STone Episode Prediction: Development and validation of the prediction nomogram for urolithiasis.


Journal

International journal of urology : official journal of the Japanese Urological Association
ISSN: 1442-2042
Titre abrégé: Int J Urol
Pays: Australia
ID NLM: 9440237

Informations de publication

Date de publication:
Apr 2020
Historique:
received: 28 08 2019
accepted: 26 01 2020
pubmed: 10 3 2020
medline: 28 4 2021
entrez: 10 3 2020
Statut: ppublish

Résumé

To develop and validate a nomogram predicting the occurrence of a stone episode, given the lack of such predicting risk tools for urolithiasis. We retrospectively analyzed 1305 patients with urolithiasis and 2800 community-dwelling individuals who underwent a comprehensive health survey. The STone Episode Prediction nomogram was created based on data from the medical records of 600 patients with urolithiasis and 1300 controls, and was validated using a different population of 705 patients with urolithiasis and 1500 controls. Logistic regression analysis was used to construct a model to predict the potential candidate for a stone episode. The predictive ability of the model was evaluated using the results of the area under the receiver operating characteristics curve (area under the curve). Age, sex, diabetes mellitus, renal function, serum albumin, and serum uric acid were found to be significantly associated with urolithiasis in the training set and were included in the STone Episode Prediction nomogram. The optimal cut-off value for the probability of a stone episode using the nomogram was >28% with a sensitivity of 79%, a specificity of 76%, and area under the curve of 0.860. In the validation test, area under the curve for the detection of urolithiasis was 0.815 with a sensitivity of 81% and specificity of 63%. Herein, we developed and validated the STone Episode Prediction nomogram that can predict a potential candidate for an episode of urolithiasis. This nomogram might be beneficial for the first step in stone screening in individuals with lifestyle-related diseases.

Identifiants

pubmed: 32147889
doi: 10.1111/iju.14203
doi:

Substances chimiques

Uric Acid 268B43MJ25

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

344-349

Subventions

Organisme : Japan Society for the Promotion of Science (JSPS) KAKENHI
ID : 15H02563
Organisme : Japan Society for the Promotion of Science (JSPS) KAKENHI
ID : 17K11119
Organisme : Japan Society for the Promotion of Science (JSPS) KAKENHI
ID : 19H05556

Informations de copyright

© 2020 The Japanese Urological Association.

Références

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Auteurs

Kazutaka Okita (K)

Department of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan.

Shingo Hatakeyama (S)

Department of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan.

Atsushi Imai (A)

Department of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan.

Toshikazu Tanaka (T)

Department of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan.

Itsuto Hamano (I)

Department of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan.

Teppei Okamoto (T)

Department of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan.

Yuki Tobisawa (Y)

Department of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan.

Tohru Yoneyama (T)

Department of Advanced Transplant and Regenerative Medicine, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan.

Hayato Yamamoto (H)

Department of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan.

Takahiro Yoneyama (T)

Department of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan.

Yasuhiro Hashimoto (Y)

Department of Advanced Transplant and Regenerative Medicine, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan.

Shigeyuki Nakaji (S)

Department of Social Medicine, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan.

Tadashi Suzuki (T)

Department of Urology, Oyokyo Kidney Research Institute, Hirosaki, Aomori, Japan.

Chikara Ohyama (C)

Department of Urology, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan.

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