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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....
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2022
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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. |
format | Online Article Text |
id | pubmed-9808142 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
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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