RT Journal Article
SR Electronic
T1 Association of nephrolithiasis with the risk of cardiovascular diseases: a longitudinal follow-up study using a national health screening cohort
JF BMJ Open
JO BMJ Open
FD British Medical Journal Publishing Group
SP e040034
DO 10.1136/bmjopen-2020-040034
VO 10
IS 11
A1 Kim, So Young
A1 Bang, Woo Jin
A1 Min, Chanyang
A1 Choi, Hyo Geun
YR 2020
UL http://bmjopen.bmj.com/content/10/11/e040034.abstract
AB Objectives The aim of this study was to explore the associations of stroke and ischaemic heart disease in patients with nephrolithiasis.Design A longitudinal follow-up study.Setting Data from the Korean National Health Insurance Service–Health Screening Cohort (2002–2013) were retrieved to identify the occurrence of nephrolithiasis.Participants and interventions In total, 19 103 patients with nephrolithiasis were matched at a 1:4 ratio with control participants for age, sex, income and region of residence.Primary and secondary outcome measures The occurrence of stroke and ischaemic heart disease was analysed in both patients with nephrolithiasis and control participants. The primary outcome was HRs of stroke and ischaemic heart disease in a stratified Cox proportional hazards model. Smoking, alcohol consumption, obesity and Charlson Comorbidity Index were adjusted for as covariates. Subgroup analyses according to age and sex were also performed.Results Eight per cent (1615/19 103) of patients with nephrolithiasis and 7.2% (5476/76 412) of control participants had stroke. Nine per cent (1879/19 103) of patients with nephrolithiasis and 7.7% (5895/76 412) of control participants had ischaemic heart disease. Patients with nephrolithiasis had risks of stroke and ischaemic heart disease that were 1.18 times (95% CI=1.11 to 1.24) and 1.24 times (95% CI=1.18 to 1.31) those of the control participants, respectively. The age and sex subgroups showed consistent results.Conclusions Nephrolithiasis was associated with increased risks of stroke and ischaemic heart disease.