We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Risk factors for recurrence in pediatric urinary stone disease.
- Authors
Demirtas, Ferhan; Çakar, Nilgün; Özçakar, Zeynep Birsin; Akıncı, Aykut; Burgu, Berk; Yalçınkaya, Fatoş
- Abstract
Background: Children's urinary system stones may develop from environmental, metabolic, anatomical, and other causes. Our objective is to determine the recurrence and prognosis, demographic, clinical, and etiological characteristics of children with urolithiasis. Methods: Medical records of patients were evaluated retrospectively. Patients' demographic data and medical history, serum/urine biochemical and metabolic analysis, blood gas analysis, stone analysis, imaging findings, and medical/surgical treatments were recorded. Results: The study included 364 patients (male 187). Median age at diagnosis was 2.83 (IQR 0.83–8.08) years. The most common complaints were urinary tract infection (23%) and urine discoloration (12%). Sixty-two percent had a family history of stone disease. At least one metabolic disorder was found in 120 (88%) of 137 patients having all metabolic analyses: hypercalciuria was found in 45%, hypocitraturia in 39%, and hyperoxaluria in 37%. Anatomical abnormalities were detected in 18% of patients. Of 58 stones analyzed, 65.5% were calcium and 20.6% were cystine stones. Stone recurrence rate was 15% (55/364). Older age (> 5 years), family history of stone disease, stone size (≥ 5 mm), and urinary system anatomical abnormalities were significantly associated with stone recurrence (p = 0.027, p = 0.031, p < 0.001, and p < 0.001, respectively). In adjusted logistic regression analysis, stone size ≥ 5 mm (OR 4.85, 95% CI 2.53–9.3), presence of urinary system anatomical abnormalities (OR 2.89, 95% CI 1.44–5.78), and family history of stone disease (OR 2.41, 95% CI 1.19–4.86) had increased recurrence rate. Conclusions: All children with urolithiasis should be evaluated for factors affecting stone recurrence. Children at higher risk of recurrence need to be followed carefully.
- Subjects
RISK assessment; WORLD Wide Web; BLOOD gases analysis; URINARY tract infections; METABOLIC disorders; BLOOD testing; DIAGNOSTIC imaging; RESEARCH funding; URINARY calculi; RETROSPECTIVE studies; DESCRIPTIVE statistics; ODDS ratio; MEDICAL records; ACQUISITION of data; URINALYSIS; DISEASE relapse; CONFIDENCE intervals; DISEASE risk factors; CHILDREN
- Publication
Pediatric Nephrology, 2024, Vol 39, Issue 7, p2105
- ISSN
0931-041X
- Publication type
Article
- DOI
10.1007/s00467-024-06300-0