RT Journal Article
T1 A preliminary survey of practice patterns across several European kidney stone centers and a call for action in developing shared practice.
A1 Ferraro, Pietro Manuel
A1 Arrabal-Polo, Miguel Ángel
A1 Capasso, Giovambattista
A1 Croppi, Emanuele
A1 Cupisti, Adamasco
A1 Ernandez, Thomas
A1 Fuster, Daniel G
A1 Galan, Juan Antonio
A1 Grases, Felix
A1 Hoorn, Ewout J
A1 Knauf, Felix
A1 Letavernier, Emmanuel
A1 Mohebbi, Nilufar
A1 Moochhala, Shabbir
A1 Petkova, Kremena
A1 Pozdzik, Agnieszka
A1 Sayer, John
A1 Seitz, Christian
A1 Strazzullo, Pasquale
A1 Trinchieri, Alberto
A1 Vezzoli, Giuseppe
A1 Vitale, Corrado
A1 Vogt, Liffert
A1 Unwin, Robert J
A1 Bonny, Olivier
A1 Gambaro, Giovanni
K1 Clinical practice
K1 Metabolic evaluation
K1 Network
K1 Survey
K1 Urolithiasis
AB Currently an evidence-based approach to nephrolithiasis is hampered by a lack of randomized controlled trials. Thus, there is a need for common platforms for data sharing and recruitment of patients to interventional studies. A first step in achieving this objective would be to share practice methods and protocols for subsequent standardization in what is still a heterogeneous clinical field. Here, we present the results of a pilot survey performed across 24 European clinical kidney stone centers. The survey was distributed by a voluntary online questionnaire circulated between June 2017 and January 2018. About 46% of centers reported seeing on average 20 or more patients per month. Only 21% adopted any formal referral criteria. Centers were relatively heterogeneous in respect of the definition of an incident stone event. The majority (71%) adopted a formal follow-up scheme; of these, 65% included a follow-up visit at 3 and 12 months, and 41% more than 12 months. In 79% of centers some kind of imaging was performed systematically. 75% of all centers performed laboratory analyses on blood samples at baseline and during follow-up. All centers performed laboratory analyses on 24-h urine samples, the majority (96%) at baseline and during follow-up. There was good correspondence across centers for analyses performed on 24-h urine samples, although the methods of 24-h urine collection and analysis were relatively heterogeneous. Our survey among 24 European stone centers highlights areas of homogeneity and heterogeneity that will be investigated further. Our aim is the creation of a European network of stone centers sharing practice patterns and hosting a common database for research and guidance in clinical care.
YR 2019
FD 2019-03-08
LK http://hdl.handle.net/10668/13677
UL http://hdl.handle.net/10668/13677
LA en
DS RISalud
RD Apr 4, 2025