LBA01-13 FUTURE PROJECTIONS OF SYMPTOMATIC PEDIATRIC NEPHROLITHIASIS IN THE UNITED STATES - A TIME SERIES ANALYSIS

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You have accessJournal of UrologyCME1 Apr 2023LBA01-13 FUTURE PROJECTIONS OF SYMPTOMATIC PEDIATRIC NEPHROLITHIASIS IN THE UNITED STATES - A TIME SERIES ANALYSIS Joshua Collingwood, Cole Arnold, Aniket Pant, Matthias Rathbun, and Pankaj Dangle Joshua CollingwoodJoshua Collingwood More articles by this author , Cole ArnoldCole Arnold More articles by this author , Aniket PantAniket Pant More articles by this author , Matthias RathbunMatthias Rathbun More articles by this author , and Pankaj DanglePankaj Dangle More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003360.13AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Current data suggests an increasing incidence in pediatric nephrolithiasis; however, there is a scarcity of data nationally across the United States, and little is known regarding the rate of increase. Here we report an alarming increase in symptomatic nephrolithiasis and ascertain future projection of stone disease in the pediatric population. METHODS: A retrospective study was conducted via data collected from the Pediatric Health Information System (PHIS). Data was normalized according to time-adjusted hospital availability for national and AUA sub-section analysis (Figure 1, 2). Only pediatric cases are considered and repeated visits within 93 days of presentation are excluded. Ordinary-Least-Squares (OLS) is performed via statsmodels in Python. ANOVA was implemented to determine significant differences in stone incidence between AUA sub-sections. RESULTS: The PHIS yielded 36,496 (08/2004 to 09/2020) national visits of pediatric nephrolithiasis to the emergency department (ED). Following exclusion, 27,158 children (n=15,347, 56.5% female) with a median age of 15 yr. presented to PHIS hospital ED across the country for treatment of symptomatic nephrolithiasis. Our OLS analysis predicts an alarming rise in cases, with an estimated compound monthly growth rate of 0.011 cases (per hospital, per 31 days), nationally (Figure 1, R2=0.609). Analysis of PHIS data according to AUA sub-sections identified statistically significant differences in stone disease between geographical regions of the U.S (Figure 2b, c). We note a unanimous increase in incidence across all regions, with differing regional severities. CONCLUSIONS: With rising incidence of symptomatic pediatric nephrolithiasis and alarming projections of future increase across the U.S., it is imperative that pediatric urologists and the American Academy of Pediatrics formulate a working task force to address this rising prevalence of pediatric stone disease. Source of Funding: N/A © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e1181 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Joshua Collingwood More articles by this author Cole Arnold More articles by this author Aniket Pant More articles by this author Matthias Rathbun More articles by this author Pankaj Dangle More articles by this author Expand All Advertisement PDF downloadLoading ...