دورية أكاديمية
أعرض في EDS

Urinary manifestations in African American and Caucasian inflammatory bowel disease patients: a retrospective cohort study.

التفاصيل البيبلوغرافية
العنوان: Urinary manifestations in African American and Caucasian inflammatory bowel disease patients: a retrospective cohort study.
المؤلفون: Herbert J; Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Davie, FL, USA. JH2957@mynsu.nova.edu., Teeter E; College of Liberal Arts and Sciences, University of Florida, Gainesville, FL, USA., Burstiner LS; Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Davie, FL, USA., Doka R; Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Davie, FL, USA., Royer A; Department of Internal Medicine, University of Mississippi Medical Center, Jackson, MS, USA., Owings AH; Department of Internal Medicine, University of Mississippi Medical Center, Jackson, MS, USA., Liu J; Division of Gastroenterology, Morehouse School of Medicine, Atlanta, GA, USA., Glover SC; Department of Digestive Disease, University of Mississippi Medical Center, Jackson, MS, USA., Hosseini-Carroll P; Department of Digestive Disease, University of Mississippi Medical Center, Jackson, MS, USA.
المصدر: BMC urology [BMC Urol] 2022 Jan 04; Vol. 22 (1), pp. 1. Date of Electronic Publication: 2022 Jan 04.
نوع المنشور: Comparative Study; Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968571 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2490 (Electronic) Linking ISSN: 14712490 NLM ISO Abbreviation: BMC Urol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Black or African American* , White People*, Colitis, Ulcerative/*complications , Crohn Disease/*complications , Urologic Diseases/*etiology, Adult ; Aged ; Cohort Studies ; Female ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Urologic Diseases/epidemiology
مستخلص: Background: Inflammatory bowel diseases (IBD), like ulcerative colitis (UC) and Crohn's disease (CD), are associated with urinary extra-intestinal manifestations, like urolithiasis and uncomplicated urinary tract infections (UTIs). The literature reviewed for this study identifies an increased association of CD and urolithiasis against the general population as well as UC. Furthermore, the rates in which urinary comorbidities manifest have not been well characterized in cross-race analyses. The purpose of this study is to establish the prevalence of common urinary extra-intestinal manifestations in CD and UC and to further determine at what rate these affect the African American and Caucasian populations.
Methodology: This is a retrospective cohort study using de-identified data collected from a research data base that included 6 integrated facilities associated with one tertiary healthcare center from 2012 to 2019. The electronic chart records for 3104 Caucasian and African American IBD patients were reviewed for frequency of urolithiasis and uncomplicated UTI via diagnosed ICD-10 codes. Comparison between data groups was made using multivariate regressions, t-tests, and chi square tests.
Results: Our study included 3104 patients of which 59% were female, 38% were African American, and 43% were diagnosed with UC. Similar proportions of UC and CD diagnosed patients developed urolithiasis (6.0% vs 6.7%, p = 0.46), as well as uncomplicated UTIs (15.6% vs. 14.9%, p = 0.56). Similar proportions of African American and Caucasian patients developed urolithiasis (5.4% vs 7.0%, p = 0.09), but a higher proportion of African Americans developed uncomplicated UTIs (19.4% vs 12.6%, p ≤ 0.001).
Conclusion: We found similar rates of urolithiasis formation in both UC and CD in this study. Furthermore, these rates were not significantly different between African American and Caucasian IBD populations. This suggests that UC patients have an elevated risk of urolithiasis formation as those patients with CD. Additionally, African Americans with IBD have a higher frequency of uncomplicated UTI as compared to their Caucasian counterparts.
(© 2022. The Author(s).)
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فهرسة مساهمة: Keywords: Cystitis; Inflammatory bowel disease; Urinary tract infection; Urolithiasis
تواريخ الأحداث: Date Created: 20220105 Date Completed: 20220303 Latest Revision: 20221207
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC8728902
DOI: 10.1186/s12894-021-00951-z
PMID: 34983468
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2490
DOI:10.1186/s12894-021-00951-z