지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
오류제보하기
Objective: The STONE score was developed to gauge the ureter stone probability. On the other hand, it is unclear if the STONE score is also applicable to Koreans. This study evaluated whether the STONE score can identify patients with suspected nephrolithiasis for whom a computed tomography (CT) scan can be obtained in the emergency department, targeting Koreans. Methods: Patients presenting to the emergency medicine (ED) with flank pain and a suspicion of a ureter stone between January 2016 and December 2016 were reviewed retrospectively. After calculating the STONE score, the enrolled patients were classified into the low, moderate, high score group. In each group, the prevalence of a ureter stone and other clinical diseases on a CT scan were investigated. Results: Among the 156 patients included in the analysis, 124 (79.5%) had a ureter stone and an alternative diagnosis was made in 12 (7.7%). The prevalence of a ureter stone and alternative diseases in the high score group was 87.7% (71/81) and 4.9% (4/81), respectively. The proportion of patients with nephrolithiasis increased significantly (P<0.001), but the proportion of patients with other clinical diseases did not decrease significantly across the score groups (P=0.196). The area under the receiver operating characteristic curve was 0.711 (95% confidence interval, 0.633-0.780; P=0.001) with a cut off score higher than 8 (sensitivity 82.3%, specificity 50.0%) for the STONE score. Conclusion: In this setting, the STONE score had a low specificity and could not accurately assess a ureter stone. More studies aimed at Koreans are warranted before a CT scan can be limited using the STONE score.
목차
등록된 정보가 없습니다.
참고문헌 (20)
참고문헌 신청
Scales CD Jr / 2012 / Prevalence of kidney stones in the United States / Eur Urol 62:160~165
Pearle MS / 2005 / Urologic diseases in America project: urolithiasis / J Urol 173:848~857
Bae SR / 2014 / The epidemiology of reno-ureteral stone disease in Koreans: a nationwide population-based study / Urolithiasis 42:109~114
Ha M / 2004 / Impact of CT scan in patients with first episode of suspected nephrolithiasis / J Emerg Med 27:225~231
Katz DS / 2000 / Alternative or additional diagnoses on unenhanced helical computed tomography for suspected renal colic: experience with 1000 consecutive examinations / Urology 56:53~57
Pearle MS / 2005 / Urologic diseases in America project: urolithiasis / J Urol 173:848~857
Bae SR / 2014 / The epidemiology of reno-ureteral stone disease in Koreans: a nationwide population-based study / Urolithiasis 42:109~114
Ha M / 2004 / Impact of CT scan in patients with first episode of suspected nephrolithiasis / J Emerg Med 27:225~231
Katz DS / 2000 / Alternative or additional diagnoses on unenhanced helical computed tomography for suspected renal colic: experience with 1000 consecutive examinations / Urology 56:53~57
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