Nationwide survey of urolithiasis in Japan

日本全国尿石症调查

• 批准号: 08457422
• 负责人: YOSHIDA Osamu
• 金额: $ 3.39万
• 依托单位: KYOTO UNIVERSITY
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (B)
• 财政年份: 1996
• 资助国家: 日本
• 起止时间: 1996 至 1997
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-08457422/
• 关键词: urinary calculi; upper urinary tract; epidemiology; nationwide survey; annual incidence; retrospective cohort; 疫学調査; 年間有病率; 生涯罹患率; 全国統計

A nationwide survey of urolithiasis in Japan was made that succeeded previous studies done in 1955, 1966, 1979, and 1990, in order to evaluate the chronological trend of upper urinary tract stones in Japanese. All outpatient visits to urologists that resulted in a diagnosis of first-episode upper urinary tract stones in the years 1990 and 1995 were enumerated, irrespective of admission and treatment The study enrolled all of the 1,193 Japanese Board of Urology Approved Hospitals, thereby covering nearly all the urologists practicing in Japan. The annual incidence by sex and age was estimated and compared with the incidences in the previous nationwide surveys. The age-adjusted annual incidence of first-episode upper urinary tract stones in I 995 was estimated as 68.9 per 100,000 (100.1 in men and 55.4 in women), a steady increase from 54.2 in 1965. The annual incidence has increased in all age groups, except in those of the first 3 decades. The peak age for both sexes has shifted in the elderly direction. Estimations of longitudinal changes between 1965 and 1995 showed that the annual incidence has more than doubled for the cohort of the census population in 1965 (from 43.7 in 1965 to 110.9 in 1995) and that younger generations have had progressively higher annual incidences, From these results, the annual incidence of upper urinary tract stones in Japan has increased steadily over the past 30 years and will continue to do so in the near future, but it still is lower than in the United States.

继1955年、1966年、1979年和1990年的研究之后，在日本进行了一项全国性的尿石症调查，以评价日本人上尿路结石的时间趋势。对1990年和1995年诊断为首次发作上尿路结石的所有泌尿科门诊患者进行了计数，无论其入院和治疗情况如何。该研究纳入了所有1，193家日本泌尿科委员会批准的医院，从而几乎涵盖了所有在日本执业的泌尿科医生。对按性别和年龄分列的年度发病率进行了估计，并与以前全国调查的发病率进行了比较。1995年，年龄校正的首次发作上尿路结石的年发病率估计为68.9/100，000（男性100.1，女性55.4），与1965年的54.2相比稳步上升。除前30年外，所有年龄组的年发病率都有所增加。男女的高峰年龄都向老年人的方向转移。对1965年至1995年期间纵向变化的估计表明，1965年人口普查队列的年发病率增加了一倍以上（从1965年的43.7到1995年的110.9），年轻一代的年发病率逐渐升高，在过去的30年中，日本上尿路结石的年发病率稳步增加，并且在不久的将来将继续增加，但仍低于美国。