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Acid suppression therapy is associated with increased incidence of kidney stones and chronic kidney disease

ASN: Acid Suppression Therapy Linked to Kidney Stones, CKD

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Two studies show increased risk of kidney stones with PPI, H2 blocker use; CKD with PPI use
Among patients with ureteral stones

Certain Factors Predict Repeat ER Visits for Ureteral Stones

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Younger patients, having proximal stones, needing IV narcotics more likely to return
Postoperative doctor shopping occurs in about one-quarter of patients with nephrolithiasis undergoing ureteroscopy

Post-Op Doctor Shopping for One in Four With Nephrolithiasis

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Twenty-four percent of patients were prescribed narcotics by more than one provider after surgery
For patients undergoing percutaneous stone removal

Pre-Op Urine Culture Doesn’t Predict Stone Culture

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Findings in percutaneous nephrolithotomy patients; gram-positive organisms predominate
Hydroxycitrate

Hydroxycitrate Promising for Kidney Stone Prevention

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Researchers suggest it might offer alternative to current treatment that has side effects
For patients with ureteral stones

Medical Expulsive Therapy Underused for Ureteral Stones

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Patients treated with medical expulsive therapy achieve spontaneous passage more quickly
Just over half of kidney stone patients are adherent to preventive pharmacological therapy

Only Half of Kidney Stone Patients Compliant With Tx

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Compliant patients have fewer ER visits, hospitalizations, stone disease surgeries
A growing number of teens

Incidence of Nephrolithiasis Rising in Teens, Blacks

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Researchers also report growing number of cases among women and children
Half of patients with recurrent urinary tract infections and asymptomatic renal calculi can be rendered infection-free with stone extraction

Stone Removal Helps Half of Patients With Recurrent UTI

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Patients in study had nonobstructive renal stones; black race, HTN tied to higher recurrence risk
Compliance with American Urological Association guidelines for shorter antibiotic prophylaxis does not result in higher rates of infection among patients undergoing percutaneous nephrolithotomy

Shorter Antibiotic Prophylaxis Doesn’t Raise Infection Rates

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Findings based upon ≤24 hours versus six days of antibiotics with percutaneous nephrolithotomy