Urological Guidelines for Kidney Stones: Overview and Comprehensive Update

被引:41
作者
Akram, Mahir [1 ]
Jahrreiss, Victoria [1 ]
Skolarikos, Andreas [2 ]
Geraghty, Robert [3 ]
Tzelves, Lazaros [2 ]
Emilliani, Esteban [4 ]
Davis, Niall F. [5 ]
Somani, Bhaskar K. [1 ]
机构
[1] Univ Hosp Southampton NHS Fdn Trust, Core Trainee Urol, Southampton SO16 6YD, England
[2] Univ Athens, Fac urol, Athens 15772, Greece
[3] Univ Hosp Newcastle, Newcastle Upon Tyne NE4 5NR, England
[4] Fundacio Puigvert, Barcelona 08025, Spain
[5] Tallaght Hosp, Dublin D24 NR0A, Ireland
关键词
kidney calculi; ureteroscopy; PCNL; bladder calculi; laser; SHOCK-WAVE LITHOTRIPSY; TERM-FOLLOW-UP; FLEXIBLE URETEROSCOPY; URETERAL STONES; UROLITHIASIS; DIAGNOSIS; ACCURACY; OUTCOMES;
D O I
10.3390/jcm13041114
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Evidence-based guidelines are published by urological organisations for various conditions, including urolithiasis. In this paper, we provide guidance on the management of kidney stone disease (KSD) and compare the American Urological Association (AUA) and European Association of Urologists (EAU) guidelines. Methods: We evaluate and appraise the evidence and grade of recommendation provided by the AUA and EAU guidelines on urolithiasis (both surgical and medical management). Results: Both the AUA and EAU guidelines provide guidance on the type of imaging, treatment options, and medical therapies and advice on specific patient groups, such as in paediatrics and pregnancy. While the guidelines are generally aligned and based on evidence, some subtle differences exist in the recommendations, but both are generally unanimous for the majority of the principles of management. Conclusions: We recommend that the guidelines should undergo regular updates based on recently published material, and while these guidelines provide a framework, treatment plans should still be personalised, respecting patient preferences, surgical expertise, and various other individual factors, to offer the best outcome for kidney stone patients.
引用
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页数:15
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