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Epidemiology of Stone Disease Over a 40-Year Period in Japan

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Urolithiasis

Abstract

Calcium-containing stones are the most common form of nephrolithiasis and account for about 80% of all renal stones. This condition most often occurs in the fifth to sixth decades of life and is more common in men than women (M:F ratio, 2.25:2.62). A hospital-based survey performed in Japan over a 40-year period (1965–2005) showed an increase in the annual incidence of urolithiasis (from 437 to 1,340/million) and its lifetime prevalence (from 4.0 to 10.8%). Shockwave lithotripsy is the mainstay for treatment of stones in the upper urinary tract (90.9%), followed by transurethral ureterolithotripsy, percutaneous nephrolithotomy, and open surgery.

Reviewing the 40-year period, accumulated evidence suggests the importance of lifestyle modification by correcting a Westernized diet, insufficient fluid intake, and poor physical activity for prevention of urolithiasis.

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Author information

Authors and Affiliations

  1. Department of Urology, Tokyo-West Tokushukai Hospital, 3-1-1 Matsubara-cho, Akishima City, Tokyo, 196-0003, Japan

    Yoshihide Ogawa M.D., Ph.D.

Authors
  1. Yoshihide Ogawa M.D., Ph.D.
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Correspondence to Yoshihide Ogawa M.D., Ph.D. .

Editor information

Editors and Affiliations

  1. Department of Surgery Section of Urology, Aga Khan University, Stadium Road, P.O. Box 3500, Karachi, 74800, Pakistan

    Jamsheer J. Talati

  2. Karolinska Institutet, Solnavägen 1, Solna, Stockholm, 171 77, Sweden

    Hans-Goran Tiselius

  3. , Syracuse University, Crouse Hospital, 1226 East Water Street, New York, 13210, New York, USA

    David M. Albala

  4. , Department of Urology, Tongji Hospital, 1095 Jiefang Avenue, Wuhan, 430030, China, People's Republic

    ZHANGQUN YE

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© 2012 Springer-Verlag London

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Ogawa, Y. (2012). Epidemiology of Stone Disease Over a 40-Year Period in Japan. In: Talati, J., Tiselius, HG., Albala, D., YE, Z. (eds) Urolithiasis. Springer, London. https://doi.org/10.1007/978-1-4471-4387-1_12

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  • DOI: https://doi.org/10.1007/978-1-4471-4387-1_12

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4383-3

  • Online ISBN: 978-1-4471-4387-1

  • eBook Packages: MedicineMedicine (R0)

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