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Predictors for kidney stones recurrence following extracorporeal shock wave lithotripsy (ESWL) or percutaneous nephrolithotomy (PCNL)

หน่วยงาน มหาวิทยาลัยเชียงใหม่

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ชื่อเรื่อง : Predictors for kidney stones recurrence following extracorporeal shock wave lithotripsy (ESWL) or percutaneous nephrolithotomy (PCNL)
นักวิจัย : Chongruksut W. , Lojanapiwat B. , Tawichasri C. , Paichitvichean S. , Euathrongchit J. , Na Ayudhya V.C. , Patumanond J.
คำค้น : -
หน่วยงาน : มหาวิทยาลัยเชียงใหม่
ผู้ร่วมงาน : -
ปีพิมพ์ : 2555
อ้างอิง : 1252208 , 22550832 , JMTHB , http://www.ncbi.nlm.nih.gov/pubmed/22550832 , http://www.scopus.com/inward/record.url?eid=2-s2.0-84858384976&partnerID=40&md5=c5f823918b8c5993780b1d2c890dd6a5 , http://cmuir.cmu.ac.th/handle/6653943832/3806
ที่มา : -
ความเชี่ยวชาญ : -
ความสัมพันธ์ : -
ขอบเขตของเนื้อหา : -
บทคัดย่อ/คำอธิบาย :

Background: Stone recurrence after extracorporeal shock wave lithotripsy (ESWL) or percutaneous nephrolithotomy (PCNL) are common. Predictors for kidney stones vary among populations and areas. Objective: To determine predictors for kidney stones recurrence after ESWL or PCNL. Material and Method: A retrospective cohort study was conducted at a university hospital. The study cohort was patients aged more than 18 years, diagnosed with kidney stones, who were treated with ESWL or PCNL between 2006 and 2009. Medical files were reviewed for clinical profiles, stone characteristics, composition, type of treatment, presence of stone after treatment, stone reappearance, and related laboratory data. Predictors were determined by a multivariable poisson regression and presented as incidence rate ratios (IRRs) with 95% confidence interval. Results: From a cohort of 252 patients, 240 who had at least one follow-up and with complete plain kidney ureters and bladder (KUB) film or intravenous pyelogram (IVP) were included in analysis. At three years, the total incidence rate of recurrence was 46 per 1,000 person-months. After a multivariable poisson regression clustering by type of stone composition, independent predictors for stone recurrence were age ≤ 50 years (adjusted IRR = 1.3, 95% CI = 1.2-1.4, p < 0.001), ESWL treatment (adjusted IRR = 2.1, 95% CI = 2.1-2.2, p < 0.001), stones located in lower calyx as compared to renal pelvis (adjusted IRR = 8.7, 95% CI = 2.9-25.9, p = 0.001), multiple stones (adjusted IRR = 5.9, 95% CI = 4.8-7.5, p < 0.001), and stone size larger than 20 mm (adjusted IRR = 1.4, 95% CI = 1.2-1.6, p < 0.001). Conclusion: After stone removals, patients with these predictors should closely be followed up for regular clinical evaluations.

บรรณานุกรม :
Chongruksut W. , Lojanapiwat B. , Tawichasri C. , Paichitvichean S. , Euathrongchit J. , Na Ayudhya V.C. , Patumanond J. . (2555). Predictors for kidney stones recurrence following extracorporeal shock wave lithotripsy (ESWL) or percutaneous nephrolithotomy (PCNL).
    เชียงใหม่ : มหาวิทยาลัยเชียงใหม่ .
Chongruksut W. , Lojanapiwat B. , Tawichasri C. , Paichitvichean S. , Euathrongchit J. , Na Ayudhya V.C. , Patumanond J. . 2555. "Predictors for kidney stones recurrence following extracorporeal shock wave lithotripsy (ESWL) or percutaneous nephrolithotomy (PCNL)".
    เชียงใหม่ : มหาวิทยาลัยเชียงใหม่ .
Chongruksut W. , Lojanapiwat B. , Tawichasri C. , Paichitvichean S. , Euathrongchit J. , Na Ayudhya V.C. , Patumanond J. . "Predictors for kidney stones recurrence following extracorporeal shock wave lithotripsy (ESWL) or percutaneous nephrolithotomy (PCNL)."
    เชียงใหม่ : มหาวิทยาลัยเชียงใหม่ , 2555. Print.
Chongruksut W. , Lojanapiwat B. , Tawichasri C. , Paichitvichean S. , Euathrongchit J. , Na Ayudhya V.C. , Patumanond J. . Predictors for kidney stones recurrence following extracorporeal shock wave lithotripsy (ESWL) or percutaneous nephrolithotomy (PCNL). เชียงใหม่ : มหาวิทยาลัยเชียงใหม่ ; 2555.