Current Practice Patterns of Urologists Providing Nutrition Recommendations to Patients with Kidney Stones

WertheimMargaret, L; NakadaStephen, Y; PennistonKristina, L

doi:10.1089/end.2014.0164

Cited by 20 publications

(9 citation statements)

References 24 publications

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“…High potassium in diets or a relative abundance of animal protein compared with potassium could represent a means of kidney stone prevention (11), but in the current study, animal protein intake and amino acids containing sulfur, cysteine, and methionine, in the case group was higher com- pare with those of the control group. Margaret et al reported the areas of educational need, specifically, quantifying patients' intake of certain foods/nutrients and identified that stone risk factors were diet related (12). Ferraro et al concluded that caffeine intake was independently associated with a lower risk of incidence of kidney stones (13).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Nutritional Factors in Kidney Stones Formation in Children

et al. 2018

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Background: Kidney and urinary tract stones are the major health issues; in addition, proper nutrition is probably an important factor in kidney stones formation. The current study aimed at evaluating nutritional factors in kidney stones formation in children. Methods: The current cross sectional study, using the random sampling method, was conducted on 2-12-year-old children reffered to Amir Kabir hospital. The data were collected by a 24-hour dietary recall; and calcium, oxalate, vitamin C, animal protein, and water contents in each food was calculated by a food processing software (Nutritionist4). Data were analyzed by Pearson correlation coefficient, independent t test, and regression logestic analysis with SPSS version 21. Results: Animal protein (P = 0.0001), meal water (P = 0.023) and total liquid amounts (P = 0.011) in the case group was higher than those of the control group; in addition, daily vitamin C intake was higher in the control group, but the differences were not statistically significant (P > 0.05). Conclusions: The relationship between kidney stones formation and nutritional factors was approved. Therefore, it may be effective to examine and treat the stone formation by considering the nutritional factors.

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Section: Discussionmentioning

confidence: 99%

Evaluation of Nutritional Factors in Kidney Stones Formation in Children

et al. 2018

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“…Furthermore, even skilled endourologists and stone experts may not use the most effective questions to obtain the information necessary [ 17 ]. Finally, a comprehensive stone clinic, complete with a dietician is favorable, but not feasible in every practice setting [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…The traditional office based interview may not adequately assess the patient's nutritional intake, due to time constraints and the detailed nature of a nutritional history. Furthermore, biases may exist both in how a patient wishes to represent themselves, and in how the practitioner presents a question [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Electronic nutritional intake assessment in patients with urolithiasis: A decision impact analysis

et al. 2016

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PurposeTo evaluate a physician's impression of a urinary stone patient's dietary intake and whether it was dependent on the medium through which the nutritional data were obtained. Furthermore, we sought to determine if using an electronic food frequency questionnaire (FFQ) impacted dietary recommendations for these patients.Materials and MethodsSeventy-six patients attended the Stone Clinic over a period of 6 weeks. Seventy-five gave consent for enrollment in our study. Patients completed an office-based interview with a fellowship-trained endourologist, and a FFQ administered on an iPad. The FFQ assessed intake of various dietary components related to stone development, such as oxalate and calcium. The urologists were blinded to the identity of patients' FFQ results. Based on the office-based interview and the FFQ results, the urologists provided separate assessments of the impact of nutrition and hydration on the patient's stone disease (nutrition impact score and hydration impact score, respectively) and treatment recommendations. Multivariate logistic regressions were used to compare pre-FFQ data to post-FFQ data.ResultsHigher FFQ scores for sodium (odds ratio [OR], 1.02; p=0.02) and fluids (OR, 1.03, p=0.04) were associated with a higher nutritional impact score. None of the FFQ parameters impacted hydration impact score. A higher FFQ score for oxalate (OR, 1.07; p=0.02) was associated with the addition of at least one treatment recommendation.ConclusionsInformation derived from a FFQ can yield a significant impact on a physician's assessment of stone risks and decision for management of stone disease.

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“…Lack of information and feasibility, costs, poor motivation of physician and patients, are only some of the barriers to the implementation of full metabolic screening for kidney stone disease. Wertheim et al [25] reported that the majority of urologists said they should provide dietary recommendations regardless the rate of recurrence of stone events. Unfortunately the small amount of time dedicated to nutrition, 4–10 min per patients, is likely inadequate [25].…”

Section: Introductionmentioning

confidence: 99%

“…Wertheim et al [25] reported that the majority of urologists said they should provide dietary recommendations regardless the rate of recurrence of stone events. Unfortunately the small amount of time dedicated to nutrition, 4–10 min per patients, is likely inadequate [25].…”

Section: Introductionmentioning

confidence: 99%

Which Diet for Calcium Stone Patients: A Real-World Approach to Preventive Care

et al. 2019

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Kidney stone disease should be viewed as a systemic disorder, associated with or predictive of hypertension, insulin resistance, chronic kidney disease and cardiovascular damage. Dietary and lifestyle changes represent an important strategy for the prevention of kidney stone recurrences and cardiovascular damage. A full screening of risk factors for kidney stones and for cardiovascular damage should be recommended in all cases of calcium kidney stone disease, yet it is rarely performed outside of stone specialist clinics. Many patients have a history of kidney stone disease while lacking a satisfactory metabolic profile. Nonetheless, in a real-world clinical practice a rational management of kidney stone patients is still possible. Different scenarios, with different types of dietary approaches based on diagnosis accuracy level can be envisaged. The aim of this review is to give patient-tailored dietary suggestions whatever the level of clinical and biochemistry evaluation. This can help to deliver a useful recommendation, while avoiding excessive dietary restrictions especially when they are not based on a specific diagnosis, and therefore potentially useless or even harmful. We focused our attention on calcium stones and the different scenarios we may find in the daily clinical practice, including the case of patients who reported renal colic episodes and/or passed stones with no information on stone composition, urinary risk factors or metabolic cardiovascular risk factors; or the case of patients with partial and incomplete information; or the case of patients with full information on stone composition, urinary risk factors and metabolic cardiovascular profile.

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Current Practice Patterns of Urologists Providing Nutrition Recommendations to Patients with Kidney Stones

Cited by 20 publications

References 24 publications

Evaluation of Nutritional Factors in Kidney Stones Formation in Children

Evaluation of Nutritional Factors in Kidney Stones Formation in Children

Electronic nutritional intake assessment in patients with urolithiasis: A decision impact analysis

Which Diet for Calcium Stone Patients: A Real-World Approach to Preventive Care

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