Dei-05 Neighborhood Socioeconomic Disadvantage Is Associated With Worse Urinary Risk Factors and Access to Medical Management for Urolithiasis

You have accessJournal of UrologyDiversity, Equity 16% vs. 4.5%, p<.001, respectively). Patients with poorest SES were less likely to undergo 24hU testing compared to the least disadvantaged quartile (44% vs. 63%, p<.001). Higher ADI score was significantly associated with lower 24hU volume, citrate and pH. Conversely, there was a trend towards increased 24hU uric acid among lower ADI (p=.052). Struvite and calcium phosphate stones were more common among poorer SES, whereas mixed calcium stones were more prevalent amongst the lowest ADI quartile. CONCLUSIONS: Higher ADI is associated with multiple risk factors for recurrent urolithiasis including failure to complete 24hU studies, hypocitraturia, low urinary pH, and low urinary volume. Stone types amenable to medical management were more prevalent amongst higher ADIs. ADI may serve as a simple clinical tool to identify patients at risk for SES limiting comprehensive endourologic care. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e289 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Cyrus Chehroudi More articles by this author Louisa Ho More articles by this author Benjamin Jevnikar More articles by this author Jorge Gutierrez-Aceves More articles by this author Sri Sivalingam More articles by this author Smita De More articles by this author Anna Zampini More articles by this author Expand All Advertisement PDF downloadLoading ...