18+

 

Number №1, 2022 - page 60-67

A modern view on the screening of urolithiasis DOI: 10.29188/2222-8543-2022-15-1-60-66

For citation: Prosyannikov M.Yu., Voytko D.A., Anokhin N.V., Pavlov E.N., Germanov E.V., Illarionov O.S., Apolikhin O.I., Kaprin A.D. A modern view on the screening of urolithiasis. Experimental and Clinical Urology, 2022;15(1):60-66; https://doi.org/10.29188/2222‑8543‑2022‑15‑1‑60‑66
Prosyannikov M.Yu., Voytko D.A., Anokhin N.V., Pavlov E.N., Germanov E.V., Illarionov O.S., Apolikhin O.I., Kaprin A.D.
Information about authors:
  • Prosyannikov M.Yu. – PhD, Head of Department of urolithiasis of N.A. Lopatkin Scientific Research Institute of Urology and Interventional Radiology – Branch of the National Medical Research Centre of Radiology of the Ministry of Health of Russian Federation; Moscow, Russia; https://orcid.org/0000-0003-3635-5244
  • Voytko D.A. – PhD, researcher of N. Lopatkin Research Institute of urology and Interventional Radiology – branch of the National Medical Research Centre of Radiologyof Ministry of health of Russian Federation; Moscow, Russia; https://orcid.org/0000-0003-1292-1651
  • Anokhin N.V. – PhD, Researcher of the Department of urolithiasis of N.A. Lopatkin Scientific Research Institute of Urology and Interventional Radiology – Branch of the National Medical Research Centre of Radiology of the Ministry of Health of Russian Federation; Moscow, Russia; https://orcid.org/0000-0002-4341-4276
  • Pavlov E.N. – Ph.D., chief urologist of the Republic of Chuvashia, head of the urology department of the Republican Clinical Hospital; Republic of Chuvashia, Cheboksary
  • Germanov E.V. – urologist, Head of the office of men's health «First GB them. P.N. Osipov»; Republic of Chuvashia, Cheboksary
  • Illarionov O.S. – urologist of the Сenter of men's health, Cheboksary; Republic of Chuvashia, Cheboksary
  • Apolikhin O.I. – Dr. Sc, professor, сor.-member of RAS, director of N. Lopatkin Research Institute of urology and Interventional Radiology – branch of the National Medical Research Centre of Radiology of Ministry of health of Russian Federation; Moscow, Russia; https://orcid.org/0000-0003-0206-043X
  • Kaprin A.D. – Dr. Sc., professor, academician of RAS, general director of the National Medical Research Centre of Radiology of Ministry of health of Russian Federation, director of P.A. Herzen Institution, Head of Department of Oncology and Radiology named after V.P. Kharchenko RUDN UniversityR; Moscow, Russia; https://orcid.org/0000-0001-8784-8415
798

Introduction. TUrolithiasis is a widespread disease. In 2019 year 889,891 cases of this disease detected in Russia, and the increase in morbidity since 2005 was 35.5%. The share of urolithiasis accounts for up to 50-60% of patients in urological hospitals, often hospitalized for emergency indications. At the same time, there are no specialized questionnaires aimed at identifying risk factors for urolithiasis.

The purpose of the work: to study the use of questionnaires for the timely detection of urinary tract stones.

Materials and methods. Based on the men's health cabinet of the City hospital No. 1» Cheboksary (Republic of Chuvashia) in 2020-2021, a survey of 700 men aged 40 to 80 years conducted. To form risk groups, a specially designed questionnaire used to identify stones of the urinary system. According to the sum of the Questionnaire scores, 2 groups of patients were formed: low risk (0-1 point) and high risk (2-8 points). To validate the Questionnaire, all respondents, regardless of the amount of points, underwent ultrasound of the kidneys and bladder, and patients with detected stones larger than 3 mm and MSCT. Statistical processing of the received material carried out using the computer program Statistics 10.0 and the Microsoft Excel application software package.

Results. According to the sum of the Questionnaire scores, 2 groups of patients were formed: low risk (0-1 point) and high risk (2-8 points). Out of 700 respondents, 54 respondents with kidney stones identified: 11 in the low-risk group and 43 in the high-risk group. The total prevalence of urolithiasis in the studied population was 7.7%. With an increase for points, a progressive increase in the average size of concretions from 3.1 mm to 29 mm noted. The developed method of screening urolithiasis by means of a questionnaire has good indicators of sensitivity and specificity: 76.63% and 98.30%, respectively.

Conclusion. Urolithiasis screening based on a combined approach using questionnaires and ultrasound can become a simple and affordable method for active detection of urolithiasis, formation and stratification of risk groups. Further research is required to objectify the data.

AttachmentSize
Download395.66 KB
prevention; medical examination; screening; urolithiasis

Readera - Социальная платформа публикаций

Crossref makes research outputs easy to find, cite, link, and assess