Socioeconomic Disparities in the Acute Management of Stone Disease in the United States

Kirshenbaum, Eric; Doshi, Chirag; Dornbier, Ryan; Blackwell, Robert H.; Bajic, Petar; Gupta, Gopal N.; Gorbonos, Alex; Türk, Thomas; Flanigan, Robert C.; Baldea, Kristin G.

doi:10.1089/end.2018.0760

Cited by 20 publications

(10 citation statements)

References 17 publications

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“…The poorest women have the lowest utilization of health care facilities for childbirth. This is in line with the results of recent research in several countries that take the theme of socioeconomic disparity, namely in Zimbabwe (20), China (21), Spain (22), Germany (23), and USA (24)(25) (26).…”

Section: Discussionsupporting

confidence: 90%

Socioeconomic Disparities of Facility-Based Childbirth in Indonesia

Laksono,

Paramita,

Wulandari

2019

Preprint

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Background: In Indonesia, only 74% of women give birth in health care facilities. This study was conducted to analyze the socioeconomic disparities of facilities-based childbirth in Indonesia.Methods: The analysis in this study uses raw data from the 2017 Indonesia Demographic and Health Survey (IDHS). With stratification and multistage random sampling, 17,769 women aged 15-49 years with live births in the last 5 years were sampled. Data were analyzed using a Binary Logistic Regression test.Results: Poorer women were 1.898 times more likely to use healthcare facilities for delivery than poorest women. Middle women were 2.669 times more likely to use healthcare facilities for delivery than poorest women. Richer women have 3.163 times more opportunities to use healthcare facilities for delivery than poorest women. The richest women were 6.566 times more likely to use healthcare facilities for delivery than the poorest women. Women who live in urban areas were 2.412 times more likely to use healthcare facilities for delivery than those who live in rural areas. Age, parity, level of education, ownership of health insurance, knowledge of the danger signs of pregnancy, and antenatal care, in maternity women the past five years significantly contribute to the utilization of healthcare facilities for delivery.Conclusion: There was a significant disparity between socioeconomic in utilizing healthcare facilities for delivery in Indonesia. Women with better socioeconomic status have better possibilities for utilizing healthcare facilities for delivery.

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Section: Discussionsupporting

confidence: 90%

Socioeconomic Disparities of Facility-Based Childbirth in Indonesia

Laksono,

Paramita,

Wulandari

2019

Preprint

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“…Although some reports did find increases in the risk of stone formation between 10 and 30°C 23 , we did not find significant differences concerning the type of formed stone among our different intervals of mean annual temperatures (<20, 20-25, >25°C). Furthermore, for any given climatic condition where humidity is low and the air is dry, more water is lost due to the increased sweating, thus possibly decreasing urine volume and increasing urinary saturation, but the independent effect of humidity is not well established 24 . In the present study, using humidity and temperature separately in our regression model, we did not find statistical difference among all types of stones concerning such parameters.…”

Section: Discussionmentioning

confidence: 99%

Influence of socioeconomic disparities, temperature and humidity in kidney stone composition

2020

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Introduction: Large variations in demographic, economic and environmental factors might influence the worldwide distribution of urolithiasis, but scarce data are available concerning their associations with stone composition. We aimed to evaluate the frequency and composition of kidney stones and their associations with temperature, humidity, and human development index (HDI). Materials and Methods: A total of 1,158 stones from distinct patients (47±14 years old, male/female 2:1) were included. The mean annual temperature and relative humidity of each town were considered separately. Results: Calcium oxalate monohydrate (COM) was disclosed in 38.8% of patients, calcium oxalate dihydrate (COD) in 22.1%, mixed COD/apatite in 9.4%, pure apatite in 1.9%, brushite in 1.8%, struvite in 8.3%, pure uric acid in 11.1%, mixed uric acid/COM in 5.6%, and cystine/rare types in 0.8%. Mean HDI of all pooled cities was 0.780±0.03. However, people living in HDI<0.800 regions had twice the odds of having a struvite stone versus those living in HDI>0.800 (OR=2.14, 95% CI 1.11-4.11). Furthermore, a progressive increase in the struvite stones frequency from 4.5 to 22.8% was detected from HDI>0.800 through HDI<0.700. No significant difference for other stone types was disclosed. Separate logistic regression models assessed the association of each stone composition with gender, temperature, humidity and HDI as covariates. Conclusion: Patients living in low HDI areas are more prone to develop struvite stones, possibly due to lower access to healthcare. Temperature and humidity did not represent a specific risk factor for any stone type in the present sample.

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“…Patients who underwent ureteral stent insertion during the COVID-19 pandemic should be closely monitored while waiting for definitive surgery. 1,4,5 Indeed, we found ureteral stents conferred a higher risk of readmission while awaiting definitive surgery. 1,5 These patients may experience stent related side-effects (eg.…”

confidence: 75%

“…13,14 This is consistent with our finding that upfront URS appeared to prevent subsequent interventions, readmissions and complications associated with the placement of a temporary ureteral stent. 5 Furthermore, eESWL may be another interesting approach as it is safe, noninvasive and doesn't require anesthesia.…”

confidence: 99%