A prospective study of nonmedical prophylaxis after a first kidney stone

Kočvara, R; Plasgura,; Petřík,; Louženský,; Bartoníčková,; Dvořáček, J

doi:10.1046/j.1464-410x.1999.00216.x

Cited by 85 publications

(45 citation statements)

References 20 publications

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“…17 While fluid intake plays a crucial role in stone prevention, the literature suggests that patients who receive specific dietary recommendations based on a comprehensive evaluation have fewer stone recurrences than those who only received general dietary advice. 18 The majority of our study participants (68.3%) were unaware of their stone composition or predisposing metabolic condition, thereby limiting the efficacy of dietary treatment recommendations.…”

Section: Discussionmentioning

confidence: 97%

Compliance of the recurrent renal stone former with current best practice guidelines

Bos

Kim

Hoogenes

et al. 2017

CUAJ

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Introduction: Patient compliance to best practice guidelines is a significant factor in preventing renal stone recurrence. While patient compliance has been historically poor, there remains a paucity of data in the renal stone setting. We evaluated compliance of the recurrent renal stone former with current Canadian Urological Association (CUA) best practice guidelines. Methods: A prospective, cross-sectional study design was used to evaluate patient compliance. Recurrent renal stone former patients were consecutively recruited from McMaster's Institute of Urology and completed a one-time questionnaire developed in accordance with CUA best practice guidelines. Questionnaire sections included: 1) demographics; 2) interaction(s) and satisfaction with their healthcare provider; and 3) knowledge, attitudes, and compliance with best practices. Results: A total of 300 patients were enrolled in the study; 55.3% were men, 69.5% had a history of stone surgery, while 23.7% had a positive family history. Participants perceived satisfactory education from their urologist and primary care physician 82.7% and 59.7% of the time, respectively (p<0.05). Nearly a quarter of patients (22.8%) perceived their stone disease to be severe and 67.1% of patients believed in the efficacy of preventative stone measures. Overall, 45.8% of patients were compliant with CUA best practice guidelines. The majority of patients (72.6%) complied with high fluid intake, the most critical stone preventative practice. Conclusions: Consistent with previous studies, compliance to dietary recommendations in this evaluation of recurrent stone formers was low. Study findings may be attributed to insufficient knowledge translation, lack of perceived disease severity, and/or patient uncertainty in the importance of preventative stone practices.

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Section: Discussionmentioning

confidence: 97%

Compliance of the recurrent renal stone former with current best practice guidelines

Bos

Kim

Hoogenes

et al. 2017

CUAJ

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“…In one study, 44% of the patients did not even undergo appropriate metabolic interventions [30]. In a randomized study evaluating the effectiveness of a specific dietary therapy, the dropout range was 15% [31] after 3 years of follow-up. In an observational study in Japan, 65% of the patients discontinued the outpatient visits for more than 1 year during a 8-year survey [32].…”

Section: Discussionmentioning

confidence: 99%

A Randomized Trial of Low-Animal-Protein or High-Fiber Diets for Secondary Prevention of Calcium Nephrolithiasis

et al. 2008

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Background: The purpose of this trial was to evaluate the efficacy of a low-animal-protein diet (LAPD) or a high-fiber diet (HFD) for the prevention of calcium nephrolithiasis recurrence. Methods: We conducted a 4-year randomized trial comparing the effect of 2 diets in 175 idiopathic calcium stone formers. Fifty-five were assigned to a LAPD (<13% of total energy derived from protein), 60 were assigned to a HFD (>25 g/day fiber) and 60 were placed on a normal diet (control group). The primary outcome measure was the time to the first recurrence of calcium nephrolithiasis. Daily urine compositions were analyzed at baseline, at month 4 (M4), M12, M24, M36 and M48. Results: Seventy-three patients completed the trial (23 in the LAPD group, 27 in the HFD group and 23 in the control group). Recurrence was 48% (11/23) in the LAPD group, 63% (17/27) in the HFD group and 48% (11/23) in the control group (p = not significant). During follow-up, urinary calcium levels and other urine parameters did not change significantly in the 3 groups, except for a significant decrease in 24-hour urinary sulfate in the LAPD group. Conclusions: In idiopathic calcium stone formers, neither a LAPD nor a HFD appeared to provide protection against recurrence.

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“…Follow-up All stone formers, independent of their individual risk, should follow the preventive measures presented in Table 4. The main focus of these measures is normalization of dietary habits and lifestyle risks, both of which are highly recommended for the prevention of stone formation (Table 5) [19][20][21][22][23][24][25][26][27][28][29][30]. …”

Section: Evaluation Of Patient Riskmentioning

confidence: 99%

Metabolic Evaluation and Recurrence Prevention for Urinary Stone Patients: EAU Guidelines

Skolarikos¹,

Straub²,

Knoll³

et al. 2015

European Urology

283

199

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A prospective study of nonmedical prophylaxis after a first kidney stone

Abstract: Specific dietary therapy, adjusted according to a metabolic evaluation, is more effective than nonspecific general dietary recommendations in preventing the formation of a second urinary stone.

Cited by 85 publications

References 20 publications

Compliance of the recurrent renal stone former with current best practice guidelines

Compliance of the recurrent renal stone former with current best practice guidelines

A Randomized Trial of Low-Animal-Protein or High-Fiber Diets for Secondary Prevention of Calcium Nephrolithiasis

Metabolic Evaluation and Recurrence Prevention for Urinary Stone Patients: EAU Guidelines

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