International Alliance of Urolithiasis (IAU) guidelines on the metabolic evaluation and medical management of urolithiasis

© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature..

The aim of this study was to construct the fourth in a series of guidelines on the treatment of urolithiasis by the International Alliance of Urolithiasis (IAU) that by providing a clinical framework for the metabolic evaluation, prevention, and follow-up of patients with urolithiasis based on the best available published literature. All recommendations were summarized following a systematic review and assessment of the literature in the PubMed database from January 1976 to June 2022. Each generated recommendation was graded using a modified GRADE methodology. Guideline recommendations were developed that addressed the following topics: initial evaluation, metabolic testing, dietary measures, medical management, and follow-up of recurrent stone formers. It was emphasized by the Panel that prevention of new stone formation is as important as the surgical removal of the stones. Although general preventive measures may be effective in reducing stone recurrence rates in some patients, specific medical and dietary management should be well considered and eventually applied in an individualized manner based on the outcomes of metabolic work-up, stone analysis and some certain patient related factors. A detailed follow-up of each case is essential depending on the metabolic activity of each individual patient.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:51

Enthalten in:

Urolithiasis - 51(2022), 1 vom: 01. Dez., Seite 4

Sprache:

Englisch

Beteiligte Personen:

Zeng, Guohua [VerfasserIn]
Zhu, Wei [VerfasserIn]
Robertson, William G [VerfasserIn]
Penniston, Kristina L [VerfasserIn]
Smith, Daron [VerfasserIn]
Pozdzik, Agnieszka [VerfasserIn]
Tefik, Tzevat [VerfasserIn]
Prezioso, Domenico [VerfasserIn]
Pearle, Margaret S [VerfasserIn]
Chew, Ben H [VerfasserIn]
Veser, Julian [VerfasserIn]
Fiori, Cristian [VerfasserIn]
Deng, Yaoliang [VerfasserIn]
Straub, Michael [VerfasserIn]
Türk, Christian [VerfasserIn]
Semins, Michelle J [VerfasserIn]
Wang, Kunjie [VerfasserIn]
Marangella, Martino [VerfasserIn]
Jia, Zhankui [VerfasserIn]
Zhang, Liyuan [VerfasserIn]
Ye, Zhangqun [VerfasserIn]
Tiselius, Hans-Göran [VerfasserIn]
Sarica, Kemal [VerfasserIn]

Links:

Volltext

Themen:

Follow-up
IAU
Journal Article
Kidney stone
Metabolic evaluation
Prevention
Review
Systematic Review
Urolithiasis

Anmerkungen:

Date Completed 05.12.2022

Date Revised 05.12.2022

published: Electronic

Citation Status MEDLINE

doi:

10.1007/s00240-022-01387-2

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM349669759