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Epidemiological and clinical significances of urolithiasis in childhood
Insights
Childhood urolithiasis incidence decreased with improved healthcare, though serious cases persist. School-aged children, especially girls, show higher rates, with risks including kidney loss and pyelonephritis.
Area of Science:
- Pediatric Nephrology
- Epidemiology of Urolithiasis
- Child Health Outcomes
Background:
- Urolithiasis (kidney stones) in children poses significant health risks.
- Historical data on pediatric urolithiasis incidence and clinical presentation is crucial for understanding disease trends.
- Assessing the impact of healthcare improvements on pediatric urolithiasis is essential.
Purpose of the Study:
- To analyze the epidemiological and clinical trends of childhood urolithiasis.
- To evaluate the impact of enhanced healthcare on urolithiasis incidence in children.
- To identify high-risk demographics and severe clinical manifestations of pediatric urolithiasis.
Main Methods:
- Retrospective epidemiological and clinical study.
- Analysis of 105 children diagnosed with urolithiasis between 1965 and 1974.
- Examination of disease incidence rates and clinical outcomes within a defined pediatric population.
Main Results:
- A decrease in urolithiasis incidence was observed in infants with access to high-quality healthcare.
- Serious forms of urolithiasis are declining.
- Higher incidence rates were noted in school-aged children, with girls affected more frequently than boys.
Conclusions:
- Improved healthcare correlates with reduced pediatric urolithiasis rates, particularly in infants.
- Despite overall decreases, severe urolithiasis remains a threat, potentially leading to kidney loss, bilateral staghorn calculi, and pyelonephritis.
- Pediatric urolithiasis necessitates continued monitoring and management strategies, especially in school-aged populations.
Abstract:
An epidemiological and clinical study of a sample of 105 children with urolithiasis treated in the period 1965-1974 in a defined population of children revealed a decrease in the rate of incidence of this disease in a municipal infant population with high-ranking care for their health. Serious forms of urolithiasis are on the decrease. There is a higher rate of incidence in schoolboys and schoolgirls, the latter being more often involved than boys. Despite the general lower rate of occurrence, urolithiasis still has such forms as will endanger the life of the organ and the life of the patient. Injury to health of the child by this disease consists mainly in loss of one kidney, ambilateral staghorn stones that proved irremovable in their entirety and pyelonephritis.