种族和人口变量与精确的24小时尿液收集完成和结果有关
Reza Lahiji1, Elizabeth Chu1, Ernest Allen Morton1
1Department of Urology, Emory University School of Medicine, Atlanta, GA.
Urology
|October 10, 2025
概括
精确的24小时尿液采集用于结石风险在年轻,男性和黑人患者中较少见. 黑人患者表现出明显的尿路形状,可能表明基于的结石的风险较低.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 公共卫生 公共卫生
背景情况:
- 精确的24小时尿液收集对于评估结石风险至关重要.
- 人口因素可能会影响收集精度和尿路结石标记.
- 了解这些差异是有效的患者管理的关键.
研究的目的:
- 为了确定精确的24小时尿液收集的人口预测因素.
- 在形成石头的患者中检查 lithogenic 尿液标记物的种族差异.
- 为改善遵守和个性化风险评估的战略提供信息.
主要方法:
- 对823名经过24小时尿液收集的石头形成患者 (2010-2022) 的回顾性审查.
- 准确度由梅奥诊所的肌素值来定义.
- 多变量后勤回归分析了准确性和种族与尿路异常相关的预测因素.
主要成果:
- 84.3%的患者提供了准确的采集.
- 年龄较大 (≥55岁) 预测的准确性更高 (或2.18).
- 男性性别和黑人种族与较低的收集精度相关 (分别为0.49和0.51).
- 精确采集的黑人患者有较低的超度,超度和酸超和的几率,但超度的几率更高.
结论:
- 年龄较小,男性性别和黑人种族与减少24小时尿液收集准确性有关.
- 需要有针对性的患者教育来改善患者的坚持.
- 黑人患者的明显的尿路形状表明,基结石的风险可能较低,需要进行个性化风险评估.
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