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. 2011 Nov 10:2011:2003.

Kidney stones

Timothy Y Tseng  1 , Glenn M Preminger
Affiliations

Kidney stones

Timothy Y Tseng et al. BMJ Clin Evid. .

Abstract

Introduction: The age of peak incidence for stone disease is 20 to 40 years, although stones are seen in all age groups. There is a male to female ratio of 3:2.

Methods and outcomes: We conducted a systematic review and aimed to answer the following clinical questions: What are the effects of interventions for stone removal in people with asymptomatic kidney stones? What are the effects of interventions for the removal of symptomatic renal stones? What are the effects of interventions to remove symptomatic ureteric stones? What are the effects of interventions for the management of acute renal colic? We searched: Medline, Embase, The Cochrane Library, and other important databases up to June 2011 (Clinical Evidence reviews are updated periodically; please check our website for the most up-to-date version of this review). We included harms alerts from relevant organisations such as the US Food and Drug Administration (FDA) and the UK Medicines and Healthcare products Regulatory Agency (MHRA).

Results: We found 21 systematic reviews, RCTs, or observational studies that met our inclusion criteria. We performed a GRADE evaluation of the quality of evidence for interventions.

Conclusions: In this systematic review, we present information relating to the effectiveness and safety of the following interventions: antispasmodic drugs, extracorporeal shockwave lithotripsy, intravenous fluids, non-steroidal anti-inflammatory drugs (NSAIDs), opioids, oral fluids, percutaneous nephrolithotomy, and ureteroscopy.

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References

    1. Glowacki LS, Beecroft ML, Cook RJ, et al. The natural history of asymptomatic urolithiasis. J Urol 1992;147:319–321. - PubMed
    1. Uribarri J, Oh MS, Carroll HJ. The first kidney stone. Ann Intern Med 1989;111:1006–1009. - PubMed
    1. Scales CD, Jr, Curtis LH, Norris RD, et al. Changing gender prevalence of stone disease. J Urol 2007;177:979–982. - PubMed
    1. Segura JW, Preminger GM, Assinos DG, et al. Ureteral Stones Clinical Guidelines Panel summary report on the management of ureteral calculi. J Urol 1997;158:1915–1921. - PubMed
    1. Blandy JP, Singh M. The case for a more aggressive approach to staghorn stones. J Urol 1976;115:505–506. - PubMed

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