Urological Guidelines for Kidney Stones

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 Urologi...

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Detalles Bibliográficos
Autores: Akram, Mahir, Jahrreiss, Victoria, Skolarikos, Andreas, Geraghty, Rob|||0000-0002-9128-5173, Tzelves, Lazaros|||0000-0003-4619-9783, Emiliani, Esteban|||0000-0003-4488-0022, Davis, Niall F., Somani, Bhaskar K.|||0000-0002-6248-6478
Tipo de recurso: artículo
Fecha de publicación:2024
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:304075
Acceso en línea:https://ddd.uab.cat/record/304075
https://dx.doi.org/urn:doi:10.3390/jcm13041114
Access Level:acceso abierto
Palabra clave:Bladder calculi
Kidney calculi
Laser
PCNL
Ureteroscopy
Descripción
Sumario: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.