La calcolosi renale infetta e la calcolosi renale con infezione: terapia preventiva, in particolare post-chirurgica

Cupisti, Adamasco; Marchetti, Veronica; Sbragia, G.; Barsotti, Giovanni

doi:10.33393/gcnd.2009.1267

Cited by 1 publication

(4 citation statements)

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“…Hospitals can take care of the surgical treatment of the disease and the diagnosis of diseases associated with urinary stones, but they are not able to provide follow-up and secondary and primary prevention of the disease on their own. Collaboration between GPs and hospitals is crucial to achieve these objectives (3)(4)(5)(6)(7). For this reason, a shared guideline between the associations of GPs and clinicians of academic and hospital structures is necessary to define the methods of intervention and tasks assignment.…”

Section: Original Papermentioning

confidence: 99%

“…Asymptomatic urinary stones can be diagnosed during investigations for other pathologies. GP and hospital should collaborate in the diagnosis and treatment of patients with renal colic according to shared protocols (7,8,41,42).…”

Section: Clinical Presentationmentioning

confidence: 99%

“…All patients with kidney stones should follow general prophylaxis measures in order to reduce the risk of recurrence. General measures can be associated with a targeted pharmacological treatment based on the chemicalphysical analysis of the stone in patients classified as high risk (7).…”

Section: General Advice For the Prevention Of Recurrencementioning

confidence: 99%

“…The chemical composition of the stone should always be identified, preferably by infrared spectroscopy or X-ray diffraction (7,8). In patients at high risk of recurrence, an individualized metabolic assessment is required, including: measurements of blood levels of creatinine, sodium, potassium, chloride, calcium (ionized or total corrected for albumin), phosphate and uric acid; measurement of urine pH and urine specific gravity; 24-hour urine collection with measurement of urine volume and concentration of calcium, oxalate, uric acid, citrate, sodium and magnesium (7,8).…”

Section: Metabolic Evaluationmentioning

confidence: 99%

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The role of the general practictioner in the management of urinary calculi

Prezioso,

Piccinocchi,

Abate

et al. 2023

Arch Ital Urol Androl

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Background: The prevalence of kidney stones tends to increase worldwide due to dietary and climate changes. Disease management involves a high consumption of healthcare system resources which can be reduced with primary prevention measures and prophylaxis of recurrences. In this field, collaboration between general practitioners (GPs) and hospitals is crucial. Methods: a panel composed of general practitioners and academic and hospital clinicians expert in the treatment of urinary stones met with the aim of identifying the activities that require the participation of the GP in the management process of the kidney stone patient. Results: Collaboration between GP and hospital was found crucial in the treatment of renal colic and its infectious complications, expulsive treatment of ureteral stones, chemolysis of uric acid stones, long-term follow-up after active treatment of urinary stones, prevention of recurrence and primary prevention in the general population. Conclusions: The role of the GP is crucial in the management and prevention of urinary stones. Community hospitals which are normally led by GPs in liaison with consultants and other health professional can have a role in assisting multidisciplinary working as extended primary care.

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Section: Original Papermentioning

confidence: 99%