Page 8 - [Podium Sessions] CUA 2022 Annual Meeting Abstracts

2022 CUA Abstracts

and metabolic parameters were determined with multivariate regression including 50% with osteopenia, 11% with osteoporosis, and 3% with
analysis. severe osteoporosis. There was no female predominance of decreased
Results: A total of 898 patients had a mean age of 54±14 years, were BMD in our series. Multivariate regression analysis did not identify any
54% male, and had a mean body mass index of 29.8±7. Calcium oxal- correlation between specific metabolic parameters and BMD scan results.
ate was the predominate stone composition (60%), followed by uric acid Conclusions: Metabolic stone formers have a high prevalence of low
(16%) and calcium phosphate (11%). Metabolic abnormalities included BMD and are at a high risk of poor bone health outcomes. Our series
hypercalciuria (57%), hypocitraturia (38%), primary (2%) and secondary demonstrated that the true prevalence of this condition is likely signifi-
(9%) hyperparathyroidism, complete (2%) and incomplete (13%) distal cantly under-recognized, given that only a minority of eligible patients
RTA, and vitamin D deficiency (78%). In our cohort, 17.6% of patients underwent BMD testing. Further research is required to develop optimal
underwent BMD testing and included only a minority of patients (3%) treatment strategies to mitigate the risks of poor bone health and recur-
who were eligible for DEXA scans based on age criteria alone. The major- rent urolithiasis.
ity of patients with DEXA scans (64%) had evidence of decreased BMD,

S12 CUAJ • June 2022 • Volume 16, Issue 6(Suppl1)