Metabolic Assessment of Aging Men With Urinary Lithiasis

NCT ID: NCT01246531

Last Updated: 2010-11-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

42 participants

Study Classification

OBSERVATIONAL

Study Start Date

2008-01-31

Study Completion Date

2010-01-31

Brief Summary

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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.

Detailed Description

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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.

Conditions

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Urolithiasis and Aging Renal Calcul and Metabolic Diseases Urolithiasis and Osteoporosis

Keywords

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Urolithiasis Renal calculi Aging Osteoporosis

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Urolithiasis

Case arm: men above fifty years-old with urolithiasis

No interventions assigned to this group

Control

Control arm: men above fifty years-old without urolithiasis

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Men above fifty years-old with urolithiasis diagnosis (case arm)
* Men above fifty years-old without urolithiasis diagnosis (control arm)

Exclusion Criteria

* Urolithiasis diagnosis (clinical or incidental) before fifty years-old.
* Urinary culture positive
Minimum Eligible Age

50 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

Yes

Sponsors

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University of Sao Paulo General Hospital

OTHER

Sponsor Role lead

Responsible Party

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University of São Paulo General Hospital

Principal Investigators

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Eduardo Mazzucchi, MD

Role: PRINCIPAL_INVESTIGATOR

University of São Paulo General Hospital - Division of Urology

Locations

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University of São Paulo General Hospital

São Paulo, São Paulo, Brazil

Site Status

Countries

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Brazil

References

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Usui Y, Matsuzaki S, Matsushita K, Shima M. Urolithiasis in geriatric patients. Tokai J Exp Clin Med. 2003 Jul;28(2):81-7.

Reference Type BACKGROUND
PMID: 14714833 (View on PubMed)

Vella M, Karydi M, Coraci G, Oriti R, Melloni D. Pathophysiology and clinical aspects of urinary lithiasis. Urol Int. 2007;79 Suppl 1:26-31. doi: 10.1159/000104438.

Reference Type BACKGROUND
PMID: 17726349 (View on PubMed)

Ebeling PR. Clinical practice. Osteoporosis in men. N Engl J Med. 2008 Apr 3;358(14):1474-82. doi: 10.1056/NEJMcp0707217. No abstract available.

Reference Type BACKGROUND
PMID: 18385499 (View on PubMed)

Aw D, Silva AB, Palmer DB. Immunosenescence: emerging challenges for an ageing population. Immunology. 2007 Apr;120(4):435-46. doi: 10.1111/j.1365-2567.2007.02555.x. Epub 2007 Feb 15.

Reference Type BACKGROUND
PMID: 17313487 (View on PubMed)

Freitas Junior CH, Mazzucchi E, Danilovic A, Brito AH, Srougi M. Metabolic assessment of elderly men with urolithiasis. Clinics (Sao Paulo). 2012;67(5):457-61. doi: 10.6061/clinics/2012(05)09.

Reference Type DERIVED
PMID: 22666789 (View on PubMed)

Other Identifiers

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0688/07

Identifier Type: -

Identifier Source: org_study_id