Underuse of 24-Hour Urine Collection Among Children With Incident Urinary Stones: A Quality-of-care Concern?
Underuse of 24-Hour Urine Collection Among Children With Incident Urinary Stones: A Quality-of-care Concern?
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DOI：
10.1016/j.urology.2014.04.035
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发表时间：
2014-08-01
期刊：
影响因子：
2.1
通讯作者：
Hollingsworth, John M.
中科院分区：
文献类型：
--
作者：
Ellison, Jonathan S.;Kaufman, Samuel R.;Hollingsworth, John M.
目的：确定24小时尿液收集首次儿科结石形成者的患病率，并调查与其use.MATERIALS和METHODS使用MarketScan商业索赔和遭遇数据库（2002-2006年）的数据相关的因素，通过诊断代码为基础的算法，确定了上尿路结石疾病的事件发作的急诊室的儿童。计算了在该事件发生后6个月内进行24小时尿液采集的患者数量。对使用流行率的时间趋势进行了评估。我们拟合多变量Logistic回归模型，以检查与testing.RESULTS相关的因素，共1848名儿童提出了一个事件上尿路结石，其中12.0%提交了24小时尿液收集。这一比例在研究期间保持稳定。检测在年轻患者中更常见（P
OBJECTIVE To determine the prevalence of 24-hour urine collection among first-time pediatric stone formers and investigate factors associated with its use.MATERIALS AND METHODS Using data from the MarketScan Commercial Claims and Encounters Database (2002-2006), children presenting to the emergency department with an incident episode of upper urinary tract stone disease were identified through a diagnosis code-based algorithm. The number of patients performing a 24-hour urine collection within 6 months of this encounter was calculated. Temporal trends in the prevalence of use were assessed. We fitted multivariate logistic regression models to examine factors associated with testing.RESULTS In total, 1848 children presented with an incident upper tract stone, of which 12.0% submitted a 24-hour urine collection. This percentage remained stable over the study period. Testing was more common among younger patients (P