Comparison of infants and children with urolithiasis: a large case series View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2022-04-28

AUTHORS

Funda Baştuğ, Ayşe Ağbaş, Sebahat Tülpar, Zeynep Nagehan Yürük Yıldırım, Neslihan Çiçek, Neslihan Günay, Atilla Gemici, Binnaz Çelik, Emine Özlem Çam Delebe, Hülya Nalçacıoğlu, Alev Yılmaz, İbrahim Gökçe, Gülay Demircin, Duygu Övünç Hacıhamdioğlu, Kenan Yılmaz, Bahriye Atmış, Esra Karabağ Yılmaz, Pelin Ertan, İsmail Dursun, Bağdagül Aksu, Burcu Bulum Akbulut, Serra Sürmeli Döven, Nimet Öner, Sibel Yel, Ahmet Midhat Elmacı, Yeşim Özdemir Atikel, Gökçen Erfidan, Berfin Uysal, Neşe Bıyıklı, Burcu Yazıcıoğlu, Nuran Küçük, Elif Çomak, Fatma Lale Sever, İpek Akil, Özlem Aksoy, Harika Alpay

ABSTRACT

We evaluated the demographic features, etiologic risk factors, treatment strategies, and outcome of the infants and children with urolithiasis (UL). A retrospective multicenter study was conducted including 23 Pediatric Nephrology centers in Turkey. The medical records of 2513 children with UL were reviewed. One thousand, three hundred and four boys and 1209 girls (1.1:1) were reported. The mean age at diagnosis was 39.5 ± 35 months (0.4–231 months), and 1262 patients (50.2%) were in the first year of life (infants). Most of the cases with infantile UL were diagnosed incidentally. Microlithiasis (< 3 mm) was found in 794 patients (31.6%), and 64.5% of the patients with microlithiasis were infants. Stones were located in the pelvis-calyces in 63.2% (n: 1530) of the cases. The most common stone type was calcium oxalate (64.6%). Hypocitraturia was the most common metabolic risk factor (MRF) in children older than 12 months, but in infancy, hypercalciuria was more common. Fifty-five percent of the patients had received at least one medical treatment, mostly potassium citrate. At the end of a year’s follow-up, most of the patients with microlithiasis (85%) showed spontaneous remission. The rate of spontaneous stone resolution in infants was higher than in children. Spontaneous remission rate was higher in cases with MRF ( − ) stones than in MRF ( +) stones. However, remission rate with medical treatment was higher in cases with MRF ( +) stones. This study represents the results of a large series of infants and children with UL and showed that there are several differences such as underlying metabolic and anatomic abnormalities, clinical course, and stone remission rates between infants and children with urinary stone disease. More... »

PAGES

411-421

References to SciGraph publications

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  • Journal

    TITLE

    Urolithiasis

    ISSUE

    4

    VOLUME

    50

    Author Affiliations

  • Department of Pediatric Nephrology, Kayseri City Hospital, Kayseri, Turkey
  • Department of Pediatric Nephrology, Haseki Training and Research Hospital, Istanbul, Turkey
  • Department of Pediatric Nephrology, Bakirkoy Sadi Konuk Training and Research Hospital, Istanbul, Turkey
  • Department of Pediatric Nephrology, Istanbul University Istanbul Medical Faculty, Istanbul, Turkey
  • Department of Pediatric Nephrology, Marmara University Medical Faculty, Istanbul, Turkey
  • Department of Pediatric Nephrology, Erciyes University Medical Faculty, Kayseri, Turkey
  • Department of Pediatric Nephrology, Erzurum Regional Training and Research Hospital, Erzurum, Turkey
  • Department of Pediatric Nephrology, Ondokuz Mayıs University Medical Faculty, Samsun, Turkey
  • Department of Pediatric Nephrology, TOBB University of Economics and Technology Medical Faculty, Istanbul, Turkey
  • Department of Pediatric Nephrology, BAU Medikalpark Göztepe Hospital, Istanbul, Turkey
  • Department of Pediatric Nephrology, Balıkesir University Medical Faculty, Balıkesir, Turkey
  • Department of Pediatric Nephrology, Istanbul University Cerrahpaşa Medical Faculty, Istanbul, Turkey
  • Department of Pediatric Nephrology, Manisa Celal Bayar University Medical Faculty, Manisa, Turkey
  • Department of Pediatric Nephrology, Acıbadem University Medical Faculty, Istanbul, Turkey
  • Department of Pediatric Nephrology, Mersin City Hospital, Mersin, Turkey
  • Department of Pediatric Nephrology, Konya Dr Faruk Sükan Maternity and Children Hospital, Konya, Turkey
  • Department of Pediatric Nephrology, Eskişehir City Hospital, Eskişehir, Turkey
  • Department of Pediatric Nephrology, İzmir Tepecik Training and Research Hospital, İzmir, Turkey
  • Department of Pediatric Nephrology, Bursa Dörtçelik Children Hospital, Bursa, Turkey
  • Department of Pediatric Nephrology, Anatolian Health Center, Kocaeli, Turkey
  • Department of Pediatric Nephrology, Gazi University Medical Faculty, Ankara, Turkey
  • Department of Pediatric Nephrology, Kartal Training and Research Hospital, Istanbul, Turkey
  • Department of Pediatric Nephrology, Akdeniz University Medical Faculty, Antalya, Turkey
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00240-022-01327-0

    DOI

    http://dx.doi.org/10.1007/s00240-022-01327-0

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1147411790

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/35482085


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