Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2012 Sep;10(3):342-6.
doi: 10.1016/j.aju.2012.07.003. Epub 2012 Aug 14.

Improving the compliance of the recurrent stone-former

Hans-Martin Fritsche  1 , Kristina Dötzer  1
Affiliations
Review

Improving the compliance of the recurrent stone-former

Hans-Martin Fritsche et al. Arab J Urol. 2012 Sep.

Abstract

Objective: To provide an overview of aspects of compliance by the recurrent stone-former, and to give recommendations for its improvement. About half of all stone-formers have one recurrence during their lifetime. To avoid recurrent stone formation it is necessary to use metaphylaxis, based on individual risks. However, all general and specific efforts are meaningless if patients are not willing or are incapable of following the proposed therapy in the long-term.

Methods: PubMed was searched for articles on urolithiasis, metaphylaxis, compliance and adherence, and relevant papers were reviewed.

Results: Compliance is a multidimensional phenomenon which is determined by the interaction of different factors, i.e. social and economic, therapy-related, patient-related, condition-related, and healthcare team and system-related factors. Subsequently there are several different interventional possibilities at the urologist's disposal to effect better compliance by the patient.

Conclusions: The treatment and metaphylaxis of the recurrent stone-former present a particularly pertinent challenge. Patient compliance has an immense influence on the success of the treatment with respect to metaphylaxis, which is the decisive factor for preventing stone recurrence.

Keywords: Adherence; Compliance; Metaphylaxis; Urolithiasis.

PubMed Disclaimer

References

    1. Preminger G.M., Tiselius H.G., Assimos D.G., Alken P., Buck C., Gallucci M. Guideline for the management of ureteral calculi. J Urol. 2007;178:2418–2434. - PubMed
    1. Hesse A., Brandle E., Wilbert D., Köhrmann K.U., Alken P. Study on the prevalence and incidence of urolithiasis in Germany comparing the years 1979 vs. 2000. Eur Urol. 2003;44:709–713. - PubMed
    1. Türk C., Knoll T., Petrik A., Sarica K., Straub M., Seitz C. Guidelines on Urolithiasis. EAU Guidelines. 2011:78–102.
    1. Borghi L., Meschi T., Amato F., Briganti A., Novarini A., Giannini A. Urinary volume, water and recurrences in idiopathic calcium nephrolithiasis: a 5-year randomized prospective study. J Urol. 1996;155:839–843. - PubMed
    1. Straub M., Strohmaier W.L., Berg W., Beck B., Hoppe B., Laube N. Diagnosis and metaphylaxis of stone disease consensus concept of the national working committee on stone disease for the upcoming German Urolithiasis guideline. World J Urol. 2005;23:309–323. - PubMed