title: Update: Urinary stones, active component, U.S. Armed Forces, 2011-2015.
abstract: Urinary stones can cause debilitating morbidity that impairs the operational effectiveness of affected members of the U.S. Armed Forces. This report documents that, during the past 5 years, rates of incident diagnoses of urinary stones decreased by about 17% in the active component of the U.S. military. During the period, annual rates of inpatient diagnosed cases were low and relatively stable, while rates of outpatient diagnosed cases slightly decreased. Incidence rates were slightly higher among females than males in 2011; however, rates were very similar among males and females from 2012 through 2015. Rates of incident diagnoses among white, non-Hispanic and Native American/Alaska Native service members were consistently 80%-100% higher than among black, non-Hispanic and Asian/Pacific Islander service members and 35%-45% higher than among Hispanic and "other race/ethnicity" service members. During the 5-year period, a total of 3,350 service members received more than one incident diagnosis of urinary stones ("recurrent cases"); one-tenth (10.2%) of all incident cases during the period were recurrent cases. Service members with histories of urinary stones should be counseled and closely supervised to avoid dehydration and to adhere to diets that reduce the risk of stone formation.
authors.forename: Valerie F
authors.initials: VF
authors.lastname: Williams
authors.forename: Leslie L
authors.initials: LL
authors.lastname: Clark
authors.forename: Francis L
authors.initials: FL
authors.lastname: O'Donnell
authors.forename: Rakel A
authors.initials: RA
authors.lastname: Larsen
authors.forename: John F
authors.initials: JF
authors.lastname: Brundage
mesh_terms: D000293:Adolescent; D000328:Adult; D005006:Ethnicity / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008889:Military Personnel / Q000706:statistics & numerical data*; D009784:Occupational Diseases / Q000453:epidemiology*; D011159:Population Surveillance; D044469:Racial Groups / Q000706:statistics & numerical data; D012008:Recurrence; D017678:Sex Distribution; D014481:United States / Q000453:epidemiology; D014545:Urinary Calculi / Q000453:epidemiology*; D055815:Young Adult