Stone Composition Among First-Time Symptomatic Kidney Stone Formers in the Community

Mayo Clinic Proceedings
Prince SinghAndrew D Rule

Abstract

To determine the variation in kidney stone composition and its association with risk factors and recurrence among first-time stone formers in the general population. Medical records were manually reviewed and validated for symptomatic kidney stone episodes among Olmsted County, Minnesota, residents from January 1, 1984, through December 31, 2012. Clinical and laboratory characteristics and the risk of symptomatic recurrence were compared between stone compositions. There were 2961 validated first-time symptomatic kidney stone formers. Stone composition analysis was obtained in 1508 (51%) at the first episode. Stone formers were divided into the following mutually exclusive groups: any brushite (0.9%), any struvite (0.9%), any uric acid (4.8%), and majority calcium oxalate (76%) or majority hydroxyapatite (18%). Stone composition varied with clinical characteristics. A multivariable model had a 69% probability of correctly estimating stone composition but assuming calcium oxalate monohydrate stone was correct 65% of the time. Symptomatic recurrence at 10 years was approximately 50% for brushite, struvite, and uric acid but approximately 30% for calcium oxalate and hydroxyapatite stones (P<.001). Recurrence was similar across dif...Continue Reading

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Citations

Feb 16, 2016·Current Urology Reports·Jonathan K MakanjuolaMatthew Bultitude
Mar 5, 2016·Journal of Endourology·Thanmaya ReddyDean Assimos
Oct 26, 2016·Mayo Clinic Proceedings·William E HaleyAndrew D Rule
Nov 15, 2017·The Journal of Urology·Megan ProchaskaGary Curhan
Dec 12, 2018·Current Opinion in Nephrology and Hypertension·Matthew R D'CostaAndrew D Rule
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Jun 9, 2019·Journal of the American Society of Nephrology : JASN·Matthew R D'CostaAndrew D Rule
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Jun 22, 2019·Journal of Nephrology·Vincent CastiglioneAndrew David Rule
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