TY - JOUR
AR - JSO-2020-5-102
TI - Is There an Association between the RENAL and PADUA Nephrometry Scores and the Trifecta and Pentafecta Achievement?
AU - Maria Peraire, Lores
AU - Jose Luis Bauza, Quetglas
AU - Laura Aizpiri, Antoñana
AU - Luis Ladaria, Sureda
AU - Carles Aliaga, Ayuni
AU - Iris Coello, Torà
AU - Valentí Tubau, Vidaña
AU - Ana Isabel Martínez, Moreno
AU - Enrique Pieras, Ayala
JO - Journal of Surgical Oncology
PY - 2020
DA - Mon 30, Nov 2020
SN - 2674-3000
DO - http://dx.doi.org/10.31487/j.JSO.2020.05.02
UR - https://www.sciencerepository.org/is-there-an-association-between-the-renal-and-padua-nephrometry_JSO-2020-5-102 
KW - Renal tumor, partial nephrectomy, trifecta, pentafecta
AB - Background: RENAL and PADUA scoring systems have been designed and validated as a method to assess
the complexity of renal masses and predict the risk of perioperative complications. We aimed to evaluate if
there is an association between RENAL and PADUA nephrometry scores with the Trifecta and Pentafecta
achievement.
Materials and Methods: We retrospectively analysed the data from 102 patients with renal cell carcinoma
who underwent partial nephrectomy from January 2011 to October 2018 at our institution. Radiological
characteristics of the renal masses were scored according to the RENAL and PADUA classification. Trifecta
and Pentafecta achievement were collected. We performed a descriptive analysis and used de χ2
test to
evaluate the relationship between PADUA and RENAL scores and Trifecta and Pentafecta achievement.
Result: Among 102 patients, the median tumor size was 2.7 cm (IQR 0.8-7.5), the median RENAL score
was 7 (IQR 4-11) and PADUA score 8 (IQR 6-14). The overall rate of postoperative complications was
21.6% (n=22). The rates of Trifecta and Pentafecta achievement were 50% (n=51/102) and 46.1%
(n=47/102), respectively. Trifecta and Pentafecta achievement were higher when the PADUA score was
≤10 (OR 3.62; IC95% (1.08-12.11); p=0.0317) and (OR 4.98; IC95% (1.32-18.7); p=0.0175), respectively.
Likewise, Trifecta and Pentafecta achievement were higher in patients with RENAL score ≤ 8 (OR 4.09;
IC95% (1.46-11.42); p=0.0072) and (OR 4.92; IC95% (1.66-14.51); p=0.0039), respectively.
Conclusion: There is an association between the RENAL and PADUA nephrometry scores and the Trifecta
and Pentafecta achievement.