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Clinical and demographic factors associated with compliance and subsequent urinary metabolic changes in first-time ureteral stone formers / 동물의과학연구지
Journal of Biomedical Research ; : 53-59, 2015.
Article in English | WPRIM | ID: wpr-119556
ABSTRACT
Dietary and lifestyle modifications are widely prescribed to prevent recurrence of urolithiasis, although little is known about the clinical and demographic factors associated with patient compliance and urinary metabolic changes. The present study assessed the clinical and demographic factors influencing compliance with a modified diet and lifestyle in first-time ureteric stone formers as well as determined the effects of compliance on urinary stone risk factors. We retrospectively reviewed the medical records of 53 patients presenting with ureteric calcium stones. Using a self-completed questionnaire, patients were classified according to compliance with seven recommendations for modifying diet and lifestyle into good compliance group (complied with > or = three recommendations) and poor compliance group. Before (on a random diet) and after prescribing the modifications, 24 hour urine samples were collected from those in the good and poor compliance group. The stone size at presentation and initial treatment modality were closely associated with patient compliance (P=0.019, P=0.027, respectively). Citrate excretion significantly increased in the good compliance group after adopting modifications (P=0.012), whereas the poor compliance group did not show a statistically significant difference. Moreover, patients in the poor compliance group showed significantly increased urinary calcium excretion by the end of the study (P=0.040). After adjustments for age, sex, body mass index, and metabolic abnormality status, poor compliance was found to be an independent risk factor for persistence or development of hypocitraturia (OR 3.885; 95% CI 1.102~13.694; P=0.035). In conclusion, our results imply that patient education programs regarding diet and lifestyle should be tailored to the individual's clinical and demographic characteristics.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Recurrence / Ureter / Urinary Calculi / Body Mass Index / Demography / Medical Records / Calcium / Patient Education as Topic / Surveys and Questionnaires / Retrospective Studies Type of study: Etiology study / Practice guideline / Observational study / Risk factors Limits: Humans Language: English Journal: Journal of Biomedical Research Year: 2015 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Recurrence / Ureter / Urinary Calculi / Body Mass Index / Demography / Medical Records / Calcium / Patient Education as Topic / Surveys and Questionnaires / Retrospective Studies Type of study: Etiology study / Practice guideline / Observational study / Risk factors Limits: Humans Language: English Journal: Journal of Biomedical Research Year: 2015 Type: Article