Urinary Stone Disease in Pregnancy: A Claims Based Analysis of 1.4 Million Patients
| Autor: | Ericka Sohlberg, Shen Song, Leander D. L. Anderegg, Kai Dallas, Joseph C. Liao, John T. Leppert, William Brubaker, Simon L. Conti, Alan C. Pao, Chiyuan Amy Zhang, Glenn M. Chertow, Calyani Ganesan, Christopher S. Elliott |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Urology Urinary stone Gestational Age Insurance Claim Review Pregnancy Prevalence Humans Medicine Retrospective Studies Fetus business.industry Obstetrics Infant Newborn Pregnancy Outcome Prognosis medicine.disease United States Pregnancy Complications Premature birth Female Urinary Calculi business Urinary stone disease |
| Zdroj: | Journal of Urology. 203:957-961 |
| ISSN: | 1527-3792 0022-5347 |
| DOI: | 10.1097/ju.0000000000000657 |
| Popis: | Urinary stone disease during pregnancy is poorly understood but is thought to be associated with increased maternal and fetal morbidity. We determined the prevalence of urinary stone disease in pregnancy and whether it is associated with adverse pregnancy outcomes.We identified all pregnant women from 2003 through 2017 in the Optum® national insurance claims database. We used diagnosis claims to identify urinary stone disease and assess medical comorbidity. We established the prevalence of urinary stone disease during pregnancy stratified by week of pregnancy. We further evaluated associations among urinary stone disease, maternal complications and pregnancy outcomes in univariable and multivariable analyses.Urinary stone disease affects 8 per 1,000 pregnancies and is more common in white women and women with more comorbid conditions. In fully adjusted models pregnancies complicated by urinary stone disease had higher rates of adverse fetal outcomes including prematurity and spontaneous abortions. This analysis is limited by its retrospective, administrative claims design.The rate of urinary stone disease during pregnancy is higher than previously reported. Urinary stone disease is associated with adverse pregnancy outcomes. |
| Databáze: | OpenAIRE |
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