To the Editor:According to the data from the National Health and Nutrition Examination Survey(2007–2010),the prevalence of kidney stones in the United States(US)population is 8.8%.[1]A prior US population study has f...To the Editor:According to the data from the National Health and Nutrition Examination Survey(2007–2010),the prevalence of kidney stones in the United States(US)population is 8.8%.[1]A prior US population study has found that the prevalence of kidney stones increases with obesity,diabetes,and metabolic syndrome;for individuals with type 2 diabetes,the severity of disease is associated with a greater risk of kidney stones.[1,2]Choi et al[3]reported that a diagnosis of diabetes was a significant predictive risk factor for failure of spontaneous stone passage(SSP)possibly secondary to ureteral edema and those diabetic patients should be considered for candidates for more invasive treatment.However,this study included only 26 diabetic patients,and only 31 of 366 patients failed to spontaneously pass their stones both of which may limit the power to predict SSP of diabetes.[3]This is an important question to answer given the volume of stones in the US and the consequences of changes in SSP rates between patient groups.Therefore,through a retrospective analysis of the database of emergency renal colic visits in Cleveland Clinic Foundation,we evaluate the association of diabetes on SSP and investigated the predictive factors of SSP in diabetic patients.展开更多
文摘To the Editor:According to the data from the National Health and Nutrition Examination Survey(2007–2010),the prevalence of kidney stones in the United States(US)population is 8.8%.[1]A prior US population study has found that the prevalence of kidney stones increases with obesity,diabetes,and metabolic syndrome;for individuals with type 2 diabetes,the severity of disease is associated with a greater risk of kidney stones.[1,2]Choi et al[3]reported that a diagnosis of diabetes was a significant predictive risk factor for failure of spontaneous stone passage(SSP)possibly secondary to ureteral edema and those diabetic patients should be considered for candidates for more invasive treatment.However,this study included only 26 diabetic patients,and only 31 of 366 patients failed to spontaneously pass their stones both of which may limit the power to predict SSP of diabetes.[3]This is an important question to answer given the volume of stones in the US and the consequences of changes in SSP rates between patient groups.Therefore,through a retrospective analysis of the database of emergency renal colic visits in Cleveland Clinic Foundation,we evaluate the association of diabetes on SSP and investigated the predictive factors of SSP in diabetic patients.
