Frequency of symptomatic urolithiasis among patients who admitted in Shiraz hospitals
Social Determinants of Health,
Vol. 5 No. 2 (2019),
8 December 2019
,
Page 126-131
https://doi.org/10.22037/sdh.v5i2.25710
Abstract
Background: Urolithiasis is a common condition with a high recurrence rate associated with serious complications. Moreover, it imposes a great financial burden on the patients and healthcare system. We aimed to study the frequency of the patients admitted to Shiraz hospitals because of urinary stones.
Methods: In this study, the information of 1420 patients was collected during 2013 based on the consensus method. The collected information included age, sex, place, time and duration of admission, family history of diseases, the characteristics of urinary stones, and received treatments.
Results: The male-to-female ratio was 1.96:1 with mean±SD age of 47.5±17.3 years. Most of the patients were 40-60 years old. The incidence rate of urolithiasis ranged from 22.2% to 27.8% in different seasons (P>0.05). Mean duration of hospital admissions was 3.8±3.3 days and 37.7% of the patients had another associated medical disease. The most stones were located in the kidney (49.2%) and the ureter (39.4%). Composition of 70.8% of pure stones was calcium oxalate and 18.7% were stag-horn type. Hematuria was the most prominent paraclinical finding (78.3%), and the most used method of treatment was lithotripsy procedures (72%) and 11.1% of the patients underwent open surgery.
Conclusion: Based on the current research, a significant percentage of the patients had urinary stones that highlight the role of effective treatment and follow-up.
- Female
- Hospitals
- Patients
- Urolithiasis
How to Cite
References
Romero V, Akpinar H, Assimos DG. Kidney stones: a global picture of prevalence, incidence, and associated risk factors. Rev Urol. 2010;12(2-3):e86-e96.
Curhan GC. Epidemiology of stone disease. Urologic Clinics of North America. 2007;34(3):287-93.
Safarinejad MR. Adult urolithiasis in a population-based study in Iran: prevalence, incidence, and associated risk factors. Urological research. 2007;35(2):73-82.
Basiri A, Shakhssalim N, Khoshdel AR, Ghahestani SM, Basiri H. The demographic profile of urolithiasis in Iran: a nationwide epidemiologic study. International urology and nephrology. 2010;42(1):119-26.
Trinchieri A. Epidemiology of urolithiasis: an update. Clinical cases in mineral and bone metabolism. 2008;5(2):101-6.
Masterson JH, Woo JR, Chang DC, Chi T, James O, Stoller ML, et al. Dyslipidemia is associated with an increased risk of nephrolithiasis. Urolithiasis. 2015;43(1):49-53.
Obligado SH, Goldfarb DS. The association of nephrolithiasis with hypertension and obesity: a review. American journal of hypertension. 2008;21(3):257-64.
Inci K, Sahin A, Islamoglu E, Eren MT, Bakkaloglu M, Ozen H. Prospective long-term followup of patients with asymptomatic lower pole caliceal stones. The Journal of urology. 2007;177(6):2189-92.
Uribarri J, Oh MS, Carroll HJ. The first kidney stone. Annals of internal medicine. 1989;111(12):1006-9.
Fink HA, Wilt TJ, Eidman KE, Garimella PS, MacDonald R, Rutks IR, et al. Medical management to prevent recurrent nephrolithiasis in adults: a systematic review for an American College of Physicians Clinical Guideline. Annals of internal medicine. 2013;158(7):535-43.
Keddis MT, Rule AD. Nephrolithiasis and loss of kidney function. Current opinion in nephrology and hypertension. 2013;22(4):390.
Liu S-P, Chung S-D, Lin H-C. A population-based study on the association between urinary calculi and kidney cancer. Canadian Urological Association Journal. 2013;7(11-12):716-21.
Chung S-D, Liu S-P, Lin H-C. Association between prostate cancer and urinary calculi: a population-based study. PloS one. 2013;8(2):e57743.
Hall PM. Nephrolithiasis: treatment, causes, and prevention. Cleveland Clinic journal of medicine. 2009;76(10):583-91.
Saigal CS, Joyce G, Timilsina AR, Project UDiA. Direct and indirect costs of nephrolithiasis in an employed population: opportunity for disease management? Kidney international. 2005;68(4):1808-14.
Lotan Y. Economics and cost of care of stone disease. Advances in chronic kidney disease. 2009;16(1):5-10.
Trinchieri A. Epidemiology of urolithiasis. Archivio italiano di urologia, andrologia: organo ufficiale [di] Societa italiana di ecografia urologica e nefrologica/Associazione ricerche in urologia. 1996;68(4):203-49.
Amato M, Lusini M, Nelli F. Epidemiology of nephrolithiasis today. Urologia internationalis. 2004;72(Suppl. 1):1-5.
Stamatelou KK, Francis ME, Jones CA, Nyberg LM, Curhan GC. Time trends in reported prevalence of kidney stones in the United States: 1976–19941. Kidney international. 2003;63(5):1817-23.
Ketabchi AA, Aziziolahi GA. Prevalence of symptomatic urinary calculi in Kerman, Iran. Urology journal. 2008;5(3):156-60.
Moudi E, Hosseini SR, Bijani A. Nephrolithiasis in elderly population; effect of demographic characteristics. Journal of nephropathology. 2017;6(2):63.
Emami-Naini A, Eshraghi A, Shahidi S, Mortazavi M, Seyrafian S, Roomizadeh P, et al. Metabolic evaluation in patients with nephrolithiasis: A report from Isfahan, Iran. Advanced biomedical research. 2012;1(1):65.
Hosseini MM, Eshraghian A, Dehghanian I, Irani D, Amini M. Metabolic abnormalities in patients with nephrolithiasis: comparison of first-episode with recurrent cases in Southern Iran. International urology and nephrology. 2010;42(1):127-31.
Nouri-Majalan N, Baghianimoghadam B, Amiri N, Moghaddasi-Moosavi S. Metabolic abnormalities in patients with recurrent stone formation in a hot territory. Bratisl Lek Listy. 2010;111(2):79-82.
Manglaviti G, Tresoldi S, Guerrer CS, Di Leo G, Montanari E, Sardanelli F, et al. In vivo evaluation of the chemical composition of urinary stones using dual-energy CT. American Journal of Roentgenology. 2011;197(1):W76-W83.
Afaj AH, Sultan MA. Mineralogical composition of the urinary stones from different provinces in Iraq. The Scientific World Journal. 2005;5:24-38.
Hosseini MM, Shakeri S, Manaheji F, Aminsharifi A, Ezatzadegan S, Pakfetrat M, et al. Stone composition in patients who undergo renal stone surgery: review of 423 stone analyses in Southern Iran. Iranian journal of medical sciences. 2013;39(1):75-6.
Basiri A, Taheri M, Taheri F. What is the state of the stone analysis techniques in urolithiasis? Urology journal. 2012;9(2):445.
Ahmadi F, Etemadi SM, Lessan‐Pezeshki M, Mahdavi‐Mazdeh M, Ayati M, Mir A, et al. Contribution of stone size to chronic kidney disease in kidney stone formers. International Journal of Urology. 2015;22(1):104-8.
Shafi H, Moazzami B, Pourghasem M, Kasaeian A. An overview of Treatment options for urinary stones. Caspian journal of internal medicine. 2016;7(1):1.
- Abstract Viewed: 141 times
- PDF Downloaded: 66 times