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Kidney stone presentations also were positively associated with temperatures < 2°C in Atlanta, and < 10°C in Chicago and Philadelphia.
Conclusions: In general, kidney stone presentations increased with higher daily mean temperatures, with the strongest associations estimated for lags of only a few days.
We hypothesize that the association between daily temperature and kidney stone presentations is similar in different regions of the world, as it is with temperature and mortality (Armstrong 2006; Gasparrini et al. 2012; Guo et al. 2011).
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We hypothesize that the estimated RRs of kidney stone presentation across a range of temperatures might represent patients presenting with calcium-based kidney stones, which are the most common type of stones in the United States and other developed countries.
The present study provides an empiric model of the temperature dependence of kidney stone presentation in diverse geographic areas with different climates.
Patients with uric acid urolithiasis were predominantly male, older, with higher BMI, multiple stone presentation, with lower urinary pH, and hyperuricemia.
An increased risk of kidney stone presentation was estimated for cold temperatures in Atlanta, Chicago, and Philadelphia.
In Dallas, the excess RR of kidney stone presentation stabilized at 36 39% as temperatures increased > 30°C.
We evaluated two aspects of the association between temperature and kidney stone presentation.
The RRs of kidney stone presentation after hot days at 10 20 days lag were heterogeneous.
The date of stone presentation was the earliest date of service associated with the nephrolithiasis claim(s) as defined above.
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