Epidemiology of pediatric urolithiasis

Sharma, Ajay; Filler, Guido

doi:10.4103/0970-1591.74450

Cited by 75 publications

(54 citation statements)

References 65 publications

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“…The association between ethnicity and kidney stone has been reported by previous studies. The underlying reason might be due to different dietary pattern and environmental factor rather than heredity (24,25). In this study, only hyperurocosuria was significantly associated with BMI categories.…”

Section: Discussionmentioning

confidence: 54%

Urinary Oxalate, Citrate and Uric Acid in Healthy Primary School Children in Zahedan

Sadeghi‐Bojd

Noori

Teimouri

et al. 2018

CJHR

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Background: Urolithiasis in children is associated with metabolic disorders. The most important metabolic disorders are hypercalciuria, hyperoxaluria, hypocitraturia, cysitinuria and hyperuricosuria. This study aimed to evaluate the level of urinary solutes in healthy primary school children in Zahedan, Iran. Methods: This study was carried out on primary school-aged children. A total of 1800 samples were randomly selected using multistage random sampling method. Morning urine samples of children were taken and sent to the laboratory. Urine creatinine was measured by colorimetric device without removing proteins with BT3000 and photometer analyzer based on Jaffe method. Oxalate, uric acid, and citrate were measured using Pars test kits with photometric method. Weight and height were measured using standard protocols. Body mass index (BMI) was calculated as the ratio of weight in kg to height in square of meter. The ratio of oxalate, citrate, and uric acid to creatinine were then measured based on age, sex, and BMI categories. Results: Of total, 1157 schoolchildren were participated in the study. The mean age of participants was 9 years (Range: 7-13 years) including 433 males (37.4%) and 724 females (62.6%).The mean level of Oxalate, citrate and uric acid to creatinine were estimated to be 0.02 ± 0.01, 2.98 ± 2.39 and 3.22 ±0.59, respectively. The prevalence of hpeyroxaluria, hypocitraturia and hyperuricosuria was 25.3%, 20.3% and 34.6%, respectively. There was significant relationship between age and ethnicity with urinary metabolic disorder. Conclusion: In this study, a high prevalence of urinary metabolic disorders were identified in school-aged children. The screening program of urinary solute for early detection of urinary metabolic disorder and kidney stones is recommended.

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Section: Discussionmentioning

confidence: 54%

Urinary Oxalate, Citrate and Uric Acid in Healthy Primary School Children in Zahedan

Sadeghi‐Bojd

Noori

Teimouri

et al. 2018

CJHR

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“…This manuscript is a retrospective analysis of data from a single institution. 1 It was carried out for defining the prognostic factors influencing the stone-free rate of shockwave lithotripsy (SWL) in the treatment of pediatric renal calculi and to estimate the probability of stone-free status using a logistic regression model. The authors found that the success rate is dependent on the stone size and location.…”

Section: Editorial Comment From Dr Elsheemy To Extracorporeal Shockwamentioning

confidence: 99%

“…Epidemiological studies have shown a progressive increase in the incidence of pediatric urolithiasis over the past few decades, referred to as a "stone wave". 1 Pediatric stone disease is considered endemic in developing nations including India, Turkey, Pakistan and eastern countries. 2 The introduction of SWL by Chaussy et al in the early 1980s revolutionized the management of upper urinary tract calculus disease.…”

Section: Introductionmentioning

confidence: 99%

Extracorporeal shockwave lithotripsy for renal stones in pediatric patients: A multivariate analysis model for estimating the stone‐free probability

et al. 2013

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Abbreviations & Acronyms CT = computed tomography KUB = plain X-ray of kidney, ureter and bladder NCCT = non-contrast computed tomography PNL = percutaneous nephrolithotomy RUS = renal ultrasonography SWL = shockwave lithotripsy URS = ureteroscopy Objectives: To define factors affecting the stone-free rate of extracorporeal shockwave lithotripsy in the treatment of pediatric renal calculi, and to establish a regression model for pretreatment prediction of stone-free probability. Methods: From January 1999 through February 2012, 207 children with mean age 6.4 Ϯ 3.8 years underwent shockwave lithotripsy with Dornier Lithotripter S for treatment of renal stones. The stone-free rate was evaluated 3 months after the last shockwave lithotripsy session with non-contrast computed tomography. Treatment success was defined as complete clearance of the stones with no residual fragments. Multivariate logistic regression analysis was used to identify independent risk factors and to predict the probability of being stone free. Results: The mean length of the stone was 11.6 Ϯ 4 mm. The stone-free rate was 71%. Independent factors that adversely affect stone-free rate were increasing stone length and calyceal site of the stone. Relative risks for not being free of stones were 1.123 for stone length, 2.673 for stones in the upper or middle calyx and 4.208 for lower calyx stones. Conclusion: Stone length and location are prognostic factors determining stone-free rate after shockwave lithotripsy for renal calculi in pediatric patients. Based on our analysis, shockwave lithotripsy should be recommended for renal pelvis stones up to 24 mm, upper or middle calyceal stones up to 15 mm and lower calyceal stones up to 11 mm.

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“…The risk of developing urolithiasis in adults appears to be higher in the western hemisphere (5-9%) in Europe, 12% in Canada, 13-15% in the USA) than in the eastern hemisphere (1-5%), although the highest risks have been reported in some Asian countries such as Saudi Arabia (20.1%) 4 It is estimated that at least 10% of the population in the industrialized part of the world is afflicted by urinary tract stone disease. 5,6 .Kidney stones are common in industrialized nations with an annual incidence of 0.5% to 1.9%.…”

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confidence: 95%

Pilot study of Sarva Noi Linga Chenduram for Lithontriptic activity in the management of renal calculi. (Kalladaippu)

Punitha¹,

S.Visweswaran²,

Kumar³

et al. 2017

Int. J. Curr. Res. Med. Sci.

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Even though the treatment options are most available, incidence and recurrence of Renal calculi has not yet markedly reduced. The main aim of the study was to assess the efficacy of poly herbal formulation Sarva Noi Linga Chenduram for Renal calculi. It was diagnosed by clinical signs, symptoms ,the presence and size of renal calculi was confirmed by Ultrasonagram. It was an open labeled, single center, prospective, pilot study conducted in 20 patients of renal calculi in National Institute of Siddha.130 mg of Sarva Noi Linga Chenduram was given with Raphanus sativus juice after meals twice a day for 30 days. After the treatment period there were prognosis of symptoms statistical analysis-paired 't' test "P" value showed 0.240 which is moderately significant and for size of renal calculi it showed 0.001 which is highly significant. No significant change in most of the safety laboratory parameters was observed at the end of the study. Hence Sarva Noi linga Chenduram can be used in the treatment of Renal calculi.

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Epidemiology of pediatric urolithiasis

Cited by 75 publications

References 65 publications

Urinary Oxalate, Citrate and Uric Acid in Healthy Primary School Children in Zahedan

Urinary Oxalate, Citrate and Uric Acid in Healthy Primary School Children in Zahedan

Extracorporeal shockwave lithotripsy for renal stones in pediatric patients: A multivariate analysis model for estimating the stone‐free probability

Pilot study of Sarva Noi Linga Chenduram for Lithontriptic activity in the management of renal calculi. (Kalladaippu)

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