Prevalence of kidney stones in China: an ultrasonography based cross‐sectional study
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- Guohua Zeng
- Department of Urology Minimally Invasive Surgery Center The First Affiliated Hospital of Guangzhou Medical University Guangzhou Guangdong China
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- Zanlin Mai
- Department of Urology Minimally Invasive Surgery Center The First Affiliated Hospital of Guangzhou Medical University Guangzhou Guangdong China
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- Shujie Xia
- Department of Urology Shanghai First People Hospital School of Medicine Shanghai Jiao Tong University Shanghai China
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- Zhiping Wang
- Department of Urology Lanzhou University Second Hospital Lanzhou Gansu China
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- Keqin Zhang
- Department of Urology Daping Hospital Research Institute of Surgery Third Military Medical University Chongqing China
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- Li Wang
- Department of Urology People's Hospital of Changzhi Changzhi Shanxi China
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- Yongfu Long
- Department of Urology Central Hospital of Shaoyang Shaoyang Hunan China
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- Jinxiang Ma
- Department of Epidemiology, Biostatistics and Medicine Guangzhou Medical University Guangzhou Guangdong China
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- Yi Li
- School of Public Health University of Michigan Ann Arbor MI USA
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- Show P. Wan
- Department of Urology Minimally Invasive Surgery Center The First Affiliated Hospital of Guangzhou Medical University Guangzhou Guangdong China
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- Wenqi Wu
- Department of Urology Minimally Invasive Surgery Center The First Affiliated Hospital of Guangzhou Medical University Guangzhou Guangdong China
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- Yongda Liu
- Department of Urology Minimally Invasive Surgery Center The First Affiliated Hospital of Guangzhou Medical University Guangzhou Guangdong China
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- Zelin Cui
- Department of Urology Minimally Invasive Surgery Center The First Affiliated Hospital of Guangzhou Medical University Guangzhou Guangdong China
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- Zhijian Zhao
- Department of Urology Minimally Invasive Surgery Center The First Affiliated Hospital of Guangzhou Medical University Guangzhou Guangdong China
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- Jing Qin
- Department of Urology Minimally Invasive Surgery Center The First Affiliated Hospital of Guangzhou Medical University Guangzhou Guangdong China
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- Tao Zeng
- Department of Urology Minimally Invasive Surgery Center The First Affiliated Hospital of Guangzhou Medical University Guangzhou Guangdong China
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- Yang Liu
- Department of Urology Minimally Invasive Surgery Center The First Affiliated Hospital of Guangzhou Medical University Guangzhou Guangdong China
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- Xiaolu Duan
- Department of Urology Minimally Invasive Surgery Center The First Affiliated Hospital of Guangzhou Medical University Guangzhou Guangdong China
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- Xin Mai
- Department of Urology Minimally Invasive Surgery Center The First Affiliated Hospital of Guangzhou Medical University Guangzhou Guangdong China
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- Zhou Yang
- Department of Urology Minimally Invasive Surgery Center The First Affiliated Hospital of Guangzhou Medical University Guangzhou Guangdong China
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- Zhenzhen Kong
- Department of Urology Minimally Invasive Surgery Center The First Affiliated Hospital of Guangzhou Medical University Guangzhou Guangdong China
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- Tao Zhang
- Department of Urology Minimally Invasive Surgery Center The First Affiliated Hospital of Guangzhou Medical University Guangzhou Guangdong China
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- Chao Cai
- Department of Urology Minimally Invasive Surgery Center The First Affiliated Hospital of Guangzhou Medical University Guangzhou Guangdong China
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- Yi Shao
- Department of Urology Shanghai First People Hospital School of Medicine Shanghai Jiao Tong University Shanghai China
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- Zhongjin Yue
- Department of Urology Lanzhou University Second Hospital Lanzhou Gansu China
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- Shujing Li
- Department of Urology Daping Hospital Research Institute of Surgery Third Military Medical University Chongqing China
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- Jiandong Ding
- Department of Urology People's Hospital of Changzhi Changzhi Shanxi China
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- Shan Tang
- Department of Urology Central Hospital of Shaoyang Shaoyang Hunan China
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- Zhangqun Ye
- Department of Urology Tongji Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan Hubei China
説明
<jats:sec><jats:title>Objectives</jats:title><jats:p>To investigate the prevalence and associated factors of kidney stones among adults in China.</jats:p></jats:sec><jats:sec><jats:title>Subjects and Methods</jats:title><jats:p>A nationwide cross‐sectional survey was conducted among individuals aged ≥18 years across China, from May 2013 to July 2014. Participants underwent urinary tract ultrasonographic examinations, completed pre‐designed and standardised questionnaires, and provided blood and urine samples for analysis. Kidney stones were defined as particles of ≥4 mm. Prevalence was defined as the proportion of participants with kidney stones and binary logistic regression was used to estimate the associated factors.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>A total of 12 570 individuals (45.2% men) with a mean (sd, range) age of 48.8 (15.3, 18–96) years were selected and invited to participate in the study. In all, 9310 (40.7% men) participants completed the investigation, with a response rate of 74.1%. The prevalence of kidney stones was 6.4% [95% confidence interval (<jats:styled-content style="fixed-case">CI</jats:styled-content>) 5.9, 6.9], and the age‐ and sex‐adjusted prevalence was 5.8% (95% <jats:styled-content style="fixed-case">CI</jats:styled-content> 5.3, 6.3; 6.5% in men and 5.1% in women). Binary logistic regression analysis showed that male gender, rural residency, age, family history of urinary stones, concurrent diabetes mellitus and hyperuricaemia, increased consumption of meat, and excessive sweating were all statistically significantly associated with a greater risk of kidney stones. By contrast, consumption of more tea, legumes, and fermented vinegar was statistically significantly associated with a lesser risk of kidney stone formation.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Kidney stones are common among Chinese adults, with about one in 17 adults affected currently. Some Chinese dietary habits may lower the risk of kidney stone formation.</jats:p></jats:sec>
収録刊行物
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- BJU International
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BJU International 120 (1), 109-116, 2017-03-21
Wiley