epidemiology
Last edited 04/2020 and last reviewed 07/2021
Some information about the epidemiology of renal stones is presented below (1,2,3):
- overall prevalence of urinary calculi is:
- assuming a life expectancy of 81 years, the lifeime prevalence equals approximately 13.0% (2,3) - patients treated solely in the community are not included in this estimate (2,3)
- urolithiasis is a common disease and has been becoming more prevalent in the Western world in recent years - however, this trend seems to be slowing down in England since 2010 (3)
- Wilcox et al state that the "incidence of kidney stone disease
(urolithiasis) has a lifetime risk of
10–15%, and a recurrence rate of 50% within
10 years" (4)
- males are affected more than females - 2.5:1
- bimodal age distribution - peak incidences in mid-20's and mid-50's, the
later peak principally due to infective stones in women
- upper tract calculi predominate in developed countries
- bladder calculi are more common in developing countries
- stones are unilateral in approximately 80% of cases
- across the population right and left upper tracts are equally affected
- incidence of upper tract calculi is increasing (2,3)
- number of upper urinary tract (UUT) stone hospital episodes increased by 63% to 83,050 in the 10-year period 2000/2001 to 2009/2010
- total number of UUT stone hospital episodes increased slightly from 83 050 in 2009-2010 to 86 742 in 2014-2015 (4.4% increase).
Reference:
- NICE (December 2018).Renal and ureteric stones: assessment and management (NG118)
- Turney BW et al. Trends in urological stone disease.BJU Int. 2012 Apr;109(7):1082-7
- Heers S. Turney BW. Trends in urological stone disease: a 5-year update of hospital episode statistics.BJU Int. 2016 Nov;118(5):785-789
- Wilcox CR et al. Kidney stone disease: an update on its management in primary care. BJGP 2020; 70: 205–206.