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中国大陆地区肾结石的患病率:一项系统评价。

Prevalence of kidney stones in mainland China: A systematic review.

机构信息

Department of Urology, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, China.

School of Public Health of Guangxi Medical University, Guangxi Colleges and Universities Key Laboratory of the Prevention and Control of High Prevalence Diseases, Nanning, Guangxi, 530021, China.

出版信息

Sci Rep. 2017 Jan 31;7:41630. doi: 10.1038/srep41630.

Abstract

The data on the prevalence of kidney stones in mainland China are still lacking. We performed the present meta-analysis to assess the stone prevalence in mainland China from 1990 through 2016. A total of 18 articles were included. The pooled overall prevalence was 7.54% (95% CI, 5.94-9.15). The prevalence in age groups of <20 years, 20-29 years, 30-39 years, 40-49 years, 50-59 years, and 60 years and older was 0.27%, 3.15%, 5.96%, 8.18%, 9.14%, and 9.68%, respectively, showing that it increased with age. Moreover, the prevalence was 10.34% in males and 6.62% in females, with an odds ratio (OR) of 1.63 [95% CI: 1.51-1.76], indicating that males are more likely to suffer from this disease than females. However, urban areas (6.03%, 95% CI: 3.39-8.68) and rural areas (7.48%, 95% CI: 3.39-11.57) did not differ in the stone prevalence rate (OR = 0.84, 95% CI: 0.42-1.68). The prevalence in the year groups of 1991-2000, 2001-2010, and 2011 to date was 5.95%, 8.86%, and 10.63%, respectively, which indicated an increasing trend. Further high-quality surveys throughout mainland China are needed to confirm these findings.

摘要

中国大陆地区肾结石患病率的数据仍较为缺乏。本研究采用荟萃分析评估了 1990 年至 2016 年中国大陆地区肾结石的患病率。共纳入 18 项研究。汇总的总体患病率为 7.54%(95%CI:5.94-9.15)。<20 岁、20-29 岁、30-39 岁、40-49 岁、50-59 岁和≥60 岁年龄组的患病率分别为 0.27%、3.15%、5.96%、8.18%、9.14%和 9.68%,呈随年龄增长而升高的趋势。此外,男性的患病率为 10.34%,女性为 6.62%,优势比(OR)为 1.63(95%CI:1.51-1.76),表明男性比女性更易患该病。但城市(6.03%,95%CI:3.39-8.68)和农村(7.48%,95%CI:3.39-11.57)地区的肾结石患病率无差异(OR=0.84,95%CI:0.42-1.68)。1991-2000 年、2001-2010 年和 2011 年至今的患病率分别为 5.95%、8.86%和 10.63%,呈上升趋势。需要在中国大陆地区开展更多高质量的调查来验证这些发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fde/5282506/27728bba7391/srep41630-f1.jpg

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