan 2024 : Review article
Vaccination Guidelines for Pregnant Women: Addressing COVID-19 and the Omicron VariantDOI :10.12659/MSM.942799
Med Sci Monit 2024; 30:e942799
16 May 2023 : Clinical Research
Electrophysiological Testing for an Auditory Processing Disorder and Reading Performance in 54 School Stude...DOI :10.12659/MSM.940387
Med Sci Monit 2023; 29:e940387
01 Jan 2022 : Editorial
Editorial: Current Status of Oral Antiviral Drug Treatments for SARS-CoV-2 Infection in Non-Hospitalized Pa...DOI :10.12659/MSM.935952
Med Sci Monit 2022; 28:e935952