Evaluation of the usefulness of costovertebral angle tenderness in patients with suspected ureteral stone

BACKGROUND: The usefulness of costovertebral angle (CVA) tenderness for the diagnosis of a suspected ureteral stone remains controversial. METHODS: This single‐center, retrospective, observational study included patients aged 16–64 years with acute‐onset unilateral lower back pain or abdominal pain....

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Detalles Bibliográficos
Autores principales: Higuchi, Hiroyasu, Harada, Taku, Hiroshige, Juichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Preliminary Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9808142/
https://www.ncbi.nlm.nih.gov/pubmed/36605912
http://dx.doi.org/10.1002/jgf2.581
Descripción
Sumario:BACKGROUND: The usefulness of costovertebral angle (CVA) tenderness for the diagnosis of a suspected ureteral stone remains controversial. METHODS: This single‐center, retrospective, observational study included patients aged 16–64 years with acute‐onset unilateral lower back pain or abdominal pain. The diagnostic accuracy of CVA tenderness was investigated. RESULTS: In total, 132 patients met the criteria; 80 were diagnosed with ureteral stones. The sensitivity and specificity of CVA tenderness were 0.65 and 0.50, respectively; positive and negative likelihood ratios were 1.3 and 0.7, respectively. CONCLUSIONS: CVA tenderness cannot be used as a single diagnostic indicator to confirm or exclude ureteral stone diagnosis.

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