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2022, Number 1

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Rev cubana med 2022; 61 (1)

Clinical-epidemiological description of urolithiasis

Bacallao MRA, Obregón RM, Mañalich CR, Gutiérrez GF, Fadragas FAL, Almaguer LM

Language: Spanish
References: 25
Page: 1-12
PDF size: 0. Kb.


ABSTRACT

Introduction: Urolithiasis causes pain, renal functional deterioration and notorious economic expenses.
Objectives: To identify the clinical-epidemiological characteristics of nephrolithiasis.
Methods: A descriptive, cross-sectional study was conducted in a total of 2,923 people from to three clinics of Plaza de la Revolution Teaching Community Clinic, Plaza de la Revolution municipality, Havana province, Cuba. They were selected by simple random sampling from the 16 clinics that the health area has. The data was obtained through a survey and structured interview. The information was processed automatically (IBMSPSS 22.0). Frequency distribution analysis was used, prevalence rates were calculated and the homogeneity test was used.
Results: The prevalence of urolithiasis was 4.99 per 100 inhabitants, 6.3 among men and 5.7 among white-skinned men. The average age at diagnosis was 39.3 years. Among the risk factors for lithiasis, the high intake of oxalates prevailed (97.3%). Ultrasound was the most used form of diagnosis (67.8%). Phytotherapy was the most used medical treatment (69.2%). A medical permit was issued to 16.4% of the patients in the last two years.
Conclusions: The prevalence of urinary lithiasis in Plaza de la Revolution Teaching Community Clinic is high, prevailing in males, in white-skinned and middle aged subjects. High oxalate intake is the most common risk factor for urinary lithiasis found. The most used form of diagnosis is ultrasound and the most used treatment is phytotherapy.


REFERENCES

  1. Scales CD, Tasian GE, Schwaderer AL, Goldfarb DS, Star RA, Kirkali Z. Urinary stone disease: advancing knowledge, patient care, and population health. Clin J Am Soc Nephrol. 2016[acceso: 21/12/2020];11(7):1305-12. Disponible en: https://cjasn.asnjournals.org/content/11/7/1305.long.

  2. Anuario Cuba Nefro-Red 2014. Situación de la Enfermedad Renal Crónica en Cuba 2014. [acceso: 21/12/2020]. Disponible en: https://files.sld.cu/nefrologia/files/2015/09/anuario-nefrologia-2014-pagina-web-especialidad.pdf

  3. Sorokin I, Mamoulakis C, Miyazawa K, Rodgers A, Talati J, Lotan Y. Epidemiology of stone disease across the world. World J Urol. 2017[acceso: 21/12/2020];35(9):1301-20. Disponible en: https://utsouthwestern.pure.elsevier.com/en/publications/epidemiology-of-stone-disease-across-the-world

  4. Scales CD, Smith AC, Hanley JM, Saigal CS. Urologic diseases in america project. prevalence of kidney stones in the United States. Eur Urol. 2012[acceso: 21/03/2020]; 62(1):160-5. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0302283812004046?via%3Dihub

  5. Carbone A, Al Salhi Y, Tasca A, Palleschi G, Fuschi A, De Nunzio C, et al. Obesity and kidney stone disease: a systematic review. Minerva Urol Nefrol. 2018[acceso: 21/03/2020];70(4):393-400. Disponible en: https://www.minervamedica.it/en/journals/minerva-urology-nephrology/article.php?cod=R19Y2018N04A0393

  6. Ziemba JB, Matlaga BR. Epidemiology and economics of nephrolithiasis. Investig Clin Urol. 2017[acceso: 21/03/2020];58(5):299-306. Disponible en: https://www.icurology.org/DOIx.php?id=10.4111/icu.2017.58.5.299

  7. Carrasco Valiente J, Gómez Gómez E, Requena Tapia MJ. Epidemiología de la litiasis en España: nuevos escenarios. Arch Esp Urol. 2017[acceso: 21/12/2020];70(1):3-11. Disponible en: https://aeurologia.com/article_detail.php?aid=35924144f00f5bf80e688f8c2130f18619415396

  8. Reyes L, Almaguer MM, Castro T, Valdivia J. Estudio clínico-epidemiológico de la urolitiasis en un área urbana caribeña. Nefrología. 2002[acceso: 21/12/2020];23(3):239-44. Disponible en: https://www.revistanefrologia.com/es-linkresolver-estudio-clinico-epidemiologico-urolitiasis-un-area-X0211699502014889

  9. Goldfarb DS, Hirsch J. Hypothesis: Urbanization and exposure to urban heat islands contribute to increasing prevalence of kidney stones. Medical Hypotheses. 2015[acceso: 21/12/2020];85:953-7. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0306987715003369?via%3Dihub

  10. Reyes Rabanal L, Mirabal Martínez M, Mañalich Comas R, Almaguer López MM. Estudio comparativo del comportamiento clínico-epidemiológico de la urolitiasis en dos poblaciones diferentes de Cuba. Rev Port Nefrol Hipert. 2004[acceso: 22/02/2020];18(3):155-65. Disponible en: http://www.bbg01.com/cdn/clientes/spnefro/pjnh/7/artigo_03.pdf

  11. Saklayen MG. The global epidemic of the metabolic syndrome. Curr Hypertens Rep. 2018[acceso: 21/12/2020];20(2):12. Disponible en: https://link.springer.com/article/10.1007%2Fs11906-018-0812-z

  12. Oficina Nacional de Estadística e Información (ONEI). República de Cuba. Anuario Estadístico de Cuba 2018. Edición 2019. 2020[acceso: 21/12/2020]. Disponible en: www.one.cu/aec2019.htm

  13. Luque Gálvez MP, Salvador Izquierdo R. Diagnóstico y seguimiento radiológico de la litiasis. Arch Esp Urol. 2017[acceso: 21/12/2020];70(1):51-70. Disponible en: https://aeurologia.com/article_detail.php?aid=2035d4b432a394ff67787412d4c70175b3d90caa

  14. Borg M, Bi P, Nitschke M, Williams S, McDonald S. The impact of daily temperature on renal disease incidence: an ecological study. Environmental Health. 2017[acceso: 21/12/2020];16:114. Disponible en: https://ehjournal.biomedcentral.com/track/pdf/10.1186/s12940-017-0331-4.pdf

  15. Rivas Estany E, de la Noval García R. Obesidad en Cuba y otras regiones del Mundo. Consideraciones generales y acciones nacionales de prevención. Anales de la Academia de Ciencias de Cuba. 2021[acceso: 21/02/2020];11(1). Disponible en: http://www.revistaccuba.cu/index.php/revacc/article/view/887

  16. Karagiannis A, Skolarikos A, Alexandrescu E, Basic D, Geavlete P, Maletta A, et al. Epidemiologic study of urolithiasis in seven countries of South-Eastern Europe: S.E.G.U.R. 1 study. Arch Ital Urol Androl. 2017[acceso: 21/12/2020];89(3):173-7. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28969396/

  17. Romero V, Akpinar H, Assimos DG. Kidney Stones: A global picture of prevalence, incidence, and associated risk factors. Rev Urol. 2010[acceso: 21/12/2020];12(2/3):86-96. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2931286/

  18. Bacallao Méndez RA, Victores Aguiar I, Mañalich Comas R, Gutiérrez García F, Llerena Ferrer B, Almaguer López M. Caracterización clínico epidemiológica de la litiasis urinaria en un área rural de Artemisa. Rev Cubana Invest Bioméd. 2016[acceso: 21/12/2020];35(4):300-10. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-03002016000400001&lng=es

  19. Arias Vega MR, Perula de Torres LA, Carrasco Valiente J, Requena Tapia MJ, Jiménez García C, Silva Aycaguer LC. Prevalence of urolithiasis in the 40 to 65 year old Spanish population: The PreLiRenE study. Med Clin (Barc). 2016[acceso: 21/12/2020];146(12):525-31. Disponible en: https://www.elsevier.es/en-revista-medicina-clinica-english-edition--462-articulo-prevalence-urolithiasis-in-40-65-S2387020616303898

  20. Kang HW, Seo SP, Ha YS, Kim WT, Kim YJ, Yun SJ, et al. Twenty-four-hour urine osmolality as a representative index of adequate hydration and a predictor of recurrence in patients with urolithiasis. Int Urol Nephrol. 2019[acceso: 21/12/2020];51(7):1129-35. Disponible en: https://link.springer.com/article/10.1007/s11255-019-02108-2

  21. Agarwal MM, Singh SK, Mavuduru R, Mandal AK. Preventive fluid and dietary therapy for urolithiasis: An appraisal of strength, controversies and lacunae of current literature. Indian J Urol. 2011[acceso: 20/03/2020];27(3):310-9. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3193729/

  22. Mills L, Morley EJ, Soucy Z, Vilke GM, Lam SHF. Ultrasound for the diagnosis and management of suspected urolithiasis in the Emergency Department. J Emerg Med. 2018[acceso: 21/12/2020];54(2):215-20. Disponible en: https://www.sciencedirect.com/sdfe/pdf/download/eid/1-s2.0-S0733862711000411.pdf

  23. Chi BH, Chang IH, Choi SY, Suh DC, Chang CW, Choi YJ, et al. Daily mean temperature and urolithiasis Presentation in six cities in Korea: Time-Series Analysis. J Korean Med Sci. 2017[acceso: 21/12/2020];32(6):999-1008. Disponible en: https://jkms.org/DOIx.php?id=10.3346/jkms.2017.32.6.999

  24. Bacallao Méndez RA, Mañalich Comas R, Caldevilla Rodríguez Y, Badell Moore A. Contenido de oxalato en los preparados de plantas medicinales utilizadas en el tratamiento de las urolitiasis. Rev Cubana Aliment Nutr. 2015[acceso: 21/12/2020];25(2):405-10. Disponible en: http://www.revalnutricion.sld.cu/index.php/rcan/article/view/143

  25. Durner L, Bach C, El Howairis MEF, Hakenberg OW, Buchholz N. Current trends in urolithiasis treatment in various European Health Systems Urol Int. 2016[acceso: 21/03/2020];96:125-31. Disponible en: https://www.karger.com/Article/Fulltext/44104




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