Abstract:
:This study aims to describe the rate and characteristics of transient renal impairment in unilateral ureteric stone patients without chronic kidney disease (CKD) and to identify factors that may have influenced renal function of these patients. Unilateral ureteric stone patients who visited our hospital's emergency department from December, 2009 to December, 2015 were divided into two groups based on estimated glomerular filtration rate (eGFR): group I (patients with eGFR ≥ 60 ml/min/1.73 m2) and group II (eGFR < 60 ml/min/1.73 m2). A univariate comparison between groups I and II was performed. Multivariable logistic regression analysis was performed to determine factors that influenced renal function. There were 107 patients in group II, which constituted 5.6 % of the total patients. In the multivariable logistic regression analysis, age (p < 0.001, odds ratio [OR] = 1.069, confidence interval [CI] = 1.049-1.089), hypertension (p < 0.001, OR = 2.302, CI = 1.467-3.611), stone size (p = 0.001, OR = 1.141, CI = 1.057-1.231), white blood cell count (p = 0.001, OR = 1.132, CI = 1.055-1.215) and hematuria (p < 0.001, OR = 0.383, CI = 0.231-0.636) were found to be independent factors for renal impairment. Based on the results of this study, the rate of renal impairment was 6 % of the unilateral ureteric stone patients without pre-existing CKD. Age and hypertension were found to be independent factors for renal impairment; NSAIDs should be used cautiously or other agents for pain relief such as opioids should be considered in old aged patients with hypertension.
journal_name
Urolithiasisjournal_title
Urolithiasisauthors
Kim HY,Choe HS,Lee DS,Yoo JM,Lee SJdoi
10.1007/s00240-016-0904-7subject
Has Abstractpub_date
2017-06-01 00:00:00pages
249-254issue
3eissn
2194-7228issn
2194-7236pii
10.1007/s00240-016-0904-7journal_volume
45pub_type
杂志文章相关文献
Urolithiasis文献大全abstract::Genetically engineered mouse models (GEMMs) have been highly instrumental in elucidating gene functions and molecular pathogenesis of human diseases, although their use in studying kidney stone formation or nephrolithiasis remains relatively limited. This review intends to provide an overview of several knockout mouse...
journal_title:Urolithiasis
pub_type: 杂志文章,评审
doi:10.1007/s00240-014-0699-3
更新日期:2015-01-01 00:00:00
abstract::To evaluate the role of preoperative procalcitonin (PCT) levels in predicting postoperative fever after mini-percutaneous nephrolithotomy (mini-PCNL) in patients with a negative baseline urine culture. Between January 2014 and October 2017, 329 patients with a negative baseline urine culture and who underwent mini-PCN...
journal_title:Urolithiasis
pub_type: 杂志文章
doi:10.1007/s00240-019-01115-3
更新日期:2019-10-01 00:00:00
abstract::A ureteral access sheath (UAS) can facilitate ureteroscopy (URS) and the retrieval of stone fragments while reducing the intrarenal pressure, thereby improving irrigate flow and decreasing the length of an operation. Ureteral stenting after URS is unnecessary for uncomplicated cases. This study examined the early remo...
journal_title:Urolithiasis
pub_type: 杂志文章
doi:10.1007/s00240-012-0518-7
更新日期:2013-02-01 00:00:00
abstract::The concept of adipose tissue as an organ unto itself represents a new medical construct; already differences in the volume of perirenal fat around a tumor-bearing kidney have been described. We hypothesized that renal calculi may have similar impact on perirenal fat or alternatively abnormalities in urinary metabolit...
journal_title:Urolithiasis
pub_type: 杂志文章
doi:10.1007/s00240-018-1047-9
更新日期:2018-11-01 00:00:00
abstract::The association between serum gonadal steroids and urolithiasis in males received only limited attention. Calcium oxalate urolithiasis is induced by administration of ethylene glycol in drinking water. It appears that the administration of natural antioxidants has been used to protect against nephrolithiasis in human ...
journal_title:Urolithiasis
pub_type: 杂志文章
doi:10.1007/s00240-013-0620-5
更新日期:2014-04-01 00:00:00
abstract::This review describes the various dietary regimens that have been used to advise patients on how to prevent the recurrence of their calcium-containing kidney stones. The conclusion is that although there is some general advice that may be useful to many patients, it is more efficacious to screen each patient individua...
journal_title:Urolithiasis
pub_type: 杂志文章,评审
doi:10.1007/s00240-015-0849-2
更新日期:2016-02-01 00:00:00
abstract::Kidney stone disease is a common disorder in Western countries that is associated with significant suffering, morbidity, and cost for the healthcare system. Numerous studies have demonstrated familial aggregation of nephrolithiasis and a twin study estimated the heritability to be 56%. Over the past decade, genome-wid...
journal_title:Urolithiasis
pub_type: 杂志文章,评审
doi:10.1007/s00240-018-1094-2
更新日期:2019-02-01 00:00:00
abstract::Urinary stone disease is a common, often recurrent disease, that can have a negative impact on patients' health-related quality of life (HRQoL), often effecting working, productive members of society. The literature lacks data from structured, qualitative research which could give unique insight into patients' HRQoL. ...
journal_title:Urolithiasis
pub_type: 杂志文章
doi:10.1007/s00240-019-01142-0
更新日期:2020-06-01 00:00:00
abstract::Shock wave lithotripsy (SWL) is an established treatment for renal stones. Although non-invasive, it can cause significant pain and anxiety during the procedure. Our purpose was to review the literature to look at the effect of complimentary therapy in patients undergoing SWL and whether it led to a reduction in the r...
journal_title:Urolithiasis
pub_type: 杂志文章,评审
doi:10.1007/s00240-014-0655-2
更新日期:2014-06-01 00:00:00
abstract::The association between mean stone density (MSD) and ureteroscopic lithotripsy outcome remains controversial. MSD automatically measured by 3D images of stones (3D-MSD) was recently reported to be more useful than manual measuring methods for predicting outcomes of shock-wave lithotripsy. This study aims to investigat...
journal_title:Urolithiasis
pub_type: 杂志文章
doi:10.1007/s00240-020-01178-7
更新日期:2020-12-01 00:00:00
abstract::To evaluate the possible role of ureteral wall thickness (UWT) assessment in the prediction of the success for stent placement in cases with obstructing ureteric stones. 227 adult patients with a single unilateral obstructing ureteral stone requiring internal ureteral stent placement were included. In addition to ston...
journal_title:Urolithiasis
pub_type: 杂志文章
doi:10.1007/s00240-020-01233-3
更新日期:2021-01-02 00:00:00
abstract::There is a lack of studies looking at the longitudinal follow-up of patients with cystine stones. We wanted to assess the journey of cystinuric patients through our specialist metabolic stone clinic to improve the understanding of episodes, interventions and current outcomes in this patient cohort. After ethical appro...
journal_title:Urolithiasis
pub_type: 杂志文章
doi:10.1007/s00240-018-1059-5
更新日期:2019-04-01 00:00:00
abstract::Hyperoxaluria significantly increases the risk of calcium oxalate kidney stone formation. Since several bacteria have been shown to metabolize oxalate in vitro, including probiotic bifidobacteria, we focused on the efficiency and possible mechanisms by which bifidobacteria can influence oxalate handling in vivo, espec...
journal_title:Urolithiasis
pub_type: 杂志文章
doi:10.1007/s00240-014-0728-2
更新日期:2015-04-01 00:00:00
abstract::In this review, aspects on the importance of information on urine composition and selection of the most appropriate regimen for prevention of recurrence are discussed. For patients with urolithiasis the treatment is facilitated by urine analysis with estimates of supersaturation levels. Despite lack of strong scientif...
journal_title:Urolithiasis
pub_type: 杂志文章,评审
doi:10.1007/s00240-015-0840-y
更新日期:2016-02-01 00:00:00
abstract::Calcium oxalate (CaOx) crystal deposition within the tubules is often a perplexing finding on renal biopsy of both native and transplanted kidneys. Understanding the underlying causes may help diagnosis and future management. The most frequent cause of CaOx crystal deposition within the kidney is hyperoxaluria. When t...
journal_title:Urolithiasis
pub_type: 杂志文章,评审
doi:10.1007/s00240-020-01202-w
更新日期:2020-10-01 00:00:00
abstract::Numerous studies have reported an association between stress and urolithiasis. Although urinary risk factors have been measured in several of these, compelling evidence of a causal relationship has not been established. A shortcoming is that alterations in single urinary parameters rather than ratios and quotients, wh...
journal_title:Urolithiasis
pub_type: 杂志文章
doi:10.1007/s00240-017-0970-5
更新日期:2017-12-01 00:00:00
abstract::Kidney stone formation is governed by thermodynamic (supersaturation) and kinetic (crystal nucleation, growth, aggregation) mechanisms. We adopted a dual theoretical and experimental approach to investigate the potential role of urinary phytate in this regard. Thermodynamic constants for eight protonated phytate speci...
journal_title:Urolithiasis
pub_type: 杂志文章
doi:10.1007/s00240-019-01117-1
更新日期:2019-12-01 00:00:00
abstract::The objective of the study was to systematically review the efficacy and safety of flexible ureterorenoscopy (F-URS) with holmium laser versus extracorporeal shock wave lithotripsy (ESWL) for the treatment of renal stone <2 cm. A systematic literature review was performed in April 2015 using the PubMed, Embase, Web of...
journal_title:Urolithiasis
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s00240-015-0832-y
更新日期:2016-08-01 00:00:00
abstract::Postoperative pain remains a significant problem and the individual variance in postoperative pain is not fully understood. In recent years, there has been focus on identifying risk factors predicting patients with high postoperative pain intensity or consumption of analgesics, which may facilitate an improvement in r...
journal_title:Urolithiasis
pub_type: 临床试验,杂志文章
doi:10.1007/s00240-013-0547-x
更新日期:2013-04-01 00:00:00
abstract::Urinary stones and urine composition are the first steps in the process of recurrence prevention, but data concerning the association between the two compositions are scarce in Chinese children with urolithiasis. We retrospectively analyzed the records of children (age range 0-18 years) with urolithiasis in our center...
journal_title:Urolithiasis
pub_type: 杂志文章
doi:10.1007/s00240-016-0910-9
更新日期:2017-06-01 00:00:00
abstract::Our objectives were to compare measurements of ureteral wall area, ureteral wall volume and ureteral wall thickness for their use in prediction of shock wave lithotripsy outcomes. We retrospectively identified 218 patients that underwent shock wave lithotripsy for ureteral calculi with pretreatment non-contrast comput...
journal_title:Urolithiasis
pub_type: 杂志文章
doi:10.1007/s00240-019-01154-w
更新日期:2020-08-01 00:00:00
abstract::Kidney stone is a chronic metabolic disease that caused by many factors, especially by the metabolic disturbances of urine compositions, but the metabolic profiling of the urine from kidney stone patients remains poorly explored. In the present study, 1H NMR spectroscopy and multivariate pattern recognition analytical...
journal_title:Urolithiasis
pub_type: 杂志文章
doi:10.1007/s00240-019-01132-2
更新日期:2020-02-01 00:00:00
abstract::The objective of this study was to present the outcomes of comparative clinical study of microperc versus mini-percutaneous nephrolithotomy (mini-PNL) in the treatment of lower calyx stones of 10-20 mm. Patients with lower calyx stones treated with microperc (Group-1) or mini-PNL (Group-2) between 2011 and 2014 were r...
journal_title:Urolithiasis
pub_type: 杂志文章
doi:10.1007/s00240-015-0804-2
更新日期:2016-04-01 00:00:00
abstract::To determine quantifiable indicators for post-percutaneous nephrolithotomy (PCNL) renal arterial embolization. A total of 2043 patients who underwent PCNL from September 2012 to March 2018 were reviewed retrospectively. Post-operative hemorrhage patients were extracted and divided into two groups according to treatmen...
journal_title:Urolithiasis
pub_type: 杂志文章
doi:10.1007/s00240-020-01206-6
更新日期:2020-08-08 00:00:00
abstract::Kidney stone disease occurs throughout the world. Conservative treatments involving herbal preparations have been used in traditional Chinese medicine. In vitro studies have suggested that Folium pyrrosiae (FP) has therapeutic potential in this context. The present study was undertaken to investigate the effects of in...
journal_title:Urolithiasis
pub_type: 杂志文章
doi:10.1007/s00240-014-0722-8
更新日期:2015-02-01 00:00:00
abstract::The objective of this study was to assess the value of dual X-ray absorptiometry (DXA) in comparison to non contrast computed tomography (NCCT) density as possible predictors of upper urinary tract stone disintegration by shock wave lithotripsy (SWL). This study included 100 consecutive patients, with solitary renal s...
journal_title:Urolithiasis
pub_type: 杂志文章
doi:10.1007/s00240-013-0596-1
更新日期:2013-11-01 00:00:00
abstract::The objective is to establish whether a pattern of intestinal dysbiosis exists in calcium oxalate (CaOx) lithiasis and, if so, to identify its characteristics and explore whether there are differences in the pattern between CaOx dihydrate (COD) and monohydrate (COM) lithiasis. With this aim 24 patients diagnosed with ...
journal_title:Urolithiasis
pub_type: 杂志文章
doi:10.1007/s00240-020-01181-y
更新日期:2020-08-01 00:00:00
abstract::We aimed to investigate the relationship among urinary stone disease, androgenetic alopecia (AGA), and serum testosterone (T) levels. Between January 2008 and November 2015, we retrospectively investigated the biochemical parameters and anthropometric characteristics (height and weight) of 200 patients who had urinary...
journal_title:Urolithiasis
pub_type: 杂志文章
doi:10.1007/s00240-016-0888-3
更新日期:2016-10-01 00:00:00
abstract::Various analgesic applications can be used during extracorporeal shock wave lithotripsy (SWL) for pain relief and maximal success rate. Intracutaneous sterile water injection (ISWI) has been shown to be effective in several types of pain, but a gap exists about its use during SWL. In this paper, we aimed to evaluate t...
journal_title:Urolithiasis
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00240-019-01147-9
更新日期:2020-04-01 00:00:00
abstract::Textbooks describe three narrowest anatomic sites in the ureter as the most likely places for ureteral calculi to lodge, these are: the pelvi-ureteric junction (PUJ), the point where the ureters cross over the iliac vessels and the ureterovesical junction (UVJ). The purpose of this study is to determine whether calcul...
journal_title:Urolithiasis
pub_type: 杂志文章
doi:10.1007/s00240-013-0605-4
更新日期:2014-02-01 00:00:00