Re: Pugliese et al.: Epidemiology of nephrolithiasis in personnel returning from Operation Iraqi Freedom. (Urology 2009;74:56-60).

摘要

I read with interest the report by Pugliese and Baker in the July issue of Urology. The authors investigated the epidemiology of urolithiasis in personnel returning from deployment to Southwest Asia. A total of 10 180 personnel were demobilized and 6153 surveys were received, for a survey response rate of 60%. Of the personnel returning the survey, surprisingly only 1% reported urolithiasis during deployment or within the first 90 days of returning from deployment; a percentage lower than that in the general population. Moreover, the authors reported the lack of difference in the rates of urolithiasis with regard to gender and race, with no evidence found for an association between the reported rates of urolithiasis and seasonal variations in temperature in Southwest Asia. The overall findings supported the evidence that personal or family history of stone disease were significant predictors of urolithiasis in this deployed population.