Affordable Access

Publisher Website

Changing Gender Prevalence of Stone Disease

Authors
Journal
The Journal of Urology
0022-5347
Publisher
Elsevier
Publication Date
Volume
177
Issue
3
Identifiers
DOI: 10.1016/j.juro.2006.10.069
Keywords
  • Calculi
  • Epidemiology
  • Female
  • Kidney
  • Ureter
Disciplines
  • Medicine

Abstract

Purpose Recent studies suggest that the incidence of renal stone formation has been increasing and the male predominance of nephrolithiasis is decreasing, which may be due to changes in diet and lifestyle. We examined changes in the prevalence by gender of inpatient hospital discharges for urinary stone disease. Materials and Methods The Nationwide Inpatient Sample was used for analysis. Discharges with an International Classification of Diseases, 9th revision, Clinical Modification principal diagnosis of 592.0 (calculus of kidney) or 592.1 (calculus of ureter) from 1997 to 2002 were included in the investigation. Results An estimated mean ± SE 1,013,621 ± 19,310 discharges for stone disease occurred from 1997 to 2002. Discharges for renal calculus increased by 18.9% during the study period (p <0.001), while discharges for ureteral calculus remained relatively constant. After adjusting for population changes discharges for renal calculi increased by 14.2% (p = 0.002). In females discharges for renal calculi increased by 21.0% and discharges for ureteral calculi increased by 19.2% (each p <0.001). After adjusting for population changes renal calculus and ureteral calculus discharges in females increased by 22.0% (p = 0.001) and 14.5% (p = 0.005), respectively. Conclusions In this nationally representative sample the population adjusted rate of discharges for stone disease in females dramatically increased from 1997 to 2002. This alteration represents a change in the prevalence by gender of treated stone disease from a 1.7:1 to 1.3:1 male-to-female ratio. It may reflect variations in the underlying prevalence by gender of stone disease. We speculate that the increasing incidence of nephrolithiasis might be due to lifestyle associated risk factors, such as obesity.

There are no comments yet on this publication. Be the first to share your thoughts.

Statistics

Seen <100 times
0 Comments

More articles like this

Changing gender prevalence of stone disease.

on The Journal of Urology March 2007

Changing surgical aspects of urinary stone disease...

on The Surgical clinics of North... October 1988

Demographics of stone disease--are they changing?

on The Journal of Urology January 2013

The changing pattern of urinary tract stone diseas...

on Nursing mirror and midwives jo... Apr 15, 1976
More articles like this..