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- W2605114328 abstract "You have accessJournal of UrologyInfections/Inflammation/Cystic Disease of the Genitourinary Tract: Kidney & Bladder I1 Apr 2017PD12-10 KIDNEY INJURY MOLECULE-1 AS A POTENTIAL URINARY BIOMARKER OF HYDRONEPROSIS MAY NOT BE AFFECTED BY INFLAMMATORY CAUSES IN THE URINARY TRACT Daniel Olvera-Posada, Stephen Pautler, Alp Sener, John Denstedt, and Hassan Razvi Daniel Olvera-PosadaDaniel Olvera-Posada More articles by this author , Stephen PautlerStephen Pautler More articles by this author , Alp SenerAlp Sener More articles by this author , John DenstedtJohn Denstedt More articles by this author , and Hassan RazviHassan Razvi More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.685AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Newly discovered biomarkers have been used to assess renal function in several clinical situations, and diverse studies have suggested a relationship between urinary tract obstruction and increased levels of these biomarkers. It has been postulated that some inflammatory conditions may affect the expression of these markers precluding its use in our population. We planned to evaluate the urinary levels of Kidney Injury Molecule-1 in a set of urological patients to determine which factors may be associated with its expression. METHODS From a prospective observational cohort study, we included patients with hydronephrosis caused by renal stone disease or ureteric stricture, and patients with non-obstructive nephrolithiasis. Demographical, clinical and radiological characteristics were evaluated before and after surgical treatment. Urinary normalized KIM-1 concentration was measured using ELISA analyses in three different occasions, one preoperative and in two postoperative assessments. Non-parametric tests were used to compare KIM-1 levels during follow-up. The presence of stone disease, double J stent and hydronephrosis were noted and dichotomized. Correlations between biomarkers' levels and clinical or radiological characteristics were assessed using Spearman's correlation coefficient. RESULTS Forty-eight patients and eleven controls were included in the final analysis. First and second postoperative assessment were performed with a median of 17 days (IQR 9.5) and 59 days (IQR 34) after the surgical procedure. Patients with hydronephrosis showed a higher KIM-1 concentration than no-hydro patients and controls (1.19 vs 0.60 ng/mg creatinine, p=0.002). After analyzing KIM-1 expression in hydronephrosis patients exclusively, we found significantly higher levels at baseline, compared to both postoperative evaluations (p<0.001). KIM-1 showed a weak correlation with age, female gender, BMI, Charlson Comorbidity Index and presence of hydronephrosis (p<0.0001). Although, its expression was not correlated with the estimated glomerular filtration rate, leukocyturia, or presence of stone disease. The distribution of KIM-1 levels amongst patients with non-obstructive stone disease did not significantly change despite the surgical management. CONCLUSIONS This exploratory study found that urinary KIM-1 expression could potentially be affected by some patients' baseline characteristics. However, our results corroborate that urinary KIM-1 may be a reliable marker of hydronephrosis. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e269 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Daniel Olvera-Posada More articles by this author Stephen Pautler More articles by this author Alp Sener More articles by this author John Denstedt More articles by this author Hassan Razvi More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ..." @default.
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- W2605114328 title "PD12-10 KIDNEY INJURY MOLECULE-1 AS A POTENTIAL URINARY BIOMARKER OF HYDRONEPROSIS MAY NOT BE AFFECTED BY INFLAMMATORY CAUSES IN THE URINARY TRACT" @default.
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