Urolithiasis: evaluation, dietary factors, and medical management: an update of the 2014 SIU-ICUD international consultation on stone disease

Purpose The aim of this review was to provide current best evidence for evaluation, dietary, and medical management of patients with urolithiasis. Methods Literature addressing evaluation, dietary, and medical management of urolithiasis was searched. Papers were analyzed and rated according to level...

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Veröffentlicht in:World journal of urology 2017-09, Vol.35 (9), p.1331-1340
Hauptverfasser: Jung, Helene, Andonian, Sero, Assimos, Dean, Averch, Timothy, Geavlete, Petrisor, Kohjimoto, Yasuo, Neisius, Andreas, Philip, Joe, Saita, Alberto, Shah, Hemendra, Osther, Palle Jörn
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container_end_page 1340
container_issue 9
container_start_page 1331
container_title World journal of urology
container_volume 35
creator Jung, Helene
Andonian, Sero
Assimos, Dean
Averch, Timothy
Geavlete, Petrisor
Kohjimoto, Yasuo
Neisius, Andreas
Philip, Joe
Saita, Alberto
Shah, Hemendra
Osther, Palle Jörn
description Purpose The aim of this review was to provide current best evidence for evaluation, dietary, and medical management of patients with urolithiasis. Methods Literature addressing evaluation, dietary, and medical management of urolithiasis was searched. Papers were analyzed and rated according to level of evidence (LOE), whereupon a synthesis of the evidence was made. Grade of recommendation (GOR) was judged from individual clinical experience and knowledge of the evidence according to the Oxford Centre for Evidence-based Medicine. Results It is obvious that different stone diseases influence the life of stone-forming individuals very differently, and that evaluation and medical management should be personalized according to risk of recurrence, severity of stone disease, presence of associated medical conditions, and patient’s motivation. With regard to evaluation, dietary and medical management of patients with urolithiasis evidence from the literature suggest that selective metabolic evaluation may lead to rational dietary and medical management. Statements based on LOE and GOR are provided to guide clinical practice. Conclusion The provided evidence for evaluation of patients with urolithiasis aims at defining patients at high risk for recurrent/complicated stone disease. Based on this approach, evidence-based dietary and medical management regimes are suggested.
doi_str_mv 10.1007/s00345-017-2000-1
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Methods Literature addressing evaluation, dietary, and medical management of urolithiasis was searched. Papers were analyzed and rated according to level of evidence (LOE), whereupon a synthesis of the evidence was made. Grade of recommendation (GOR) was judged from individual clinical experience and knowledge of the evidence according to the Oxford Centre for Evidence-based Medicine. Results It is obvious that different stone diseases influence the life of stone-forming individuals very differently, and that evaluation and medical management should be personalized according to risk of recurrence, severity of stone disease, presence of associated medical conditions, and patient’s motivation. With regard to evaluation, dietary and medical management of patients with urolithiasis evidence from the literature suggest that selective metabolic evaluation may lead to rational dietary and medical management. Statements based on LOE and GOR are provided to guide clinical practice. Conclusion The provided evidence for evaluation of patients with urolithiasis aims at defining patients at high risk for recurrent/complicated stone disease. Based on this approach, evidence-based dietary and medical management regimes are suggested.</description><identifier>ISSN: 0724-4983</identifier><identifier>EISSN: 1433-8726</identifier><identifier>DOI: 10.1007/s00345-017-2000-1</identifier><identifier>PMID: 28160089</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Allopurinol - therapeutic use ; Diet Therapy - methods ; Disease Management ; Diuretics - therapeutic use ; Evidence-Based Medicine ; Fluid Therapy - methods ; Gout Suppressants - therapeutic use ; Humans ; Infrared Rays ; Kidney Calculi - diagnosis ; Kidney Calculi - diet therapy ; Kidney Calculi - drug therapy ; Lithiasis ; Medicine ; Medicine &amp; Public Health ; Motivation ; Nephrology ; Oncology ; Potassium Citrate - therapeutic use ; Practice Guidelines as Topic ; Sodium Chloride Symporter Inhibitors - therapeutic use ; Spectrum Analysis ; Tomography, X-Ray Computed ; Topic Paper ; Ultrasonography ; Urinalysis ; Urolithiasis - diagnosis ; Urolithiasis - therapy ; Urology ; X-Ray Diffraction</subject><ispartof>World journal of urology, 2017-09, Vol.35 (9), p.1331-1340</ispartof><rights>Springer-Verlag Berlin Heidelberg 2017</rights><rights>World Journal of Urology is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-f0f11a33914f31b18de8c9471105770304772b49665c5cb3fc6bcbfed6e0e8833</citedby><cites>FETCH-LOGICAL-c372t-f0f11a33914f31b18de8c9471105770304772b49665c5cb3fc6bcbfed6e0e8833</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00345-017-2000-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00345-017-2000-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28160089$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jung, Helene</creatorcontrib><creatorcontrib>Andonian, Sero</creatorcontrib><creatorcontrib>Assimos, Dean</creatorcontrib><creatorcontrib>Averch, Timothy</creatorcontrib><creatorcontrib>Geavlete, Petrisor</creatorcontrib><creatorcontrib>Kohjimoto, Yasuo</creatorcontrib><creatorcontrib>Neisius, Andreas</creatorcontrib><creatorcontrib>Philip, Joe</creatorcontrib><creatorcontrib>Saita, Alberto</creatorcontrib><creatorcontrib>Shah, Hemendra</creatorcontrib><creatorcontrib>Osther, Palle Jörn</creatorcontrib><title>Urolithiasis: evaluation, dietary factors, and medical management: an update of the 2014 SIU-ICUD international consultation on stone disease</title><title>World journal of urology</title><addtitle>World J Urol</addtitle><addtitle>World J Urol</addtitle><description>Purpose The aim of this review was to provide current best evidence for evaluation, dietary, and medical management of patients with urolithiasis. Methods Literature addressing evaluation, dietary, and medical management of urolithiasis was searched. Papers were analyzed and rated according to level of evidence (LOE), whereupon a synthesis of the evidence was made. Grade of recommendation (GOR) was judged from individual clinical experience and knowledge of the evidence according to the Oxford Centre for Evidence-based Medicine. Results It is obvious that different stone diseases influence the life of stone-forming individuals very differently, and that evaluation and medical management should be personalized according to risk of recurrence, severity of stone disease, presence of associated medical conditions, and patient’s motivation. With regard to evaluation, dietary and medical management of patients with urolithiasis evidence from the literature suggest that selective metabolic evaluation may lead to rational dietary and medical management. Statements based on LOE and GOR are provided to guide clinical practice. 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Methods Literature addressing evaluation, dietary, and medical management of urolithiasis was searched. Papers were analyzed and rated according to level of evidence (LOE), whereupon a synthesis of the evidence was made. Grade of recommendation (GOR) was judged from individual clinical experience and knowledge of the evidence according to the Oxford Centre for Evidence-based Medicine. Results It is obvious that different stone diseases influence the life of stone-forming individuals very differently, and that evaluation and medical management should be personalized according to risk of recurrence, severity of stone disease, presence of associated medical conditions, and patient’s motivation. With regard to evaluation, dietary and medical management of patients with urolithiasis evidence from the literature suggest that selective metabolic evaluation may lead to rational dietary and medical management. Statements based on LOE and GOR are provided to guide clinical practice. Conclusion The provided evidence for evaluation of patients with urolithiasis aims at defining patients at high risk for recurrent/complicated stone disease. Based on this approach, evidence-based dietary and medical management regimes are suggested.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>28160089</pmid><doi>10.1007/s00345-017-2000-1</doi><tpages>10</tpages></addata></record>
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subjects Allopurinol - therapeutic use
Diet Therapy - methods
Disease Management
Diuretics - therapeutic use
Evidence-Based Medicine
Fluid Therapy - methods
Gout Suppressants - therapeutic use
Humans
Infrared Rays
Kidney Calculi - diagnosis
Kidney Calculi - diet therapy
Kidney Calculi - drug therapy
Lithiasis
Medicine
Medicine & Public Health
Motivation
Nephrology
Oncology
Potassium Citrate - therapeutic use
Practice Guidelines as Topic
Sodium Chloride Symporter Inhibitors - therapeutic use
Spectrum Analysis
Tomography, X-Ray Computed
Topic Paper
Ultrasonography
Urinalysis
Urolithiasis - diagnosis
Urolithiasis - therapy
Urology
X-Ray Diffraction
title Urolithiasis: evaluation, dietary factors, and medical management: an update of the 2014 SIU-ICUD international consultation on stone disease
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