The Post-Ureteroscopic Lesion Scale (PULS): a multicenter video-based evaluation of inter-rater reliability

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• 作者：Martin Schoenthaler (1)
  Noor Buchholz (2)
  Erik Farin (3)
  Hammad Ather (4)
  Christian Bach (2)
  Thorsten Bach (5)
  John D. Denstedt (6)
  Hans-Martin Fritsche (7)
  Michael Grasso (8)
  Oliver W. Hakenberg (9)
  Ralf Herwig (10)
  Thomas Knoll (11)
  Franklin Emmanuel Kuehhas (10)
  Evangelos Liatsikos (12)
  Peter Liske (13)
  Michael Marberger (10)
  Palle J. S. Osther (14)
  José Manuel Reis Santos (15)
  Kemal Sarica (16)
  Christian Seitz (17)
  Michael Straub (18)
  Olivier Traxer (19)
  Alberto Trinchieri (20)
  Ben Turney (21)
  Arkadiusz Miernik (1)
  
• 关键词：Ureter ; Ureteroscopy ; Lesion ; Injury ; Complication ; Classification ; Inter ; rater reliability
• 刊名：World Journal of Urology
• 出版年：2014
• 出版时间：August 2014
• 年：2014
• 卷：32
• 期：4
• 页码：1033-1040
• 全文大小：6,275 KB
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  17. Traxer O, Thomas A (2013) Prospective evaluation and classification of ureteral wall injuries resulting from insertion of a ureteral access sheath during retrograde intrarenal surgery. J Urol 189(2):580-84 p://dx.doi.org/10.1016/j.juro.2012.08.197" target="_blank" title="It opens in new window">CrossRef
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• 作者单位：Martin Schoenthaler (1)
  Noor Buchholz (2)
  Erik Farin (3)
  Hammad Ather (4)
  Christian Bach (2)
  Thorsten Bach (5)
  John D. Denstedt (6)
  Hans-Martin Fritsche (7)
  Michael Grasso (8)
  Oliver W. Hakenberg (9)
  Ralf Herwig (10)
  Thomas Knoll (11)
  Franklin Emmanuel Kuehhas (10)
  Evangelos Liatsikos (12)
  Peter Liske (13)
  Michael Marberger (10)
  Palle J. S. Osther (14)
  José Manuel Reis Santos (15)
  Kemal Sarica (16)
  Christian Seitz (17)
  Michael Straub (18)
  Olivier Traxer (19)
  Alberto Trinchieri (20)
  Ben Turney (21)
  Arkadiusz Miernik (1)
  
  1. Department of Urology, University Medical Center, Hugstetterstr. 55, 79106, Freiburg, Germany
  2. Endourology and Stone Services, Department of Urology, Bartshealth NHS Trust, The Royal London Hospital, London, E1 1BB, UK
  3. Department of Quality Management and Social Medicine, University Medical Centre Freiburg, Breisacher Stra?e 62, Haus 4, 79106, Freiburg, Germany
  4. Department of Surgery and Urology, AGA Khan University Hospital, Stadium Road, PO Box 3500, Karachi, 74800, Pakistan
  5. Urologisches Zentrum Hamburg, Asklepios Klinik Harburg, Ei?endorfer Pferdeweg 52, 21075, Hamburg, Germany
  6. Department of Urology, St Joseph’s Hospital, Western University, 268 Grosvenor St., London, ON, N6A 4V2, Canada
  7. Department of Urology, Caritas-Hospital St. Josef, University of Regensburg, Postfach 10 06 45, 93006, Regensburg, Germany
  8. Department of Urology, Lenox Hill Hospital, 100 East 77th Street, 4 East building, New York, NY, 10075, USA
  9. Department of Urology, University Hospital Rostock, Ernst-Heydemann-Strasse 6, Postfach 100888, 18055, Rostock, Germany
  10. Department of Urology, Medical University of Vienna, W?hringer Gürtel 18-20, 1090, Vienna, Austria
  11. Department of Urology, Sindelfingen-B?blingen Medical Center, University of Tübingen, Arthur-Gruberstrasse 70, 71065, Sindelfingen, Germany
  12. Department of Urology, University of Patras Medical School, 26 500, Rio, Patras, Greece
  13. Department of Urology, Siloah St. Trudpert Hospital, Wilferdingerstr. 67, 75179, Pforzheim, Germany
  14. Department of Urology, Hospital Littlebelt, Fredericia, Urological Research Center (URS), University of Southern Denmark, Dronningensgade 97, 7000, Fredericia, Denmark
  15. Department of Urology, Universidade Católica Portuguesa, Palma de Cima, 1649-023, Lisbon, Portugal
  16. Department of Urology, Yeditepe University Medical School, Soguksu Mah. Karslilar Sokak, Bogazgoren sitesi, 2. Kisim 1. Blok No:9 Pasabahce, 34800, Istanbul, Turkey
  17. Department of Urology, Teaching Hospital of the Medical University of Vienna, St. John of God Hospital, Johannes von Gott Platz 1, 1020, Vienna, Austria
  18. Department of Urology, Klinikum rechts der Isar, Technische Universit?t München, Johannes von Gott Platz 1, 81675, Munich, Germany
  19. Department of Urology, Tenon University Hospital, 4 Rue de la Chine, 75970, Paris, France
  20. Department of Urology, Ospedale Manzoni Lecco, via deii’Eremo 9/11, 23900, Lecco, Italy
  21. Department of Urology, Nuffield Department of Surgical Sciences, The Churchill Hospital, University of Oxford, Oxford, OX3 7LJ, UK
  
• ISSN：1433-8726

文摘

Purpose The Post-Ureteroscopic Lesion Scale (PULS) offers a simple grading system for the description of ureteral lesions after ureteroscopy. In this article, we present the results of a video-based multicenter evaluation of the inter-rater reliability of clinically important PULS grades 0-. Methods Video sequences at the end of ureteroscopy (final passage) were recorded for 100 consecutive patients at a single institution and assessed by experienced urologists (n?=?20) and senior residents (n?=?17) at 19 international centers. The cohort included only patients with lesions grades 0- (with grades 2 and 3 subsumed as 2?+?since distinction is defined by an extravasation of contrast medium in fluoroscopy). The gradings were evaluated for inter-rater reliability and in terms of simplicity, validity, comprehensibility, reproducibility, and usefulness. Results Overall, inter-rater reliability was high (Kendall’s?W?=?0.69, p?W?=?0.69, p?W?=?0.71, p? Conclusions Inter-rater reliability of the endoscopically assessable PULS was high among urologists with different levels of experience in different countries worldwide. The validated PULS system may be used for standardized reporting of ureteral lesions/injuries after ureteroscopy. In addition, PULS will enable more selective standardization of indications for postoperative DJ stenting based on the randomized controlled trials.