RESEARCH · January 01, 2015 TAKE-HOME MESSAGE The authors of this study evaluated ureteroscopy (URS), extracorporeal shock wave lithotripsy (ESWL), and observation for asymptomatic, lower-pole stones The authors conclude that observation may be a good option for the management of asymptomatic small-sized lower-pole kidney stones. – Gautam Jayram, MD ABSTRACT The publisher has made this […]
Daniel M. Keller, PhD November 21, 2014 PHILADELPHIA — The proportion of patients experiencing a rapid decline in estimated glomerular filtration rate (eGFR) can be decreased significantly with niacin, as can all-cause mortality, according to results from an observational study. “Across all models of adjustment, patients who took niacin had an 11% decreased risk of […]
Laurie Barclay, MD November 04, 2014 The American College of Physicians (ACP) has issued new, evidence-based guidelines on the comparative efficacy and safety of dietary and pharmacologic strategies to prevent recurrent kidney stones in adults. The updated recommendations, published by Amir Qaseem, MD, PhD, from the ACP, and colleagues in the November 4 issue of the Annals of […]
Published: Oct 24, 2014 By Kristina Fiore, Staff Writer, MedPage Today Patients who have kidney stones may be at increased risk of fracture, researchers found. In a retrospective cohort study, men who’d had kidney stones had a higher risk of fracture than men who didn’t have urolithiasis (HR 1.13, 95% CI 1.08-1.18), according to Michelle Denburg, […]
October 06, 2014 TAKE-HOME MESSAGE This Korean study evaluated the correlation between stone formers and serum lipid levels. Following 321 patients over 2 years, the authors found that stone formers with hypertriglyceridemia (HT) had significantly higher urinary calcium, sodium, uric acid, magnesium, and potassium excretions than stone formers. Recurrent stone formation was found in 46% […]
Thursday, October 2, 2014 By Margaret Polaneczky, MD How much extra calcium should I be taking?” It’s a question I get several times a day from women of all ages, but mostly from those in menopause or nearing menopause. The answer I almost always give is “less than you think.” And for most women, probably none. […]
By Salynn Boyles Reviewed by Vrunda Bhavsar Desai, MD, FACOG, Assistant Professor of Obstetrics, Gynecology, and Reproductive Sciences, Yale University School of Medicine, New Haven, CT Article Source Take Note Inflammatory burden may be an important biological risk factor for osteoporosis and hip fracture in older women. At least 10 observational studies have examined the […]
N Engl J Med 2014; 371:1100-1110 DOI: 10.1056/NEJMoa1404446 List of authors. Rebecca Smith-Bindman, M.D., Chandra Aubin, M.D., R.D.M.S., John Bailitz, M.D., Rimon N. Bengiamin, M.D., R.D.M.S., Carlos A. Camargo, Jr., M.D., Dr.P.H., Jill Corbo, M.D., R.D.M.S., Anthony J. Dean, M.D., Ruth B. Goldstein, M.D., Richard T. Griffey, M.D., M.P.H., Gregory D. Jay, M.D., Ph.D., Tarina […]
Published: Sep 5, 2014 By Salynn Boyles, Contributing Writer, MedPage Today Action Points In a meta-analysis of cohort studies, a history of kidney stones was associated with an increased adjusted risk estimate for CHD and stroke. The data suggest that the risk may be higher in women than men. Development of kidney stones was associated […]
Medscape Medical News > Psychiatry Deborah Brauser August 19, 2014 (Updated Aug. 20, 2014) Atypical antipsychotic medications are linked to acute kidney injury (AKI) in elderly patients, new research suggests, causing investigators to call for their use in this population to be reevaluated. A population-based study examining medical records for nearly 200,000 adults older than […]
Margaret S. Pearle The Journal of Urology Volume 192, Issue 2, Pages 316–324, August 2014 Purpose The purpose of this guideline is to provide a clinical framework for the diagnosis, prevention and follow-up of adult patients with kidney stones based on the best available published literature. Materials and Methods The primary source of evidence for […]
Diedtra Henderson June 23, 2014 Calcium and vitamin D supplementation may cause hypercalciuria and hypercalcemia in some postmenopausal women, according to a randomized, double-blind, placebo-controlled study. Clinicians should measure blood and urine calcium levels at baseline and every 3 months in women who take the supplements, the researchers say. John Christopher Gallagher, MD, from the […]
Dietary intake of fiber, fruit, and vegetables decrease the risk of incident kidney stones in women: A Women’s Health Initiative (WHI) report The Journal of Urology, 06/09/2014 Clinical Article Group WW, et al. – In this study, authors want to evaluated the relationship between dietary fiber, fruit, and vegetable intake, and the risk of kidney […]
What Matters: Prediction Rule for Kidney Stones Frontline Medical News, 2014 Jun 04, JO Ebbert Nephrolithiasis affects 1 in 11 people in the United States resulting in several million emergency department visits annually. The prevalence of nephrolithiasis is higher among men, obese individuals, and white non-Hispanics. The prevalence of kidney stones also appears to be […]
Walking Doesn’t Hurt, May Help in CKD Frontline Medical News, 2014 Apr 10, MA Moon Full Story Neither acute bouts of moderate walking nor regular moderate walking are unsafe in patients who have predialysis chronic kidney disease, and both types of exercise may actually reduce systemic inflammation and improve immune function in these patients, according […]
The Journal of Urology, 03/08/2014 Torricelli FCM, et al. Authors studied the impact of dyslipidemia on 24–hour urinalysis and stone composition. There is a link between dyslipidemia and kidney stone risk that is independent of other components of metabolic syndrome such as diabetes and obesity. Specific alterations in the patient lipid profiles may portend unique […]
Wang S. · Zhang Y. · Mao Z. · He X. · Zhang Q. · Zhang D. Urol Int (DOI: 10.1159/000356559) Abstract Objective: Epidemiologic studies have reported various results relating coffee to urolithiasis. A meta-analysis of cohort and case-control studies was conducted to pool the relative risk (RR) estimates of the association between coffee and […]
FAQs November 19, 2013 Brian R Matlaga, MD, MPH Full Story: http://www.practiceupdate.com/expertopinion/601 Members of the PracticeUpdate Urology Advisory Board answer the most frequently asked questions by urologists. Question: Besides the well-established dietary recommendations to minimize stone disease, what else do you tell your patients about dietary changes they can make? Answer: I often find that […]
IMNG Medical Media, 2013 Nov 12, S Worcester Full Story: http://www.practiceupdate.com/news/3696 ATLANTA (IMNG) – Mindfulness meditation may improve blood pressure in hypertensive patients with chronic kidney disease, according to findings from a small randomized study. This study involved 15 patients who had stage 3 chronic kidney disease and hypertension. Compared with a control condition involving […]
Published: Nov 8, 2013 | Updated: Nov 8, 2013 By Kristina Fiore, Staff Writer, MedPage Today Full Story: http://www.medpagetoday.com/MeetingCoverage/ASN/42800 Action Points Note that this study was published as an abstract and presented at a conference. These data and conclusions should be considered to be preliminary until published in a peer-reviewed journal. In this prospective, observational […]