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Patient Characteristics Associated With Completion of 24-hour Urine Analyses Among Children and Adolescents With Nephrolithiasis
- Source :
- Urology
- Publication Year :
- 2019
- Publisher :
- Elsevier BV, 2019.
-
Abstract
- Objective To inform the development of strategies to improve adherence to guidelines, we sought to identify characteristics of pediatric patients with nephrolithiasis associated with completing 24-hour urine analyses. Materials and Methods We performed a retrospective cohort study of patients with nephrolithiasis aged 3-18years treated in a large pediatric healthcare system from May 2012 to May 2017. Multivariable Cox models were fit to estimate the association between patient characteristics and completion of a 24-hour urine analysis. Results Among 623 patients, 317 (50.9%) completed a 24-hour urine collection. Median age was 14.4years (interquartile range [IQR] 10.5, 16.3). In adjusted analyses, age at diagnosis (hazard ratio [HR] 1.03; 95% confidence interval [CI] 1.01-1.07), renal colic on presentation (HR 1.72; 95% CI 1.15-2.58), and family history of nephrolithiasis (HR 1.50; 95% CI 1.17-1.93) were associated with an increased likelihood of completion of a 24-hour urine. Public/government assistance insurance (HR 0.68; 95% CI 0.48-0.96) was associated with decreased likelihood of completing a 24-hour urine. Conclusion Patients who had prior painful experiences with stones (renal colic), and potential better understanding of nephrolithiasis (family history, older age on presentation) were more likely to complete a 24-hour urine. Those patients with public insurance/government assistance were less likely to complete a 24-hour urine. These results can be used to develop strategies to improve pediatric patients’ adherence to completing 24-hour urine collections.
- Subjects :
- Male
medicine.medical_specialty
Time Factors
Adolescent
Urinalysis
Urology
030232 urology & nephrology
Nephrolithiasis
Risk Assessment
Article
Urine collection device
Cohort Studies
Kidney Calculi
03 medical and health sciences
Sex Factors
0302 clinical medicine
Interquartile range
Internal medicine
Confidence Intervals
medicine
Humans
Renal colic
Family history
Child
Proportional Hazards Models
Retrospective Studies
medicine.diagnostic_test
business.industry
Incidence
Hazard ratio
Age Factors
Retrospective cohort study
Child, Preschool
030220 oncology & carcinogenesis
Patient Compliance
Female
Guideline Adherence
medicine.symptom
business
Cohort study
Subjects
Details
- ISSN :
- 00904295
- Volume :
- 127
- Database :
- OpenAIRE
- Journal :
- Urology
- Accession number :
- edsair.doi.dedup.....eaa346a1f1a3819a3f07ad732dc74a57