Gender-related differences in the risk factors for repeat stone surgery

Iremashvili, Viacheslav; Li, S; Dresner, Stephanie L; Best, Sara L.; Hedican, Sean P.; Nakada, Stephen Y.

doi:10.1007/s00240-021-01255-5

Cited by 2 publications

(4 citation statements)

References 14 publications

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“…Thus, these four studies were still included in this meta-analysis. Additionally, two other researches [ 18 , 28 ] may have the same cohort. After comparison, we screened the possible duplicate data and retained which item had more participants.…”

Section: Resultsmentioning

confidence: 99%

“…Eleven variables, including age [ 6 , 16 – 18 , 20 – 22 , 25 – 27 , 31 , 32 , 36 , 41 , 42 , 47 , 48 , 50 ], body mass index (BMI) [ 6 , 17 , 18 , 20 – 23 , 25 , 26 , 29 , 32 , 35 , 42 , 45 , 46 , 51 ], sex [ 6 , 16 , 17 , 20 , 21 , 23 , 25 – 28 , 31 , 32 , 35 , 40 – 42 , 45 , 46 , 48 , 50 , 59 , 63 , 66 ], race [ 18 , 27 , 41 ], pregnant or childbirth [ 25 , 36 ], gout [ 16 , 18 , 40 ], diabetes [ 16 , 18 , 31 , 40 , 45 ], hypertension [ 16 , 18 , 31 , 40 , 45 ], hyperlipidemia [ 31 , 40 , …”

Section: Resultsmentioning

confidence: 99%

“…Fourteen variables including family history of nephrolithiasis [ 18 , 22 , 25 , 27 , 35 , 37 , 41 , 42 , 48 , 50 , 54 , 59 ], personal history of nephrolithiasis [ 18 , 25 , 27 , 29 , 38 , 39 , 41 , 48 , 51 , 53 , 55 ], any gross hematuria with first symptomatic stone [ 27 , 41 ], suspected nephrolithiasis episode a prior to first confirmed stone episode [ 25 , 27 , 41 ], any concurrent asymptomatic (nonobstructing) stone [ 27 , 41 ], uric acid stone [ 20 , 27 , 41 , 47 ], calcium oxalate monohydrate stone [ 25 , 47 ], calcium phosphate stone [ 20 , 47 ], diameter of largest nephrolithiasis [ 17 , 21 , 32 , 38 , 44 , 53 , 55 ], multiple stones [ 42 , 48 , 55 , 59 ], bilateral nephrolithiasis [ 18 , 47 ], pelvic or lower pole nephrolithiasis [ 25 , 27 , 41 ], ureteral stone [ 47 , 55 ], and ureterovesical junction stone [ 25 , 27 , 41 ] were available for data pooling (Table 2 ). Personal history of nephrolithiasis was defined as the nephrolithiasis hist...…”

Section: Resultsmentioning

confidence: 99%

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Risk factors for kidney stone disease recurrence: a comprehensive meta-analysis

Wang

Han

et al. 2022

BMC Urol

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Background Kidney stone disease (KSD) is a common illness that causes an economic burden globally. It is easy for patients to relapse once they have suffered from this disease. The reported recurrence rate of KSD ranged from 6.1% to 66.9%. We performed this meta-analysis to identify various potential risk factors for the recurrence of KSD. Methods The PubMed, Embase and Web of Science databases were searched using suitable keywords from inception to Mar 2022. A total of 2,663 records were collected initially. After screening the literature according to the inclusion and exclusion criteria, 53 articles (40 retrospective studies; 13 prospective studies) including 488,130 patients were enrolled. The study protocol was registered with PROSPERO (No. CRD42020171771). Results The pooled results indicated that 12 risk factors including younger age (n = 18), higher BMI (n = 16), family history of kidney stones (n = 12), personal history of kidney stones (n = 11), hypertension (n = 5), uric acid stone (n = 4), race of Caucasian (n = 3), suspected kidney stone episode before the first confirmed stone episode (n = 3), surgery (n = 3), any concurrent asymptomatic (nonobstructing) stone (n = 2), pelvic or lower pole kidney stone (n = 2), and 24 h urine test completion (n = 2) were identified to be associated with KSD recurrence. In the subgroup analysis, patients with higher BMI (OR = 1.062), personal history of nephrolithiasis (OR = 1.402), or surgery (OR = 3.178) had a higher risk of radiographic KSD recurrence. Conclusions We identified 12 risk factors related to the recurrence of KSD. The results of this analysis could serve to construct recurrence prediction models. It could also supply a basis for preventing the recurrence of KSD.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Risk factors for kidney stone disease recurrence: a comprehensive meta-analysis

Wang

Han

et al. 2022

BMC Urol

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“…In addition, a 50% risk of nephrolithiasis recurrence is observed at 7–10 years in the absence of specific treatment ( 10 , 16 ). Whereas for patients after surgical treatment, 17%–21% had recurrent nephrolithiasis requiring a repeat surgery ( 17 , 18 ). For patients treated with percutaneous nephrolithotomy (PCNL), the recurrence rate can be even as high as 40% ( 19 ).…”

Section: Discussionmentioning

confidence: 99%

Development and validation of a nomogram for risk prediction of nephrolithiasis recurrence in patients with primary hyperparathyroidism

et al. 2022

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BackgroundNephrolithiasis is a common complication of primary hyperparathyroidism (PHPT), and the recurrence of nephrolithiasis in patients with PHPT is also an urgent concern. What is worse, there is a scarcity of recommended evaluation to predict the risk of nephrolithiasis recurrence in patients with PHPT. This study was aimed to develop and validate a nomogram to facilitate risk assessment in patients with PHPT.MethodsA total of 197 patients with PHPT were retrospectively included in this study from September 2016 to August 2021. Patients’ demographic data, blood test parameters, urinalysis, stone parameters, and surgical intervention were collected. Extracted variables were submitted to a least absolute shrinkage and selection operator (LASSO) regression model. A nomogram was built and validated according to the area under the curve (AUC) value, calibration curve, and decision curve analysis.ResultsAccording to the LASSO regression and logistic regression analyses, five predictors were derived from 22 variables: creatinine, uric acid, bilateral stone, multiplicity, and surgery. The AUC and concordance index of the training cohort and validation cohort were 0.829 and 0.856, and 0.827 and 0.877, respectively. The calibration curve analysis and the decision curve analysis showed that the nomogram had an adequate prediction accuracy.ConclusionWe built a useful nomogram model to predict the risk of nephrolithiasis recurrence in patients with PHPT. This would assist clinicians to provide appropriate advices and managements for these patients.

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Gender-related differences in the risk factors for repeat stone surgery

Cited by 2 publications

References 14 publications

Risk factors for kidney stone disease recurrence: a comprehensive meta-analysis

Risk factors for kidney stone disease recurrence: a comprehensive meta-analysis

Development and validation of a nomogram for risk prediction of nephrolithiasis recurrence in patients with primary hyperparathyroidism

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