Epidemiological studies on the prevalence of upper urinary calculi in Taiwan

被引:103
作者
Lee, YH [1 ]
Huang, WC [1 ]
Tsai, JY [1 ]
Lu, CM [1 ]
Chen, WC [1 ]
Lee, MH [1 ]
Hsu, HS [1 ]
Huang, JK [1 ]
Chang, LS [1 ]
机构
[1] Vet Gen Hosp Kaohsiung, Div Urol, Dept Surg, Kaohsiung 813, Taiwan
关键词
epidemiology; urinary calculi; prevalence; questionnaire;
D O I
10.1159/000048445
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Introduction: A nationwide survey was conducted to investigate the prevalence of upper urinary calculi in Taiwan. Materials and Methods:A postal questionnaire was mailed to 27,758 people, 0.2% of the adults in Taiwan. Results: Of the 4,588 valid respondents, 440 had at least one episode of upper urinary calculus disease. The overall prevalence was 9.6% (14.5% in males and 4.3% in females). Men were more prone to nephrolithiasis than women (age-adjusted prevalence of 12.2% in men and 3.1% in women, p = 0). The 'stone belt' was localized in the Midwest region of Taiwan. A gender- and age-adjusted multivariate analysis revealed that alcohol consumption and family history of kidney stone were significant risk factors for stone occurrence. Compared with general population, the odds ratios for stone disease in inhabitants whose father, mother and both parents with stone history were 3.44 [95% confidence interval (CI), 2.33-5.07], 4.79 (95% CI, 2.85-8.07) and 10.40 (95% CI, 3.75-28.84), respectively. The subtropical temperature and gradually higher socioeconomic standards of living may contribute to the high prevalence. Inhabitants in the Midwest region have higher risk to develop stones. Conclusions: Further studies are needed to investigate the exact cause of these regional variations of stone prevalence. Nevertheless, the present study provides an additional piece of information on worldwide epidemiology of urolithiasis. Copyright (C) 2002 S. Karger AG, Basel.
引用
收藏
页码:172 / 177
页数:6
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