COMPARATIVE ANALYSIS OF RENAL STONE INCIDENCE BETWEEN DIABETIC AND NON-DIABETIC PATIENTS ON ULTRASOUND: A SINGLE CENTRE STUDY
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Keywords
Renal stone, Nephrolithiasis, Ultrasound, Sonography, Diabetes
Abstract
Objective:To ascertain the renal stone disease incidence in diabetic vs. non-diabetic individuals.
Materials and methods:This cross-sectional descriptive study, conducted over one year at Department of Radiology, Chandka Medical College Hospital, Shaheed Muhtarma Benazeer Bhutto Medical University, Larkana aimed to assess nephrolithiasis incidence in diabetic and non-diabetic cohorts. Eligible participants, visiting the ultrasound clinic for abdominal ultrasound, were included, with diabetic patients aged over 40 and on hypoglycemic agents or insulin for ≥5 years. Exclusions comprised those with diabetes complications, urinary calculi history, or urogenital disorders. Out of 140 participants, detailed clinical data were collected, and abdominal scans performed by a sonographer. IBM-SPSS version-23.0 analyzed the data.
Results:Among 140 participants, males represented 61.4%, with half having diabetes. The age range spanned 19-85 years, with the highest prevalence in the 49-62 age group. Renal stone diagnosis was prevalent in 17.14% of diabetic participants compared to 5.71% of non-diabetics. Mean stone size was higher in diabetics (3.768 mm) than non-diabetics (2.512 mm). Stone numbers varied, with most having one stone.
Conclusion:In conclusion, diabetic patients, especially males, face a higher risk of kidney stones. The study recommends routine ultrasound screening for asymptomatic renal stone disease in diabetic individuals to prevent chronic renal damage and acute kidney injuries.
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Dr Kailash Kumar Daseja
Assistant Professor, Department of Radiology, Chandka Medical College Hospital, Shaheed Muhtarma Benazeer Bhutto Medical University, Larkana, Pakistan
Dr. Mohsin Hussain
Assistant Professor, Department of Radiology, Pir Abdul Qadir Shah Jeelani institute of Medical Science, Gambat, Khairpur Mirs, Pakistan
Dr Din Muhammad Sohu
Assistant Professor, Department of Radiology, Chandka Medical College Hospital, Shaheed Muhtarma Benazeer Bhutto Medical University, Larkana, Pakistan
Dr Safiullah Sohu
Assistant Professor, Department of Urology, Chandka Medical College Hospital, Shaheed Muhtarma Benazeer Bhutto Medical University, Larkana, Pakistan
Dr Manoj Kumar
Senior Registrar, Department of Medicine, Jinnah postgraduate Medical Center, Karachi, Pakistan
Dr Daulat Ram
Consultant Psychiatrist, Department of Psychiatry, Chandka Medical College Hospital, Shaheed Muhtarma Benazeer Bhutto Medical University, Larkana, Pakistan