Guidelines issued for medical management of kidney stones

July 30, 2014
Guidelines issued for medical management of kidney stones
Guideline statements have been developed for the diagnosis, prevention, and follow-up of patients with kidney stones, and published in the August issue of The Journal of Urology.

(HealthDay)—Guideline statements have been developed for the diagnosis, prevention, and follow-up of patients with kidney stones, and published in the August issue of The Journal of Urology.

Margaret S. Pearle, M.D., Ph.D., from the American Urological Association Education and Research Inc., in Linthicum, Md., and colleagues reviewed the literature to develop a clinical framework for the diagnosis, prevention, and follow-up of with . Evidence-based guideline statements were developed using data from 46 studies.

The researchers developed guidelines to inform clinicians regarding use of screening for first-time and recurrent stone formers. Evaluation should include a detailed medical and dietary history, serum chemistries, and urinalysis. Stone analysis should be obtained at least once and imaging studies should be reviewed to quantify stone burden. In high-risk patients, additional metabolic testing should be conducted. Recommended diet therapies include limiting sodium intake and calcium consumption, as well as regulating fluid intake to achieve appropriate urine volume. Thiazide diuretics should be recommended for patients with high calcium and recurrent calcium stones; other therapies include potassium citrate, allopurinol, and cystine-binding thiol drugs.

"The guideline statements offered in this document provide a simple, evidence-based approach to identify high-risk or interested stone-forming patients for whom medical and dietary therapy based on metabolic testing and close follow-up is likely to be effective in reducing stone recurrence," the authors write.

Several authors disclosed financial ties to the pharmaceutical industry.

Explore further: DASH diet may lower risk of recurrent kidney stones

More information: Abstract
Full Text

Related Stories

DASH diet may lower risk of recurrent kidney stones

March 3, 2014
(HealthDay)—The Dietary Approaches to Stop Hypertension (DASH) diet might be an effective alternative to the low-oxalate diet for reducing risk of kidney stone recurrence, according to research published in the March issue ...

More effective kidney stone treatment, from the macroscopic to the nanoscale

April 17, 2014
Researchers in France have hit on a novel method to help kidney stone sufferers ensure they receive the correct and most effective treatment possible.

History of kidney stones may indicate risk for stroke and heart attack

March 3, 2014
(Medical Xpress)—A new study from University of Alberta researchers suggests that patients, particularly women, with a history of kidney stones may be at a higher risk for stroke and heart attack.

Will a warmer climate mean more kidney stones?

July 10, 2014
(HealthDay)—Add another possible woe to the growing list of consequences of climate change: Kidney stones.

Diet and physical activity may affect one's risk of developing kidney stones

December 12, 2013
Even small amounts of physical activity may decrease the risk of developing kidney stones, according to a study appearing in an upcoming issue of the Journal of the American Society of Nephrology (JASN). The study also found ...

Macrophage-derived mediators may have potential as biomarkers for urinary stone risk

October 1, 2013
Arnhem, 30 September 2013- A balance between the activation of the inflammatory macrophages and suppression of the anti-inflammatory macrophages in the kidney may play a pivotal role in kidney stone formation. These macrophage-derived ...

Recommended for you

Creation of synthetic horsepox virus could lead to more effective smallpox vaccine

January 19, 2018
UAlberta researchers created a new synthetic virus that could lead to the development of a more effective vaccine against smallpox. The discovery demonstrates how techniques based on the use of synthetic DNA can be used to ...

Study ends debate over role of steroids in treating septic shock

January 19, 2018
The results from the largest ever study of septic shock could improve treatment for critically ill patients and save health systems worldwide hundreds of millions of dollars each year.

New approach could help curtail hospitalizations due to influenza infection

January 18, 2018
More than 700,000 Americans were hospitalized due to illnesses associated with the seasonal flu during the 2014-15 flu season, according to federal estimates. A radical new approach to vaccine development at UCLA may help ...

Zika virus damages placenta, which may explain malformed babies

January 18, 2018
Though the Zika virus is widely known for a recent outbreak that caused children to be born with microencephaly, or having a small head, and other malformations, scientists have struggled to explain how the virus affects ...

Certain flu virus mutations may compensate for fitness costs of other mutations

January 18, 2018
Seasonal flu viruses continually undergo mutations that help them evade the human immune system, but some of these mutations can reduce a virus's potency. According to new research published in PLOS Pathogens, certain mutations ...

Study reveals how MRSA infection compromises lymphatic function

January 17, 2018
Infections of the skin or other soft tissues with the hard-to-treat MRSA (methicillin-resistant Staphylococcus aureus) bacteria appear to permanently compromise the lymphatic system, which is crucial to immune system function. ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.