Disparities in Kidney Stone Disease: A Scoping Review.
Disparities in Kidney Stone Disease: A Scoping Review.
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肾结石疾病的差异：范围综述
DOI：
10.1097/ju.0000000000001846
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发表时间：
2021-09
期刊：
影响因子：
--
通讯作者：
Assimos DG
中科院分区：
文献类型：
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作者：
Crivelli JJ;Maalouf NM;Paiste HJ;Wood KD;Hughes AE;Oates GR;Assimos DG
回顾有关肾结石疾病健康差异的现有证据，并确定这一领域的知识空白。使用PubMed、Embase和Scopus进行文献检索，限于1971年至2020年以英文发表的文章。文章的选择是基于它们与美国成年人肾结石疾病差异的相关性。几项大型流行病学研究表明，肾结石疾病在美国女性以及黑人和西班牙裔人群中的发病率和流行率不成比例地增加，而其他类似规模的研究没有报告种族和民族人口统计数据。许多文章描述了基于种族、民族、社会经济地位和居住地的影像学利用、代谢检查完成情况、镇痛、手术干预、就诊时结石负担、手术并发症、随访和生活质量的差异。基于种族、民族和社会经济地位的尿参数差异可以用饮食和生理因素来解释。所有被评估的文章都存在选择偏倚和混淆的风险。健康差异存在于肾结石疾病的许多方面。进一步的研究不仅应侧重于这些差异的特征，而且应侧重于减少或消除这些差异的干预措施。
To review the available evidence regarding health disparities in kidney stone disease and identify knowledge gaps in this area. A literature search was conducted using PubMed, Embase, and Scopus, limited to articles published in English, from 1971 to 2020. Articles were selected based on their relevance to disparities in kidney stone disease among adults in the United States. Several large epidemiologic studies suggest disproportionate increases in incidence and prevalence of kidney stone disease among women as well as Black and Hispanic individuals in the United States, whereas other studies of comparable size do not report racial and ethnic demographics. Numerous articles describe disparities in imaging utilization, metabolic workup completion, analgesia, surgical intervention, stone burden at presentation, surgical complications, follow-up, and quality of life based on race, ethnicity, socioeconomic status, and place of residence. Differences in urinary parameters based on race, ethnicity, and socioeconomic status may be explained by both dietary and physiologic factors. All articles assessed had substantial risk of selection bias and confounding. Health disparities are present in many aspects of kidney stone disease. Further research should focus not only on characterization of these disparities but also on interventions to reduce or eliminate them.