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01-12-2023 | Shock | Research

The effect of bioelectric impedance analysis on the success of extracorporeal shock wave lithotripsy

Authors: Ferhat Keser, Meftun Culpan, Mehmet Caglar Cakici, Ramazan Gokhan Atis, Asif Yildirim

Published in: Urolithiasis | Issue 1/2023

Abstract

Bioelectric impedance analysis (BIA) is a non-invasive method that can show the distribution of fatty and lean mass of the body. In this study, we aimed to determine the effect of BIA on extracorporeal shock wave lithotripsy (SWL) success. Our secondary aim was to determine the factors predicting transition from a single SWL session to multiple sessions. Patients who underwent SWL due to kidney stones were prospectively included. Demographics, pre-procedural BIA parameters (fat percentage, obesity degree, muscle mass, total water and metabolic rate), stone parameters, and number of SWL sessions were recorded. Univariate and multivariate regression analyzes were made to determine independent risk factors for success. Then, the successful group was divided into two subgroups according to their SWL session number as one session or multiple sessions and multivariate regression analysis was made to determine independent risk factors. Stone-free status was achieved in 114 (61.2%) of 186 patients. Stone Hounsfield Unit (HU) (OR: 0.998, p = 0.004), stone volume (OR: 0.999, p = 0.023) and fat percentage (OR: 0.933, p = 0.001) were independent risk factors for stone-free status in multivariate analysis. HU value of the stone (OR: 1.003, p = 0.005) and age (OR: 1.032, p = 0.031) were determined as independent risk factors for transition to multiple sessions in the subgroup analysis of the successful group. Fat percentage, stone volume, and stone density were determined as factors affecting success in SWL. Routine use of BIA may be considered to predict success before SWL. The probability of SWL success in a single session decreases as the age and stone’s HU value increase.

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Saigal CS, Joyce G, Timilsina AR, Urologic Diseases in America Project (2005) Direct and indirect costs of nephrolithiasis in an employed population: opportunity for disease management? Kidney Int 68(4):1808–1814. https://doi.org/10.1111/j.1523-1755.2005.00599.xCrossRefPubMed

Pearle MS, Calhoun EA, Curhan GC, Urologic Diseases of America Project (2005) Urolithiasis. J Urol 173(3):848–857. https://doi.org/10.1097/01.ju.0000152082.14384.d7CrossRefPubMed

EAU Guidelines (2022) Edn. presented at the EAU Annual Congress Amsterdam, ISBN 978–94–92671–16–5

Dede O, Şener NC, Baş O, Dede G, Bağbancı MŞ (2015) Does morbid obesity influence the success and complication rates of extracorporeal shockwave lithotripsy for upper ureteral stones? Turk J Urol 41(1):20–23. https://doi.org/10.5152/tud.2015.94824CrossRefPubMedPubMedCentral

Pareek G, Armenakas NA, Panagopoulos G, Bruno JJ, Fracchia JA (2005) Extracorporeal shock wave lithotripsy success based on body mass index and Hounsfield units. Urology 65(1):33–36. https://doi.org/10.1016/j.urology.2004.08.004CrossRefPubMed

Pareek G, Hedican SP, Lee FT, Nakada SY (2005) Shock wave lithotripsy success determined by skin-to-stone distance on computed tomography. Urology 66(5):941–944. https://doi.org/10.1016/j.urology.2005.05.011CrossRefPubMed

Pricop C, Radavoi GD, Puia D, Vechiu C, Jinga V (2019) Obesity: a delicate issue choosing the eswl treatment for patients with kidney and ureteral stones? Acta Endocrinol (Buchar) 15(1):133–138. https://doi.org/10.4183/aeb.2019.133CrossRef

Wiesenthal JD, Ghiculete D, D’A Honey RJ, Pace KT, (2010) Evaluating the importance of mean stone density and skin-to-stone distance in predicting successful shock wave lithotripsy of renal and ureteric calculi. Urol Res 38(4):307–313. https://doi.org/10.1007/s00240-010-0295-0CrossRefPubMed

Perks AE, Schuler TD, Lee J, Ghiculete D, Chung DG, D’A Honey RJ, (2008) Stone attenuation and skin-to-stone distance on computed tomography predicts for stone fragmentation by shock wave lithotripsy. Urology 72(4):765–769. https://doi.org/10.1016/j.urology.2008.05.046CrossRefPubMed

10.

Graversen JA, Korets R, Hruby GW, Valderrama OM, Mues AC, Katsumi HK, Cortes JA, Landman J, Gupta M (2011) Evaluation of bioimpedance as novel predictor of extracorporeal shockwave lithotripsy success. J Endourol 25(9):1503–1506. https://doi.org/10.1089/end.2010.0687CrossRefPubMed

11.

Tran TY, McGillen K, Cone EB, Pareek G (2015) Triple D score is a reportable predictor of shockwave lithotripsy stone-free rates. J Endourol 29(2):226–230. https://doi.org/10.1089/end.2014.0212CrossRefPubMed

12.

Lee HY, Yang YH, Lee YL, Shen JT, Jang MY, Shih PM, Wu WJ, Chou YH, Juan YS (2015) Noncontrast computed tomography factors that predict the renal stone outcome after shock wave lithotripsy. Clin Imagin 39(5):845–850. https://doi.org/10.1016/j.clinimag.2015.04.010CrossRef

13.

Shinde S, Al Balushi Y, Hossny M, Jose S, Al Busaidy S (2018) Factors affecting the outcome of extracorporeal shockwave lithotripsy in urinary stone treatment. Oman Med J 33(3):209–217. https://doi.org/10.5001/omj.2018.39CrossRefPubMedPubMedCentral

14.

Akay AF, Gedik A, Tutus A, Sahin H, Bircan MK (2007) Body mass index, body fat percentage, and the effect of body fat mass on SWL success. Int Urol Nephrol 39(3):727–730. https://doi.org/10.1007/s11255-006-9133-2CrossRefPubMed

15.

Park HS, Gong MK, Yoon CY, du Moon G, Cheon J, Choi YD (2016) Computed tomography-based novel prediction model for the outcome of shockwave lithotripsy in proximal ureteral stones. J Endourol 30(7):810–816. https://doi.org/10.1089/end.2016.0056CrossRefPubMed

16.

Hammad FT, Balakrishnan A (2010) The effect of fat and nonfat components of the skin-to-stone distance on shockwave lithotripsy outcome. J Endourol 24(11):1825–1829. https://doi.org/10.1089/end.2009.0685CrossRefPubMed

17.

Nakasato T, Morita J, Ogawa Y (2015) Evaluation of hounsfield units as a predictive factor for the outcome of extracorporeal shock wave lithotripsy and stone composition. Urolithiasis 43(1):69–75. https://doi.org/10.1007/s00240-014-0712-xCrossRefPubMed

18.

Smith AD, Badlani GH, Preminger G, Kavoussi LR (2012) Smith’s textbook of Endourology. Blackwell, LondonCrossRef

19.

Kirsch MJ, Kohli MW, Long KL, Pitt SC, Schneider DF, Sippel RS, Dedhia PH (2020) Utility of the 10 hounsfield unit threshold for identifying adrenal adenomas: can we improve? Am J Surg 220(4):920–924. https://doi.org/10.1016/j.amjsurg.2020.04.021CrossRefPubMedPubMedCentral

20.

Boeri L, Fulgheri I, Palmisano F, Lievore E, Lorusso V, Ripa F, D’Amico M, Spinelli MG, Salonia A, Carrafiello G, Montanari E (2020) Hounsfield unit attenuation value can differentiate pyonephrosis from hydronephrosis and predict septic complications in patients with obstructive uropathy. Sci Rep 10(1):18546. https://doi.org/10.1038/s41598-020-75672-8CrossRefPubMedPubMedCentral

21.

Pavlidis T (1982) Algorithms for graphics and image processing. Springer, Berlin. https://doi.org/10.1007/978-3-642-93208-3_2CrossRef

22.

Gupta NP, Ansari MS, Kesarvani P, Kapoor A, Mukhopadhyay S (2005) Role of computed tomography with no contrast medium enhancement in predicting the outcome of extracorporeal shock wave lithotripsy for urinary calculi. BJU Int 95(9):1285–1288. https://doi.org/10.1111/j.1464-410X.2005.05520.xCrossRefPubMed

23.

Kocaoğlu C, Soran M, Kocaoğlu Ç, Onen A (2017) Factors affecting the number of shock wave lithotripsy session in children with renal stones: are age and radiolucency the predictors of success? Erciyes Med J 39(2):67–71. https://doi.org/10.5152/etd.2017.16126CrossRef

Title: The effect of bioelectric impedance analysis on the success of extracorporeal shock wave lithotripsy
Authors: Ferhat Keser
Meftun Culpan
Mehmet Caglar Cakici
Ramazan Gokhan Atis
Asif Yildirim
Publication date: 01-12-2023
Publisher: Springer Berlin Heidelberg
Keywords: Shock
Shock
Published in: Urolithiasis / Issue 1/2023
Print ISSN: 2194-7228
Electronic ISSN: 2194-7236
DOI: https://doi.org/10.1007/s00240-023-01465-z

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The effect of bioelectric impedance analysis on the success of extracorporeal shock wave lithotripsy

Abstract

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