Epidemiological characteristics of hospital care for urolithiasis in a South American country
DOI:
https://doi.org/10.48193/08yf9x36Keywords:
Urolithiasis, epidemiology, renal colic, PeruAbstract
Introduction: Urolithiasis is a common disease that has become a chronic illness with great impact on the quality of life of the sufferer. The aim of this study was to describe the epidemiological characteristics of patients hospitalized for urolithiasis in Peru. Material and methods: A cross-sectional analysis of data from 9 hospitals between 2017-2021 was performed, including patients of all ages with diagnoses of renal calculi, ureter, lower urinary calculi and renal colic. Urological attendances were analyzed by frequencies, age and sex, using the Chi-square test to test hypotheses.
Results: 34,928 patients were included, predominantly female (ratio 4:6). Renal and ureter calculi was the most frequent diagnosis (76.1 %), followed by renal colic (20.1 %). In women, renal calculi and ureter (55.2 %) and renal colic (54.4 %) were more prevalent. In men over 60 years of age, lower urinary calculi were more prevalent (343 cases; 20.37 %) than in women (145 cases; 8.61 %), with significant differences (p<0.001). In the 30-59 years age group with renal colic, women were more prevalent (3131 cases; 35.7 %) than men (2938 cases; 33.5 %), also statistically significant (p<0.001). Conclusion: This study highlights the high burden of urolithiasis in women and the variability in patterns according to age and type of diagnosis. The findings provide valuable information on the urological epidemiology in Peru, useful for optimizing care and prevention of this disease in different regions of the country.
References
García Perdomo HA, Benavides PA, Posada España P. Fisiopatología asociada a la formación de cálculos en la vía urinaria. Urología colombiana. 2015;24(2): 6.
Vásquez-Sullca RR, Ballena-Castillo JL, Pereyra-Velásquez W. La urolitiasis y opciones de tratamiento en un país de latinoamérica. Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo. 2021;14(2): 246–247.
Qiao Y, Xiao H, Ye Z, Yu Y, Fan X, Wang O, et al. Prevalence of Urolithiasis in a China Hospital: A Cross-Sectional Study. Archivos Espanoles De Urologia. 2023;76(1): 90–97. https://doi.org/10.56434/j.arch.esp.urol.20237601.9.
Fisang C, Anding R, Müller SC, Latz S, Laube N. Urolithiasis--an interdisciplinary diagnostic, therapeutic and secondary preventive challenge. Deutsches Arzteblatt International. 2015;112(6): 83–91. https://doi.org/10.3238/arztebl.2015.0083.
Jung H, Pless MS, Osther PJS. Anatomic variations and stone formation. Current Opinion in Urology. 2018;28(5): 420–427. https://doi.org/10.1097/MOU.0000000000000519.
Fontenelle LF, Sarti TD. Kidney Stones: Treatment and Prevention. American Family Physician. 2019;99(8): 490–496.
European Association of Urology 7. EAU Guidelines on Urologica. 2018.
Assimos D, Krambeck A, Miller NL, Monga M, Murad MH, Nelson CP, et al. Surgical Management of Stones: American Urological Association/Endourological Society Guideline, PART I. The Journal of Urology. 2016;196(4): 1153–1160. https://doi.org/10.1016/j.juro.2016.05.090.
Manzo BO, Bertacchi M, Lozada E, Rasguido A, Aleman E, Cabrera M, et al. Práctica actual de la ureteronefroscopia flexible con láser en América Latina para el tratamiento de la litiasis renal. Actas Urológicas Españolas. 2016;40(4): 229–236. https://doi.org/10.1016/j.acuro.2015.11.002.
Ortegón-Gallareta R, Aguilar-Moreno J, Álvarez-Baeza A, Méndez-Domínguez N, Pech-Cervantes PI. Perfil epidemiológico de las hospitalizaciones por urolitiasis en el Estado de Yucatán, México. Revista Mexicana de Urología. 2019;79(5): 1–11. https://doi.org/10.48193/revistamexicanadeurologa.v79i5.517.
Taype Huamaní W, Ayala García R, Rodriguez Gonzales R, Amado Tineo J. Características y evolución de pacientes con litiasis urinaria en emergencia de un hospital terciario. Rev. Fac. Med. Hum. 2020; 608–613.
Cerron T, Enrique C. Caracteristicas Clinicas, Métodos Diagnósticos y Manejo Quirúrgico de la urolitiasis en pacientes atendidos en el servicio de Urología del hospital regional Honorio Delgado Espinoza en el periodo 2013 al 2017. Universidad Nacional de San Agustín; 2018. https://alicia.concytec.gob.pe/vufind/Record/UNSA_bc4c2760ae417ca875a9651e6872ed62 [Accessed 17th December 2025].
Rodríguez M del MR, Cano AG, Coronado MR, Mendiguchía LJ. Litiasis urinaria: epidemiología y clasificación del cálculo urinario. Acta Bioquímica Clínica Latinoamericana. 2018;52(1): 15–21.
Aragón-Tovar AR, Hernández-Farías M? Análisis cristalográfico de 475 cálculos de vías urinarias en el Hospital San José, Tec Salud, en Monterrey, N.L. Revista Mexicana de Urología. 2013;73(3): 130–135.
Gilberto González V. Litiasis renal: estudio y manejo endocrinológico. Revista Médica Clínica Las Condes. 2013;24(5): 798–803. https://doi.org/10.1016/S0716-8640(13)70226-8.
Scales CD, Curtis LH, Norris RD, Springhart WP, Sur RL, Schulman KA, et al. Changing gender prevalence of stone disease. The Journal of Urology. 2007;177(3): 979–982. https://doi.org/10.1016/j.juro.2006.10.069.
Özsoy M, Somani B, Seitz C, Veser J, Kallidonis P. Sex differences in the therapy of kidney and ureteral stones. Current Opinion in Urology. 2019;29(3): 261–266. https://doi.org/10.1097/MOU.0000000000000604.
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