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Tag: Kidney Stones

Among patients with suspected urolithiasis presenting to the emergency department

CT Use to Evaluate Suspected Urolithiasis Significantly Increased

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2006 to 2014 saw more than doubling in the use of CTAP in the ED, with considerable geographic variation
A model has been developed for predicting recurrence among kidney stone formers

Predictors of Kidney Stone Recurrence Identified

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Risk for recurrence within 5 years varies with risk factors, past episodes, time since last episode
Kidney stones are associated with an increased risk for renal cell carcinoma (RCC)

Kidney Stones Tied to Increased Renal Cell Carcinoma Risk

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Risk increased for papillary RCC but not clear-cell RCC; risk for upper tract urothelial carcinoma increased
Tamsulosin does not significantly increase the urinary stone passage rate compared with placebo

Tamsulosin Does Not Appear to Promote Urinary Stone Passage

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Findings do not support tamsulosin treatment for symptomatic urinary stones <9 mm
Recurrent stone-forming patients have high visceral fat ratios compared to first-time stone-forming patients

Higher Visceral Fat Ratio Seen With Recurring Urolithiasis

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No differences seen with other fat volume measures between recurring, first-time stones
Recent use of oral antibiotics is associated with increased odds of nephrolithiasis

Recent Oral Antibiotics Use Tied to Higher Risk of Nephrolithiasis

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Findings strongest among those with exposure at a young age and those with recent exposure
From 1984 to 2012

Kidney Stone Incidence Increased Between 1984 and 2012

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The increase included both symptomatic and asymptomatic kidney stones
Despite guidelines

24-Hour Urine Collection of Unclear Benefit in Stone Formers

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Findings among studies predicting kidney stone recurrence or treatment response
Use of ultrasonography as initial imaging for suspected nephrolithiasis in the emergency department may encourage less computerized tomography

Ultrasound OK As Initial Imaging for ID of Nephrolithiasis in ER

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No delay to intervention or impact on procedure type with ultrasonography as initial imaging
There is no statistically significant correlation between typical vitamin D intake and incident kidney stones

Normal Vitamin D Intake Not Linked to Kidney Stone Risk

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No statistically significant correlation, although trend toward higher risk seen in Nurses' Health Study II