HCPLive Network

Older Patients Often Have Atypical Kidney Stone Presentation

 
WEDNESDAY, Jan. 16 (HealthDay News) -- Older individuals are more likely to have atypical presentation with urolithiasis, according to a study published in the January issue of The Journal of Urology.

Amy E. Krambeck, M.D., from the Mayo Clinic in Rochester, Minn., and colleagues studied a random sample of Olmsted County, Minn., residents with their first diagnostic code for urolithiasis (1984 to 2003). Symptomatic stone formers (1,590 patients) were validated with imaging or stone passage.

The researchers found that older individuals were significantly more likely to present with atypical or no pain, fever, diarrhea, pyuria, urinary tract infections, and bacteremia. Patient age did not affect stone size and location. Younger age was significantly associated with calcium phosphate stone disease, while uric acid stone and atypical stone composition was significantly associated with older age. Surgical intervention was significantly more likely among older individuals, who were less likely to pass the stone spontaneously. Nearly one-third of individuals (516) required surgical intervention. Ureteroscopy was more likely in younger individuals, while older individuals were more likely to undergo shock wave lithotripsy, temporizing stent placement, and percutaneous nephrolithotomy.

"The detection of stone disease in older individuals can be challenging due to atypical pain or absence of pain, as well as the presence of other comorbid conditions such as urinary tract infections and diarrhea," the authors write.
 

Abstract
Full Text (subscription or payment may be required)

Copyright © 2013 HealthDay. All rights reserved.
 
 
Further Reading
Although patients are expressing more of an interest in accessing their health information online, just a third of patients have access to patient portals, and the rest either don't have access or are not sure if they do.
As more pediatric surgical procedures being conducted as same-day procedures, parents are assuming responsibility for their children’s immediate post-operative pain management.
Between developing its own pipeline of therapies for patients with hepatitis C and acquiring another company known for its work in this field, it looks like Merck is taking steps to be a larger player in HCV market.
As the 2 Americans stricken with Ebola continue to receive treatment in Atlanta, a new potential case of the deadly virus has been reported in California.
Pistachio consumption is associated with improvements in glucose and cardiometabolic parameters, according to a study published online Aug. 14 in Diabetes Care.
From 1991 to 2013 there has been a consistent decrease in US teenage birth rates, according to a report published online Aug. 20 by the US National Center for Health Statistics.
For patients with heart failure with reduced ejection fraction, cardiac resynchronization therapy and implantable cardioverter-defibrillator therapies are associated with clinical benefit, irrespective of patient race/ethnicity, according to a study published in the Aug. 26 issue of the Journal of the American College of Cardiology..
More Reading