Renal Calcul and Metabolic Diseases Clinical Trial
Official title:
Clinical Investigation of Aging Men With Renal Stones: The Role of Bone Demineralization (Metabolic and Hormonal Assessment)
Urinary lithiasis is a common disease on young adults, but not so far on aging people. Nowadays, the investigators are seeing a gradative growth on men above sixty years old, mainly in industrialized countries. The purpose of this study is to investigate metabolic aspects of aging men with renal stones, towards blood tests, 24 hour-urinary samples, imagenological exams and bone densitometry. The investigators have made a case-control model.
Urolithiasis is a common disease, with an overall prevalence about 2% in the world.
Accordingly growth of life expectancy, elderly people become more susceptible to present
renal calculi.
The investigators have two purposes: (1) evaluate metabolic disturbances in aging men with
urinary lithiasis, and (2) evaluate bone demineralization in aging men with renal calculi.
The investigators have made a case-control model. The case-group is compposed by men with
more than fifty years-old who had their first lithiasic diagnosis (renal colic ou incidental
finding) after that age. The control-group is compposed by men with more than fifty
years-old who had never diagnosed with renal stones. So the investigators have excluded men
with repetitive episodes of renal colic, that could be negatively influence the outcomes of
aging factors on urinary lithiasis. All the people have to submitted to blood tests, 24-hour
urinary samples, abdominal ultrassonography and abdominal X-ray (or abdominal CT, if
necessary); and bone densitometry. The investigators hope to achieve reliable conclusions
about urinary lithogenesis.
Blood tests: total calcium, ionized calcium, uric acid, phosphorus, creatinine, urea,
testosterone and parathyroid hormone.
24-hour urinary sample(s): calcium, uric acid, creatinine, citrate, sodium, pH and volume.
Patients of the case arm had to collect 6 24-hour urine samples, while the control arm had
collected 3 24-hour urine samples.
Data were analyzed using the Fischer's exact, Chi-square and Mann-Whitney tests; a level of
significance of 5% was adopted.
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Observational Model: Case Control, Time Perspective: Prospective