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Etiological factors in pediatric stone recurrence.
D A Diamond1, M Menon, P H Lee
1University of Massachusetts Medical Center, Worcester.
The Journal of Urology
|August 1, 1989
Summary
Pediatric stone disease recurs in 16% of patients. Recurrence rates varied by cause, with metabolic and anatomical factors showing higher rates, underscoring the need for long-term monitoring.
Area of Science:
- Pediatric Nephrology
- Urology
- Clinical Research
Background:
- Kidney stone disease is a significant health concern in children.
- Understanding recurrence patterns is crucial for effective management.
Purpose of the Study:
- To determine the long-term recurrence rate of kidney stone disease in pediatric patients.
- To analyze recurrence rates based on the etiology of stone formation.
Main Methods:
- A retrospective study followed 270 pediatric patients with stone disease over 27 years.
- Patients were categorized by stone etiology: infection, idiopathic, anatomical, and metabolic.
Main Results:
- Overall recurrence rate was 16% (42 out of 270 patients).
- Recurrence rates by etiology: infection (14%), idiopathic (14%), anatomical (27%), and metabolic (30%).
- The longest interval to recurrence ranged from 7 to 13 years across categories.
Conclusions:
- Pediatric stone disease has a notable recurrence rate.
- Etiology significantly influences stone recurrence risk.
- Long-term follow-up is essential for managing pediatric stone disease.