Shock wave lithotripsy and diabetes mellitus: A population-based cohort study

Mitra De Cgin, Amy Krambeck, Andrew D. Rule, Xujian Li, Eric J. Bergstralh, Matthew T. Gettman, John C. Lieske

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Objective: To determine if shock wave lithotripsy (SWL) is associated with diabetes mellitus (DM) in a community setting. The pancreas is vulnerable to injury at SWL as evidenced by case studies; thus, concern exists for the development of DM after SWL. Methods: The Rochester Epidemiologic Project was used to identify all Olmsted County, Minnesota residents diagnosed with urolithiasis from 1985 to 2008. New-onset DM was identified by diagnostic codes and treatment with SWL by surgical codes. Cox proportional hazards models were used to determine the risk of DM after SWL therapy. Results: A total of 5287 incident cases of stone formation without pre-existing DM and with <3 months of follow-up. After an average follow-up of 8.7 years, 423 patients (8%) were treated with SWL and new-onset DM had developed in 743 (12%). The diagnosis of DM followed SWL in 77 patients. However, no association was evident between SWL and the development of DM before (hazard ratio 0.98, 95% confidence interval 0.76-1.26) or after (hazard ratio 0.92, 95% confidence interval 0.71-1.18) SWL, controlling for age, sex, and obesity. Conclusion: In the present large, population-based cohort, the long-term risk of developing DM was not increased in persons who underwent SWL to treat their kidney stones.

Original languageEnglish (US)
Pages (from-to)298-302
Number of pages5
JournalUrology
Volume79
Issue number2
DOIs
StatePublished - Feb 2012
Externally publishedYes

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Lithotripsy
Diabetes Mellitus
Cohort Studies
Population
Confidence Intervals
Urolithiasis
Kidney Calculi
Proportional Hazards Models
Pancreas
Obesity

ASJC Scopus subject areas

  • Urology

Cite this

De Cgin, M., Krambeck, A., Rule, A. D., Li, X., Bergstralh, E. J., Gettman, M. T., & Lieske, J. C. (2012). Shock wave lithotripsy and diabetes mellitus: A population-based cohort study. Urology, 79(2), 298-302. https://doi.org/10.1016/j.urology.2011.07.1430

Shock wave lithotripsy and diabetes mellitus : A population-based cohort study. / De Cgin, Mitra; Krambeck, Amy; Rule, Andrew D.; Li, Xujian; Bergstralh, Eric J.; Gettman, Matthew T.; Lieske, John C.

In: Urology, Vol. 79, No. 2, 02.2012, p. 298-302.

Research output: Contribution to journalArticle

De Cgin, M, Krambeck, A, Rule, AD, Li, X, Bergstralh, EJ, Gettman, MT & Lieske, JC 2012, 'Shock wave lithotripsy and diabetes mellitus: A population-based cohort study', Urology, vol. 79, no. 2, pp. 298-302. https://doi.org/10.1016/j.urology.2011.07.1430
De Cgin, Mitra ; Krambeck, Amy ; Rule, Andrew D. ; Li, Xujian ; Bergstralh, Eric J. ; Gettman, Matthew T. ; Lieske, John C. / Shock wave lithotripsy and diabetes mellitus : A population-based cohort study. In: Urology. 2012 ; Vol. 79, No. 2. pp. 298-302.
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