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[Clinico-epidemiologic study of urolithiasis in a Caribbean urban area].

Abstract

Urolithiasis is a common clinical disorder. Its frequency has risen with the development of humanity and varies wirl the country, geographic area, etc. It poses health problems in most countries. The urolithiasis has some potential risk factors such as intrinsic and extrinsic epidemiological, metabolic, physic-chemistry of the urine, mechanics and urinary infection. Our objective in this epidemiological study in a general population was to know the frequency, the potential risk factors, the morbidity, and social and economical impact of the urolithiasis in our subtropical Caribbean country. The prevalence was 4.64% and the annual incidence was 0.1%. Both are with in the estimated range of urolithiasis frequency in the world. It mainly started between 20 and 29 years in both genders. The white (5.2%) and the male (6.36%) patients were the most affected. 40% of all patients had a family history of urolithiasis. It was highly associated with diabetes mellitus, ischaemic cardiopathy, urinary tract infection and arterial hypertension. Stone formation was related to the warmer season. High calcium, protein-purine, carbohydrates and oxalic acid intake together with low fluid intake were closely associated with this disorder. 85% of patients had suffered renal colic and 75% of them more than once. Stone recurrence affected 33.8% of patients and 54.5% of them had more than one recurrence. Procedures for stone removal were needed in 33.8% of subjects. 40% of all patients were admitted to hospital due to urolithiasis morbidity. Non-specific medical treatment had been taken by 49.2% of the patients and specific treatment by none. Urolithiasis in this population was the some as has been reported in others studies. It has shown high frequency, increasing incidence, the same risks factors, high morbidity, and high social and economical impact. The low cost treatment is only taken by half of the patients.

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  • Authors+Show Affiliations

    ,

    Instituto de Nefrología, Ave 26 y Boyeros, Plaza La Habana 10600, Cuba. lreyes@infomed.sld.cu

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    Source

    MeSH

    Adolescent
    Adult
    Aged
    Aged, 80 and over
    Cross-Sectional Studies
    Cuba
    Female
    Humans
    Incidence
    Male
    Middle Aged
    Prevalence
    Urban Health
    Urinary Calculi

    Pub Type(s)

    English Abstract
    Journal Article

    Language

    spa

    PubMed ID

    12123123

    Citation

    Reyes, L, et al. "[Clinico-epidemiologic Study of Urolithiasis in a Caribbean Urban Area]." Nefrologia : Publicacion Oficial De La Sociedad Espanola Nefrologia, vol. 22, no. 3, 2002, pp. 239-44.
    Reyes L, Almaguer M, Castro T, et al. [Clinico-epidemiologic study of urolithiasis in a Caribbean urban area]. Nefrologia. 2002;22(3):239-44.
    Reyes, L., Almaguer, M., Castro, T., & Valdivia, J. (2002). [Clinico-epidemiologic study of urolithiasis in a Caribbean urban area]. Nefrologia : Publicacion Oficial De La Sociedad Espanola Nefrologia, 22(3), pp. 239-44.
    Reyes L, et al. [Clinico-epidemiologic Study of Urolithiasis in a Caribbean Urban Area]. Nefrologia. 2002;22(3):239-44. PubMed PMID: 12123123.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - [Clinico-epidemiologic study of urolithiasis in a Caribbean urban area]. AU - Reyes,L, AU - Almaguer,M, AU - Castro,T, AU - Valdivia,J, PY - 2002/7/19/pubmed PY - 2003/3/26/medline PY - 2002/7/19/entrez SP - 239 EP - 44 JF - Nefrologia : publicacion oficial de la Sociedad Espanola Nefrologia JO - Nefrologia VL - 22 IS - 3 N2 - Urolithiasis is a common clinical disorder. Its frequency has risen with the development of humanity and varies wirl the country, geographic area, etc. It poses health problems in most countries. The urolithiasis has some potential risk factors such as intrinsic and extrinsic epidemiological, metabolic, physic-chemistry of the urine, mechanics and urinary infection. Our objective in this epidemiological study in a general population was to know the frequency, the potential risk factors, the morbidity, and social and economical impact of the urolithiasis in our subtropical Caribbean country. The prevalence was 4.64% and the annual incidence was 0.1%. Both are with in the estimated range of urolithiasis frequency in the world. It mainly started between 20 and 29 years in both genders. The white (5.2%) and the male (6.36%) patients were the most affected. 40% of all patients had a family history of urolithiasis. It was highly associated with diabetes mellitus, ischaemic cardiopathy, urinary tract infection and arterial hypertension. Stone formation was related to the warmer season. High calcium, protein-purine, carbohydrates and oxalic acid intake together with low fluid intake were closely associated with this disorder. 85% of patients had suffered renal colic and 75% of them more than once. Stone recurrence affected 33.8% of patients and 54.5% of them had more than one recurrence. Procedures for stone removal were needed in 33.8% of subjects. 40% of all patients were admitted to hospital due to urolithiasis morbidity. Non-specific medical treatment had been taken by 49.2% of the patients and specific treatment by none. Urolithiasis in this population was the some as has been reported in others studies. It has shown high frequency, increasing incidence, the same risks factors, high morbidity, and high social and economical impact. The low cost treatment is only taken by half of the patients. SN - 0211-6995 UR - https://www.unboundmedicine.com/medline/citation/12123123/[Clinico_epidemiologic_study_of_urolithiasis_in_a_Caribbean_urban_area]_ L2 - http://www.revistanefrologia.com/es/linksolver/ft/ivp/0211-6995/22/239 DB - PRIME DP - Unbound Medicine ER -