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  • Title: The impact of body mass on management of patients with renal colic.
    Author: Tentolouris N, Charamoglis S, Anastasiou I, Serafetinides E, Mitropoulos D.
    Journal: Int Urol Nephrol; 2003; 35(1):79-82. PubMed ID: 14620291.
    Abstract:
    OBJECTIVE: To study the impact of body mass on diagnosis and initial response to medical treatment in patients presenting with renal colic. PATIENTS AND METHODS: One hundred and sixty-five consecutive patients presenting with symptoms of renal colic have been examined. Patients were divided in 3 groups according to their body mass index: normal-weight (BMI < or = 24.9 kg/m2), overweight (BMI 25.0-29.9 kg/m2) and obese (BMI > or = 30 kg/m2). Diagnosis of renal colic was based on history, clinical examination, presence of hematuria in a urine sample, appearance of a stone on a plain radiograph, and/or presence of hydronephrosis in ultrasonography. In addition, previous history of renal colic, time to seek medical advice and time to pain relief following administration of medications were examined. RESULTS: Mean body mass index did not differ between patients with a history of < or = 1, 1-5 and > or = 5 renal colics (P = 0.65). Prevalence rates of appearance of either lithiasis or hydronephrosis vs normal findings on the Kidney-Ureter-Bladder plain radiograph or ultrasonography were not different between normal-weight, overweight and obese subjects (P = 0.38 and P = 0.90 respectively). The time to seek for medical advice and the response to treatment were not different between the study groups (P = 0.24 and P = 0.53 respectively). CONCLUSION: Body mass does not have any impact on diagnosis, time to seek for medical advice or response to treatment in patients with renal colic.
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