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COMPARISON OF COMPREHENSIVE AND LIMITED METABOLIC EVALUATIONS IN THE TREATMENT OF PATIENTS WITH RECURRENT CALCIUM UROLITHIASIS

1999; Lippincott Williams & Wilkins; Volume: 161; Issue: 5 Linguagem: Inglês

10.1016/s0022-5347(05)68922-7

1527-3792

Takashi Yagisawa, Paramjit S. Chandhoke, Jie Fan,

Paleopathology and ancient diseases

No AccessJournal of UrologyClinical Urology: Original Articles1 May 1999COMPARISON OF COMPREHENSIVE AND LIMITED METABOLIC EVALUATIONS IN THE TREATMENT OF PATIENTS WITH RECURRENT CALCIUM UROLITHIASIS TAKASHI YAGISAWA, PARAMJIT S. CHANDHOKE, and JIE FAN TAKASHI YAGISAWATAKASHI YAGISAWA , PARAMJIT S. CHANDHOKEPARAMJIT S. CHANDHOKE , and JIE FANJIE FAN View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)68922-7AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We compared diagnostic information from limited and comprehensive metabolic evaluations of recurrent calcium stone formers. Materials and Methods: A total of 74 men and 45 women with recurrent calcium stones underwent comprehensive metabolic evaluation. The number of specific and total metabolic abnormalities diagnosed on 1 or 2 random 24-hour urinalyses were compared to those obtained on a comprehensive metabolic evaluation. We also examined the ability of the comprehensive evaluation to detect dietary calcium sensitive oxaluria. Results: The comprehensive metabolic evaluation yielded a specific metabolic diagnosis in 90% of the patients compared to 68% for 1 and 75% for 2 urinalyses. Average total number of specific metabolic abnormalities for each patient was approximately 50% higher on a comprehensive metabolic evaluation compared to 1 urinalysis (1.59 +/− 0.08 versus 0.94 +/− 0.07, p <0.05). Hypercalciuria, hyperoxaluria and hypocitruria were diagnosed significantly more often by the comprehensive than by the limited evaluation. Type II absorptive hypercalciuria was the most common pattern of hypercalciuria, and dietary calcium sensitive oxaluria was present in 22% of the patients. 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Google Scholar From the Departments of Surgery (Urology) and Medicine (Renal Disease), University of Colorado Health Sciences Center, Denver, Colorado© 1999 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byCastle S, Cooperberg M, Sadetsky N, Eisner B and Stoller M (2010) Adequacy of a Single 24-Hour Urine Collection for Metabolic Evaluation of Recurrent NephrolithiasisJournal of Urology, VOL. 184, NO. 2, (579-583), Online publication date: 1-Aug-2010.LOTAN Y, CADEDDU J, ROERHBORN C, PAK C and PEARLE M (2018) COST-EFFECTIVENESS OF MEDICAL MANAGEMENT STRATEGIES FOR NEPHROLITHIASISJournal of Urology, VOL. 172, NO. 6 Part 1, (2275-2281), Online publication date: 1-Dec-2004.PAK C, PETERSON R and POINDEXTER J (2018) ADEQUACY OF A SINGLE STONE RISK ANALYSIS IN THE MEDICAL EVALUATION OF UROLITHIASISJournal of Urology, VOL. 165, NO. 2, (378-381), Online publication date: 1-Feb-2001. Volume 161Issue 5May 1999Page: 1449-1452 Advertisement Copyright & Permissions© 1999 by American Urological Association, Inc.MetricsAuthor Information TAKASHI YAGISAWA More articles by this author PARAMJIT S. CHANDHOKE More articles by this author JIE FAN More articles by this author Expand All Advertisement PDF downloadLoading ...