The objective of this study was to assess the correlation between the ApoB/ApoA ratio and the recurrence of kidney stones in a Chinese adult population.
We collected electronic records of patients with kidney stones who underwent surgical treatment at our hospital from March 2016 to March 2022. These patients were followed up and categorized into groups based on the recurrence of kidney stones. Parameters related to routine blood and biochemical tests, as well as the history of hypertension and diabetes mellitus, were gathered. Multiple imputation was applied for missing data. Subsequently, differences between the recurrence and non-recurrence groups were assessed using the chi-square test, independent samples t test, or Wilcoxon rank sum test. Logistic regression analysis, subgroup analysis, and propensity-matched analysis were conducted to evaluate the relationship between the ApoB/ApoA ratio and kidney stone recurrence.
The study included a total of 923 participants aged > 18 years, among whom 296 experienced kidney stone recurrence during the follow-up period. An elevated ApoB/ApoA ratio was identified as a risk factor for kidney stone recurrence (adjusted OR = 2.48, 95% CI 1.04, 5.92). Propensity-matched analyses further supported the association, showing that elevated ApoB/ApoA ratios were linked to a higher risk of renal stone recurrence (OR = 3.37, 95% CI 1.24-9.17). The dose-response curve illustrated a positive linear correlation between the ApoB/ApoA ratio and the risk of kidney stone recurrence.
Increased ApoB/ApoA ratios are positively correlated with the risk of kidney stone recurrence. This association remains significant, although a causal relationship cannot be definitively established.
European journal of medical research. 2025 Dec 08*** epublish ***
Binbin Gong, Xike Mao, Guoxiang Li, Junping Yang, Xudong Shen, Chaozhao Liang, Zongyao Hao
Department of Urology, The First Affiliated Hospital of Anhui Medical University, Hefei, China., Department of General Practice, Wuhu City Second People's Hospital, Wuhu, Anhui, China., Department of Urology, The First Affiliated Hospital of Anhui Medical University, Hefei, China. ., Department of Urology, The First Affiliated Hospital of Anhui Medical University, Hefei, China. ., Department of Urology, The First Affiliated Hospital of Anhui Medical University, Hefei, China. .