Background and objective: Nephrolithiasis (NL) is a public health problem in the population of Southeast Mexico because of its high prevalence and recurrence. The evolution of this pathology can result in renal damage and may even cause chronic kidney disease (CKD), leading to a reduced glomerular filtration rate (GFR), decreased kidney function, and kidney loss in advanced stages. However, few studies support this evidence in the population. The present study aimed to determine risk factors associated with CKD in adult patients in an endemic population of Mexico. Materials and methods: A case-control study was carried out with patients diagnosed with NL. Additionally, the clinical information of patients (age, weight, height, blood pressure, comorbidities, and time of progress of NL), characteristics of the stones (number, location, and Hounsfield units), and biochemical parameters were collected. Results: The recurrence of NL was associated with CKD (OR 1.91; 95% CI 1.37-2.27; p = 0.003). In addition, male sex (p = 0.016), surgical history (p = 0.011), bilateral kidney stones (p < 0.001), and urinary tract infections (p = 0.004) were other factors associated with CKD. Interestingly, thirty-two patients younger than 50 years old with >2 surgical events presented a significant decrease in GFR (p < 0.001). Conclusions: The recurrence of NL and the number of surgical events were risk factors associated with CKD in patients with NL treated in our population.
Medicina (Kaunas, Lithuania). 2022 Mar 12*** epublish ***
Martha Medina-Escobedo, Katy Sánchez-Pozos, Ana Ligia Gutiérrez-Solis, Azalia Avila-Nava, Lizeth González-Rocha, Roberto Lugo
Research Unit, Hospital Regional de Alta Especialidad de la Peninsula de Yucatán, Calle 7 por 20 y 22, Fraccionamiento Altabrisa, Merida 97130, Mexico., Molecular Endocrinology Laboratory, Hospital Juarez de Mexico, Av. Instituto Politecnico Nacional 5160, Gustavo A. Madero, Mexico City 07760, Mexico.