Worldwide Impact of Warmer Seasons on the Incidence of Renal Colic and Kidney Stone Disease: Evidence from a Systematic Review of Literature

Geraghty, Robert; Proietti, Silvia; Traxer, Olivier; Archer, Matthew; Somani, Bhaskar K.

doi:10.1089/end.2017.0123

Cited by 84 publications

(41 citation statements)

References 20 publications

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“…100 Occupational risks and climate change also increase stone risk. 96,97,101 The risk of a stone event increases after the first event; therefore, prevention of recurrent stones is important to reduce the risk of CKD. 98,102 Dietary changes, including increasing fluid intake, avoiding sweetened beverages, reducing dietary sodium and red meat intake, and ensuring sufficient dietary calcium have all been shown to reduce stone risk.…”

Section: Mitigation Of Nontraditional Risk Factors For Ckdmentioning

confidence: 99%

Preventing CKD in Developed Countries

Luyckx

Cherney

Bello

2020

Kidney International Reports

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Chronic kidney disease (CKD) is an important public health concern in developed countries because of both the number of people affected and the high cost of care when prevention strategies are not effectively implemented. Prevention should start at the governance level with the institution of multisectoral polices supporting sustainable development goals and ensuring safe and healthy environments. Primordial prevention of CKD can be achieved through implementation of measures to ensure healthy fetal (kidney) development. Public health strategies to prevent diabetes, hypertension, and obesity as risk factors for CKD are important. These approaches are cost-effective and reduce the overall noncommunicable disease burden. Strategies to prevent nontraditional CKD risk factors, including nephrotoxin exposure, kidney stones, infections, environmental exposures, and acute kidney injury (AKI), need to be tailored to local needs and epidemiology. Early diagnosis and treatment of CKD risk factors such as diabetes, obesity, and hypertension are key for primary prevention of CKD. CKD tends to occur more frequently and to progress more rapidly among indigenous, minority, and socioeconomically disadvantaged populations. Special attention is required to meet the CKD prevention needs of these populations. Effective secondary prevention of CKD relies on screening of individuals at risk to detect and treat CKD early, using established and emerging strategies. Within high-income countries, barriers to accessing effective CKD therapies must be recognized, and public health strategies must be developed to overcome these obstacles, including training and support at the primary care level to identify individuals at risk of CKD, and appropriately implement clinical practice guidelines.

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Section: Mitigation Of Nontraditional Risk Factors For Ckdmentioning

confidence: 99%

Preventing CKD in Developed Countries

Luyckx

Cherney

Bello

2020

Kidney International Reports

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“…The definition of stone-free rate (SFR) also need to be standardised so that it is easier to compare the outcomes of different treatment modalities [ 24 ]. Similarly, apart from surgical and outcome research, more also needs to be done in identifying factors associated with, and for prevention of kidney stone disease [ 25 , 26 ].…”

Section: Discussionmentioning

confidence: 99%

Role of Minimally Invasive (Micro and Ultra-mini) PCNL for Adult Urinary Stone Disease in the Modern Era: Evidence from a Systematic Review

et al. 2018

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Purpose of ReviewThe role of PCNL and the expertise surrounding it has expanded in recent decades. Miniaturisation of equipment and instrument size has formed a part of this innovation. Although an increasing number of studies have been performed on miniaturised PCNL (Mi-PCNL) recently, a critical appraisal on these is lacking. We therefore conducted a systematic review of the literature to evaluate the efficacy, safety and feasibility of Mi-PCNL techniques (< 15 Fr).Recent FindingsA systematic review was conducted from 1990 to March 2017 on outcomes of Mi-PCNL [micro PCNL (m-PCNL) and ultra-mini PCNL (UMP)] in adult patients. Ten studies (three on m-PCNL and seven on UMP) were included in our study. Across the three studies, 118 patients (mean age 42.2 years, male to female ratio 1.3:1) underwent m-PCNL (4.8 Fr). For a mean stone size of 13.9 mm, a mean stone-free rate (SFR) was 89% and an overall complication rate was 15.2% [Clavien classification I (44%), II (28%), III (28%)], with no Clavien IV or V complications. Across the seven studies, 262 patients (mean age 49.4 years, male to female ratio 1.5:1) underwent UMP (13–14 Fr). For a mean stone size of 18.6 mm, a mean SFR was 88.3% and an overall complication rate was 6.2% [Clavien classification I (57%), II (36%), III (7%)], with no Clavien IV or V complications. While the transfusion rates for m-PCNL was 0.85%, only one case each in m-PCNL and UMP needed conversion to mini PCNL.SummaryOur review shows that for small- to medium-sized renal stones, Mi-PCNL can yield good stone-free rates whilst maintaining a low morbidity associated with it. There were no Clavien > III complications and no mortality with only one transfusion reported from this minimally invasive technique.

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“…28,29 Although waves of COVID-19 continue to affect urologists globally, rising incidence of kidney stones means that patients will need to be continually prioritized based on the urgency, and the use of telemedicine would be essential in the pandemic and postpandemic periods. 4,29…”

Section: Use Of Telemedicine In the Post-covid Eramentioning

confidence: 99%

“…1,2 An increase in incidence is likely related to warm weather, increasing rates of obesity, type 2 diabetes mellitus, and a lithogenic diet. [3][4][5][6] As a result, the cost of managing KSD is rising, partly from the rise in number of KSDs diagnosed and partly because of a doubling of the annual number of stone procedures performed over the past decade. [1][2][3] Treatment of these stones includes ureteroscopy (URS), extracorporeal shock wave lithotripsy (SWL), and percutaneous nephrolithotomy (PCNL).…”

Section: Introductionmentioning

confidence: 99%

Lessons Learnt (Clinical Outcomes and Cost Savings) from Virtual Stone Clinic and Their Application in the Era Post-COVID-19: Prospective Outcomes over a 6-Year Period from a University Teaching Hospital

Hughes

Pietropaolo

Archer

et al. 2021

Journal of Endourology

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Introduction: We introduced a nurse-led telephone-based virtual stone clinic (VSC) follow-up for the surveillance of patients with asymptomatic renal calculi or those at a high risk of recurrent kidney stone disease (KSD). The aim of this study was to look at the outcomes of VSC and its role in the post-COVID era. Methods: Prospective outcomes audit was done for all patients referred to the VSC for a 6-year period (March 2014-April 2020). VSC is led by specialist stone nurses for ongoing surveillance of KSD patients. Results: A total of 290 patients were seen (468 individual appointments; 1.6-1.0 per patient), with a mean age of 57.0-15.8 years (range: 17-92) and a men-women ratio of 3:2. The referral was for surveillance of asymptomatic small renal stones (230, 79.3%); history of recurrent stone disease (45, 15.5%); solitary kidneys (5, 1.7%); cystine stones; young age; and other conditions (10, 3.4%). The mean stone size was 5.0-2.7 mm, followed up with kidney, ureter, and bladder radiograph (225, 77.6%) and ultrasound scan (USS) (65, 22.4%), for median duration of 12 months (range: 3-24 months). At the end, 132 patients (45.6%) remained in VSC, 106 (36.6%) were discharged, 47 (16.2%) returned to face-to-face clinic or treatment, and 5 (1.7%) had emergency admissions. Of 47 patients who returned, 23 (48.9%) developed new symptoms, 21 (44.6%) had stone growth, and 3 defaulted to face-to-face appointment. Thirty-five patients needed surgical intervention (URS-21, SWL-13, and PCNL-1) and 10 were managed conservatively. VSC reduced the cost per clinic appointment from £27.9 to £2 per patient (93% reduction), equating to a total saving of £12,006 for the study period. Conclusion: Nurse-led VSC not only provided a safe follow-up but also allowed to substantially reduce the cost of treatment by allowing patients to be either discharged or return to a face-to-face clinic or surgical intervention if needed. Post-COVID, this model using telemedicine will have a much wider uptake and further help to optimize health care resources.

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Worldwide Impact of Warmer Seasons on the Incidence of Renal Colic and Kidney Stone Disease: Evidence from a Systematic Review of Literature

Abstract: Worldwide trends on the incidence of renal colic and KSD seem be affected by seasonal variation favoring warmer months, with data suggesting that higher ambient temperature has an association with KSD.

Cited by 84 publications

References 20 publications

Preventing CKD in Developed Countries

Preventing CKD in Developed Countries

Role of Minimally Invasive (Micro and Ultra-mini) PCNL for Adult Urinary Stone Disease in the Modern Era: Evidence from a Systematic Review

Lessons Learnt (Clinical Outcomes and Cost Savings) from Virtual Stone Clinic and Their Application in the Era Post-COVID-19: Prospective Outcomes over a 6-Year Period from a University Teaching Hospital

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