Klinik Araştırma
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Yerli Popülasyon ve Mülteciler Arası Perkütan Nefrolitotomi Sonuçlarının ve Etkileyen Olası Faktörlerin Değerlendirilmesi

Yıl 2022, Cilt: 4 Sayı: 3, 98 - 103, 29.10.2022
https://doi.org/10.52827/hititmedj.1132890

Öz

Amaç: Ülkelerindeki mevcut gelişmeler nedeniyle beş milyondan fazla mülteci Türkiye’ye göç etmiştir. Mülteci nüfusundaki dil sorunları, kayıt dışı mülteci sayısının fazlalığı, ekonomik nedenler ve işsizlik kaliteli sağlık hizmeti almalarını zorlaştırmakta ve hastaların daha komplike hastalıklarla hastaneye başvurmasına neden olabilmektedir. Bu çalışmada, perkütan nefrolitotomi (PNL) uygulanan yerel popülasyon ile mülteci hastalar arasındaki cerrahi sonuçlar ve komplikasyonların değerlendirmesi amaçlanmıştır.
Gereç ve Yöntemler: İki farklı sağlık merkezinde 1 Ocak 2018 ile 31 Aralık 2019 tarihleri arasında PNL uygulanan hastalar retrospektif olarak değerlendirildi. Hastalar "Yerel Nüfus" ve "Mülteciler" olarak iki gruba ayrılarak birbirleriyle karşılaştırıldı.
Bulgular: Mülteci nüfusunda taş yükü yerel popülasyona göre önemli ölçüde daha yüksekti (466.8 mm2 & 1107.4 mm2, p<0.01). Floroskopi ve operasyon süresi, nefrostomi tüpünün çıkarılmasına kadar geçen süre ve hastaneye yatış süresi açısından değerlendirildiğinde, yerel popülasyondaki hastalar anlamlı olarak daha düşük değerlere sahipti.
Sonuç: Mülteci hasta grubunda böbrek taşlarının boyutu ve taş yükünün daha fazla olduğu ve başarı oranının anlamlı olarak daha düşük olduğu gözlendi.

Kaynakça

  • 1. Sorokin I, Mamoulakis C, Miyazawa K, Rodgers A, Talati J, Lotan Y. Epidemiology of stone disease across the world. World J Urol. 2017;35(9):1301-20.
  • 2. Menon M. Urinary lithiasis: Etiology diagnosis and medical management campbell's urology. Campbell's Urology. 2005;4:3229-89.
  • 3. Türk C, Neisius A, Petřík A. EAU Guidelines on Urolithiasis. Edn. presented at the EAU Annual Congress Amsterdam 2020. Publisher: EAU Guidelines Office Place published: Arnhem, The Netherlands. 2020.
  • 4. Wright A, Rukin N, Smith D, De la Rosette J, Somani BK. ‘Mini, ultra, micro’–nomenclature and cost of these new minimally invasive percutaneous nephrolithotomy (PCNL) techniques. Therapeutic advances in urology. 2016;8(2):142-6.
  • 5. Giusti G, Piccinelli A, Taverna G, Benetti A, Pasini L, Corinti M, et al. Miniperc? No, thank you! Eur Urol. 2007;51(3):810-4; discussion 5.
  • 6. Skolarikos A, de la Rosette J. Prevention and treatment of complications following percutaneous nephrolithotomy. Curr Opin Urol. 2008;18(2):229-34.
  • 7. Oguz U, Resorlu B, Bayindir M, Sahin T, Bozkurt OF, Unsal A. Emergent intervention criterias for controlling sever bleeding after percutaneous nephrolithotomy. ISRN Urol. 2013;2013:760272.
  • 8. Toksoz S, Dirim A, Kizilkan Y, Ozkardes H. The effect of American Society of Anesthesiology scores on percutaneous nephrolithotomy outcomes. Urol Int. 2012;89(3):301-6.
  • 9. Raman JD, Bagrodia A, Gupta A, Bensalah K, Cadeddu JA, Lotan Y, et al. Natural history of residual fragments following percutaneous nephrostolithotomy. J Urol. 2009;181(3):1163-8.
  • 10. Park J, Hong B, Park T, Park HK. Effectiveness of noncontrast computed tomography in evaluation of residual stones after percutaneous nephrolithotomy. J Endourol. 2007;21(7):684-7.
  • 11. Margel D, Lifshitz DA, Kugel V, Dorfmann D, Lask D, Livne PM. Percutaneous nephrolithotomy in patients who previously underwent open nephrolithotomy. J Endourol. 2005;19(10):1161-4.
  • 12. Sofikerim M, Şahin A, Akdoğan B, Ekici S, Atsü N, Özgen S. Perkütan Nefrolitotomi: 500 renal ünite sonuçlarımız. Üroloji Bülteni. 2004;13:25-9.
  • 13. MÜSLÜMANOĞLU AY, TEFEKLİ A, TAŞ A, ÇAKIR T, SARILAR Ö. Öğrenme eğrisinde ilk 100 perkütan nefrolitotomi olgusunun analizi. Türk Üroloji Dergisi/Turkish Journal of Urology. 2004;30(3):339-47.
  • 14. Martin X, Tajra LC, Gelet A, Dawahra M, Konan PG, Dubernard JM. Complete staghorn stones: percutaneous approach using one or multiple percutaneous accesses. J Endourol. 1999;13(5):367-8.
  • 15. Aron M, Yadav R, Goel R, Kolla SB, Gautam G, Hemal AK, et al. Multi-tract percutaneous nephrolithotomy for large complete staghorn calculi. Urol Int. 2005;75(4):327-32.
  • 16. Skolarikos A, Alivizatos G, de la Rosette JJ. Percutaneous nephrolithotomy and its legacy. Eur Urol. 2005;47(1):22-8.
  • 17. Basiri A, Karrami H, Moghaddam SM, Shadpour P. Percutaneous nephrolithotomy in patients with or without a history of open nephrolithotomy. J Endourol. 2003;17(4):213-6.
  • 18. Tugcu V, Su FE, Kalfazade N, Sahin S, Ozbay B, Tasci AI. Percutaneous nephrolithotomy (PCNL) in patients with previous open stone surgery. Int Urol Nephrol. 2008;40(4):881-4.
  • 19. Toksöz S. Transurethral Resection of the Bladder Tumor Success Rates of Surgeons and Possible Causes of Differences Between Locals and Refugees. Bull Urooncol. 2019;18:51-4.
  • 20. Çitlak G, Yurtteri ME, Soytaş Y, Yüksel S, Dincer M, Ferlengez E. Does being a refugee affect prognosis in patients who underwent surgery due to peptic ulcer perforation? Ulus Travma Acil Cerrahi Derg. 2020;26(5):713-8.
  • 21. Carlsson J, Sonne C, Vindbjerg E, Mortensen EL. Stress management versus cognitive restructuring in trauma-affected refugees-A pragmatic randomised study. Psychiatry Res. 2018;266:116-23.
  • 22. Sahin M, Öztürk S, Mert TI, Durmuş G, Can MM. Coronary artery bypass surgery in Syrian refugees. Outcomes in a Turkish tertiary center. Saudi Med J. 2018;39(8):781-6.

Evaluation of Percutaneous Nephrolithotomy Results and Their Potential Factors Among Local Population and Refugees

Yıl 2022, Cilt: 4 Sayı: 3, 98 - 103, 29.10.2022
https://doi.org/10.52827/hititmedj.1132890

Öz

Objective: Over five million refugees have been migrated to Turkey due to the current developments there. Language problems, high number of unregistered refugees, economic reasons, and unemployment in the refugee population makes it difficult for them to receive quality health care and may cause patients to apply to the hospital with more complicated diseases. This study aimed to evaluate surgical results and complications between the local population and refugee patients who underwent percutaneous nephrolithotomy (PNL).
Methods: We retrospectively evaluated who underwent PNL in two different healthcare centers between January 1, 2018 and December 31, 2019. The patients were divided into two groups as "Local Population" and "Refugees" and were compared with each other.
Results: The stone burden was significantly higher in refugee population (466.8 mm2 & 1107.4 mm2, p<0.01). On evaluation of time in terms of fluoroscopy, operation, period until the removal of nephrostomy tube, and hospitalization, the patients of local population had significantly lower values.
Conclusion: The size of kidney stones and stone burden were observed to be larger and the success rate was significantly lower in the refugee patient group.

Kaynakça

  • 1. Sorokin I, Mamoulakis C, Miyazawa K, Rodgers A, Talati J, Lotan Y. Epidemiology of stone disease across the world. World J Urol. 2017;35(9):1301-20.
  • 2. Menon M. Urinary lithiasis: Etiology diagnosis and medical management campbell's urology. Campbell's Urology. 2005;4:3229-89.
  • 3. Türk C, Neisius A, Petřík A. EAU Guidelines on Urolithiasis. Edn. presented at the EAU Annual Congress Amsterdam 2020. Publisher: EAU Guidelines Office Place published: Arnhem, The Netherlands. 2020.
  • 4. Wright A, Rukin N, Smith D, De la Rosette J, Somani BK. ‘Mini, ultra, micro’–nomenclature and cost of these new minimally invasive percutaneous nephrolithotomy (PCNL) techniques. Therapeutic advances in urology. 2016;8(2):142-6.
  • 5. Giusti G, Piccinelli A, Taverna G, Benetti A, Pasini L, Corinti M, et al. Miniperc? No, thank you! Eur Urol. 2007;51(3):810-4; discussion 5.
  • 6. Skolarikos A, de la Rosette J. Prevention and treatment of complications following percutaneous nephrolithotomy. Curr Opin Urol. 2008;18(2):229-34.
  • 7. Oguz U, Resorlu B, Bayindir M, Sahin T, Bozkurt OF, Unsal A. Emergent intervention criterias for controlling sever bleeding after percutaneous nephrolithotomy. ISRN Urol. 2013;2013:760272.
  • 8. Toksoz S, Dirim A, Kizilkan Y, Ozkardes H. The effect of American Society of Anesthesiology scores on percutaneous nephrolithotomy outcomes. Urol Int. 2012;89(3):301-6.
  • 9. Raman JD, Bagrodia A, Gupta A, Bensalah K, Cadeddu JA, Lotan Y, et al. Natural history of residual fragments following percutaneous nephrostolithotomy. J Urol. 2009;181(3):1163-8.
  • 10. Park J, Hong B, Park T, Park HK. Effectiveness of noncontrast computed tomography in evaluation of residual stones after percutaneous nephrolithotomy. J Endourol. 2007;21(7):684-7.
  • 11. Margel D, Lifshitz DA, Kugel V, Dorfmann D, Lask D, Livne PM. Percutaneous nephrolithotomy in patients who previously underwent open nephrolithotomy. J Endourol. 2005;19(10):1161-4.
  • 12. Sofikerim M, Şahin A, Akdoğan B, Ekici S, Atsü N, Özgen S. Perkütan Nefrolitotomi: 500 renal ünite sonuçlarımız. Üroloji Bülteni. 2004;13:25-9.
  • 13. MÜSLÜMANOĞLU AY, TEFEKLİ A, TAŞ A, ÇAKIR T, SARILAR Ö. Öğrenme eğrisinde ilk 100 perkütan nefrolitotomi olgusunun analizi. Türk Üroloji Dergisi/Turkish Journal of Urology. 2004;30(3):339-47.
  • 14. Martin X, Tajra LC, Gelet A, Dawahra M, Konan PG, Dubernard JM. Complete staghorn stones: percutaneous approach using one or multiple percutaneous accesses. J Endourol. 1999;13(5):367-8.
  • 15. Aron M, Yadav R, Goel R, Kolla SB, Gautam G, Hemal AK, et al. Multi-tract percutaneous nephrolithotomy for large complete staghorn calculi. Urol Int. 2005;75(4):327-32.
  • 16. Skolarikos A, Alivizatos G, de la Rosette JJ. Percutaneous nephrolithotomy and its legacy. Eur Urol. 2005;47(1):22-8.
  • 17. Basiri A, Karrami H, Moghaddam SM, Shadpour P. Percutaneous nephrolithotomy in patients with or without a history of open nephrolithotomy. J Endourol. 2003;17(4):213-6.
  • 18. Tugcu V, Su FE, Kalfazade N, Sahin S, Ozbay B, Tasci AI. Percutaneous nephrolithotomy (PCNL) in patients with previous open stone surgery. Int Urol Nephrol. 2008;40(4):881-4.
  • 19. Toksöz S. Transurethral Resection of the Bladder Tumor Success Rates of Surgeons and Possible Causes of Differences Between Locals and Refugees. Bull Urooncol. 2019;18:51-4.
  • 20. Çitlak G, Yurtteri ME, Soytaş Y, Yüksel S, Dincer M, Ferlengez E. Does being a refugee affect prognosis in patients who underwent surgery due to peptic ulcer perforation? Ulus Travma Acil Cerrahi Derg. 2020;26(5):713-8.
  • 21. Carlsson J, Sonne C, Vindbjerg E, Mortensen EL. Stress management versus cognitive restructuring in trauma-affected refugees-A pragmatic randomised study. Psychiatry Res. 2018;266:116-23.
  • 22. Sahin M, Öztürk S, Mert TI, Durmuş G, Can MM. Coronary artery bypass surgery in Syrian refugees. Outcomes in a Turkish tertiary center. Saudi Med J. 2018;39(8):781-6.
Toplam 22 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Araştırma Makaleleri
Yazarlar

Mesut Berkan Duran 0000-0002-8597-2081

Yalçın Kızılkan 0000-0002-4729-0100

Taha Numan Yıkılmaz 0000-0001-8410-2474

Murat Demiray 0000-0002-8176-3573

Abdulmecit Yavuz 0000-0001-6141-3931

Soner Akcin 0000-0002-8344-8892

Serdar Toksöz 0000-0002-2649-1157

Yayımlanma Tarihi 29 Ekim 2022
Gönderilme Tarihi 19 Haziran 2022
Kabul Tarihi 6 Eylül 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 4 Sayı: 3

Kaynak Göster

AMA Duran MB, Kızılkan Y, Yıkılmaz TN, Demiray M, Yavuz A, Akcin S, Toksöz S. Evaluation of Percutaneous Nephrolithotomy Results and Their Potential Factors Among Local Population and Refugees. Hitit Medical Journal. Ekim 2022;4(3):98-103. doi:10.52827/hititmedj.1132890