Urinary calculi in first level health attention

Deyanira Estrada-Jasso; Jorge Martínez-Torres; Lidia Cruz Rivera

2005, Number 5

<< Back Next >>

Rev Fac Med UNAM 2005; 48 (5)

Urinary calculi in first level health attention

Estrada-Jasso D, Martínez-Torres J, Cruz RL

Full text

How to cite this article

Language: Spanish
References: 16
Page: 187-190
PDF size: 39.93 Kb.

ABSTRACT

Objective: To determine the epidemiological characteristics clinical of patients with diagnosis of urinary lithiasis assigned to a Familiar Medicine Unit of the Mexican Institute of Social Security (IMSS). Material and methods: Cross-sectional study, census of 160 patients with diagnose of certain or probable urinary lithiasis; period October 2003-September 2004, 125 complete files were located and 78 interview ed and filled a questionnaire that measures sociodemographics variables, and modifiable factors of risk: alcohol consumption, physical activity, direct diabetes mellitus, relatives with urinary lithiasis, daily water consumption, rich protein diet, ingestion of milk, ingestion of soft drinks, tabagism. The variables were analyzed with descriptive statistic Results: Study 78 patients, average of age 46.2 ± 15.20, average of schooling of 6.6 ± 4, 51% were men, 61% living in couple, 52.5% live in urban zone, 78% belong to a nuclear family, 45% belonging to low socioeconomic means. 95% consume rich protein diet, 33% has a direct relative with urinary lithiasis, 93% does not make physical exercise, 17% consumes alcohol, 60% takes less than 4 glasses from water daily, 59% suffers infections of urinary tract, 38% have had urinary stones, 62% consumes soft drinks. More of 50% of the interviewed people had more than 5 modifiable factors for urinary lithiasis. Conclusions: Modifiable risk factors were found in the whole group which demands the necessity to review the present educative strategies.

REFERENCES

1. Medina M, Zaidi M, Real E, Orozco S. Prevalencia y factores de riesgo en Yucatán, México para litiasis urinaria; Salud Pública de México, 2002; 44(6): 541-45.
2. Piñero R, Rodríguez M, Pujol P, Pérez S. Litiasis renal en la consulta de atención primaria. Monografía; Madrid 2003; 2(5); 1-12.
3. Lancina J, Novas S, Rodríguez J, Barbuzano C, Diez M, Gonzalez M. Metabolic alterations and clinical evolution in urinary calcium stone formers. Braz J Urol 2000; 26(5): 479-487.
4. Bihl G, Meyers A. Recurrent renal stone disease-advances in pathogenesis and clinical management. The Lancet 2001; 358: 651-656.
5. Peacock RWP, Baker MMH, Pearlman RSR, Sergeant VSA. Studies on the prevalence and epidemiology of urinary stone disease in men in Leeds. British Journal of Urology 1983; 55: 595-598.
6. Sriboonlue P, Prasongwatana V, Chata K, Tungsanga K. Prevalence of upper urinary tract stone disease in a rural community of north-eastern Thailand. British Journal of Urology 1992; 69(1): 240-244.
7. Churchill D, Maloney C, BearJ, Bryant D, Fodor G, Gault M. Urolithiasis- a study of drinking water hardness and genetic factors. J Chron Dis 1980; 33: 727-731.
8. Curhan G, Rimm E, Willett W, Stampfer M. Regional variation in nephrolithiasis incidence and prevalence among united states men. The Journal of Urology 1994; 151: 838-841.
9. Hiatt R, Dales L, Friedman G, Hunkeler E. Frequency of urolithiasis in a prepaid medical care program. Am J Epidemiol 1982; 115(2): 255-265.
10. Martini L, Wood R. Se debería restringir el calcio y las proteínas a los pacientes que sufren litiasis renal? Nutrition Reviews en español 2000; 1: 10-16.
11. Lancina J, Novas S, Rodriguez J, Suarez G, Blanco A, Gonzalez M. Lithogenic Metabolic profile related to gender in patients with calcium-containing urinary stones. Braz J Urol 2001; 27(5); 423-431.
12. Gómez F, Reyes G, Espinosa L, Arellano H, Morales M, Gómez R. Algunos aspectos epidemiológicos de la litiasis renal en México. Cirugía y Cirujanos 1984; 52(6): 365-372.
13. Egresos hospitalarios del sector público 2001. Salud Pública de México 2003; 45(4): 333-344.
14. Curhan G, Willet W, Rimm E, Spiegelman D, Stampfer M. Prospective Study Beverage Use and Risk for Kidney Stones. Am J Epidemiol 1996; 143: 240-7.
15. Curhan G, Willet W, Speizer F, Stampfer M. Beverage use and risk for kidney stones in women. Ann Intern Med 1996; 128(7): 534-540.
16. Quibrera R, Hernández HG, Aradillas C, González C, Calles J. Prevalencia de diabetes, intolerancia a la glucosa, hiperlipemia y factores de riesgo en función del nivel socioeconómico. Rev Invest Clin 1994; 46(1): 25-36.