Cargando…

Epidemiology and composition of nephrolithiasis in a Lebanese tertiary care center: A descriptive study

INTRODUCTION: Nephrolithiasis is a common affliction with a prevalence of 12% in men and 7% in women. The incidence rate diverges with geographic location. Arab countries report high nephrolithiasis prevalence rates, with Saudi Arabia being the highest (20.1%). To date, there is little knowledge abo...

Descripción completa

Detalles Bibliográficos
Autores principales: Degheili, Jad A., Heidar, Nassib Abou, Yacoubian, Aline, Moussawy, Mouhamad, Bachir, Bassel G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9472310/
https://www.ncbi.nlm.nih.gov/pubmed/36117791
http://dx.doi.org/10.4103/ua.ua_117_21
_version_ 1784789278976376832
author Degheili, Jad A.
Heidar, Nassib Abou
Yacoubian, Aline
Moussawy, Mouhamad
Bachir, Bassel G.
author_facet Degheili, Jad A.
Heidar, Nassib Abou
Yacoubian, Aline
Moussawy, Mouhamad
Bachir, Bassel G.
author_sort Degheili, Jad A.
collection PubMed
description INTRODUCTION: Nephrolithiasis is a common affliction with a prevalence of 12% in men and 7% in women. The incidence rate diverges with geographic location. Arab countries report high nephrolithiasis prevalence rates, with Saudi Arabia being the highest (20.1%). To date, there is little knowledge about the demographics and composition of stones in Lebanon. METHODS: A retrospective chart review was performed on stone composition at the American University of Beirut Medical Center, between 2005 and 2018. Patients’ demographics and stone characteristics were obtained from electronic medical records. Analysis of frequencies and Chi-square test were adopted for potential risk factor correlations by the Statistical Package for the Social Sciences (SPSS). RESULTS: A total of 626 stone analyses were performed. Male patients predominated (69%). The mean age was 46.58 ± 16.5 years, and mean body mass index was 28.63 ± 5.6, for both sexes. Calcium oxalate was the most predominant stone in both sexes (70%). Uric acid stones followed (~16%), and calcium oxalate phosphate stones were the third most common (5%). Incidence of kidney stones peaks in the summer, with 11.86% presenting in July. Around 60% presented with flank pain to the Emergency Department, and 32% ended up with spontaneous passage of stones by medical expulsive therapies alone, with no further surgical intervention. Diabetes and hypertension were significantly correlated with stone recurrence in our cohort. CONCLUSION: There is a significant gender disparity in stone prevalence in Lebanon. Calcium oxalate is the most common type in both sexes. Future investigations of dietary and environmental factors are recommended from our region.
format Online
Article
Text
id pubmed-9472310
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Wolters Kluwer - Medknow
record_format MEDLINE/PubMed
spelling pubmed-94723102022-09-15 Epidemiology and composition of nephrolithiasis in a Lebanese tertiary care center: A descriptive study Degheili, Jad A. Heidar, Nassib Abou Yacoubian, Aline Moussawy, Mouhamad Bachir, Bassel G. Urol Ann Original Article INTRODUCTION: Nephrolithiasis is a common affliction with a prevalence of 12% in men and 7% in women. The incidence rate diverges with geographic location. Arab countries report high nephrolithiasis prevalence rates, with Saudi Arabia being the highest (20.1%). To date, there is little knowledge about the demographics and composition of stones in Lebanon. METHODS: A retrospective chart review was performed on stone composition at the American University of Beirut Medical Center, between 2005 and 2018. Patients’ demographics and stone characteristics were obtained from electronic medical records. Analysis of frequencies and Chi-square test were adopted for potential risk factor correlations by the Statistical Package for the Social Sciences (SPSS). RESULTS: A total of 626 stone analyses were performed. Male patients predominated (69%). The mean age was 46.58 ± 16.5 years, and mean body mass index was 28.63 ± 5.6, for both sexes. Calcium oxalate was the most predominant stone in both sexes (70%). Uric acid stones followed (~16%), and calcium oxalate phosphate stones were the third most common (5%). Incidence of kidney stones peaks in the summer, with 11.86% presenting in July. Around 60% presented with flank pain to the Emergency Department, and 32% ended up with spontaneous passage of stones by medical expulsive therapies alone, with no further surgical intervention. Diabetes and hypertension were significantly correlated with stone recurrence in our cohort. CONCLUSION: There is a significant gender disparity in stone prevalence in Lebanon. Calcium oxalate is the most common type in both sexes. Future investigations of dietary and environmental factors are recommended from our region. Wolters Kluwer - Medknow 2022 2022-05-09 /pmc/articles/PMC9472310/ /pubmed/36117791 http://dx.doi.org/10.4103/ua.ua_117_21 Text en Copyright: © 2022 Urology Annals https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Degheili, Jad A.
Heidar, Nassib Abou
Yacoubian, Aline
Moussawy, Mouhamad
Bachir, Bassel G.
Epidemiology and composition of nephrolithiasis in a Lebanese tertiary care center: A descriptive study
title Epidemiology and composition of nephrolithiasis in a Lebanese tertiary care center: A descriptive study
title_full Epidemiology and composition of nephrolithiasis in a Lebanese tertiary care center: A descriptive study
title_fullStr Epidemiology and composition of nephrolithiasis in a Lebanese tertiary care center: A descriptive study
title_full_unstemmed Epidemiology and composition of nephrolithiasis in a Lebanese tertiary care center: A descriptive study
title_short Epidemiology and composition of nephrolithiasis in a Lebanese tertiary care center: A descriptive study
title_sort epidemiology and composition of nephrolithiasis in a lebanese tertiary care center: a descriptive study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9472310/
https://www.ncbi.nlm.nih.gov/pubmed/36117791
http://dx.doi.org/10.4103/ua.ua_117_21
work_keys_str_mv AT degheilijada epidemiologyandcompositionofnephrolithiasisinalebanesetertiarycarecenteradescriptivestudy
AT heidarnassibabou epidemiologyandcompositionofnephrolithiasisinalebanesetertiarycarecenteradescriptivestudy
AT yacoubianaline epidemiologyandcompositionofnephrolithiasisinalebanesetertiarycarecenteradescriptivestudy
AT moussawymouhamad epidemiologyandcompositionofnephrolithiasisinalebanesetertiarycarecenteradescriptivestudy
AT bachirbasselg epidemiologyandcompositionofnephrolithiasisinalebanesetertiarycarecenteradescriptivestudy