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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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Autores principales: Higuchi, Hiroyasu, Harada, Taku, Hiroshige, Juichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
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
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author Higuchi, Hiroyasu
Harada, Taku
Hiroshige, Juichi
author_facet Higuchi, Hiroyasu
Harada, Taku
Hiroshige, Juichi
author_sort Higuchi, Hiroyasu
collection PubMed
description 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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spelling pubmed-98081422023-01-04 Evaluation of the usefulness of costovertebral angle tenderness in patients with suspected ureteral stone Higuchi, Hiroyasu Harada, Taku Hiroshige, Juichi J Gen Fam Med Preliminary Report 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. John Wiley and Sons Inc. 2022-09-12 /pmc/articles/PMC9808142/ /pubmed/36605912 http://dx.doi.org/10.1002/jgf2.581 Text en © 2022 The Authors. Journal of General and Family Medicine published by John Wiley & Sons Australia, Ltd on behalf of Japan Primary Care Association. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Preliminary Report
Higuchi, Hiroyasu
Harada, Taku
Hiroshige, Juichi
Evaluation of the usefulness of costovertebral angle tenderness in patients with suspected ureteral stone
title Evaluation of the usefulness of costovertebral angle tenderness in patients with suspected ureteral stone
title_full Evaluation of the usefulness of costovertebral angle tenderness in patients with suspected ureteral stone
title_fullStr Evaluation of the usefulness of costovertebral angle tenderness in patients with suspected ureteral stone
title_full_unstemmed Evaluation of the usefulness of costovertebral angle tenderness in patients with suspected ureteral stone
title_short Evaluation of the usefulness of costovertebral angle tenderness in patients with suspected ureteral stone
title_sort evaluation of the usefulness of costovertebral angle tenderness in patients with suspected ureteral stone
topic Preliminary Report
url 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
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