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Practice Guideline
. 2025 Apr-Jun;47(2):e20240189.
doi: 10.1590/2175-8239-JBN-2024-0189en.

Brazilian Guidelines on evaluation and clinical management of Nephrolithiasis: Brazilian Society of Nephrology

[Article in English, Portuguese]
Mauricio de Carvalho  1   2 , Ana Cristina Carvalho de Matos  3 , Daniel Rinaldi Dos Santos  4 , Daniela Veit Barreto  1 , Fellype Carvalho Barreto  1 , Fernanda Guedes Rodrigues  5 , Igor Gouveia Pietrobom  3 , Lucas Gobetti da Luz  6   7 , Natasha Silva Constancio  8 , Samirah Abreu Gomes  9 , Ita Pfeferman Heilberg  3   5
Affiliations
Practice Guideline

Brazilian Guidelines on evaluation and clinical management of Nephrolithiasis: Brazilian Society of Nephrology

[Article in English, Portuguese]
Mauricio de Carvalho et al. J Bras Nefrol. 2025 Apr-Jun.

Abstract
in English, Portuguese

The prevalence of nephrolithiasis has been increasing in recent years, affecting appro-ximately 10% and 15% of the population. Kidney stone disease is associated with syste-mic comorbidities such as cardiovascular dis-ease, diabetes mellitus, and obesity. The first Nephrolithiasis Guideline by the Brazilian Society of Nephrology was published in 2002, and since then, the accumulation of new clinical studies and guidelines has justified a review of the subject. This updated document, prepared by the Nephrolithiasis Committee of the Brazilian Society of Nephrology, reflects the advances in the management of patients with kidney stones. The guideline aims to provide recommendations for the diagnosis, prevention, and treatment of nephrolithiasis, based on the best available evidence. Topics covered include clinical evaluation, laboratory and imaging tests, as well as dietary and pharmacological interventions, and follow-up strategies.

Resumo: A prevalência da nefrolitíase tem aumentado nos últimos anos, afetando entre 10% e 15% da população. A doença litiásica está associada a comorbidades sistêmicas, como doença cardiovascular, diabetes mellitus e obesidade. A primeira Diretriz de Litíase Urinária da Sociedade Brasileira de Nefrologia foi publicada em 2002, e desde então o acúmulo de novos estudos clínicos e diretrizes justificou a revisão do tema. Este documento, elaborado pelo Comitê de Nefrolitíase da Sociedade Brasileira de Nefrologia, reflete os avanços no manejo dos pacientes com cálculos renais. A diretriz tem como objetivo fornecer recomendações para diagnóstico, prevenção e tratamento da nefrolitíase, embasadas nas melhores evidências disponíveis. Os tópicos abordados incluem avaliação clínica, exames laboratoriais e de imagem, além de intervenções dietéticas, farmacológicas e estratégias de acompanhamento.

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Conflict of interest statement

Conflict of Interest The authors declare that there is no conflict of interest related to the article.

Figures

Figure 1
Figure 1. Investigation of suspected renal colic.
Figure 2
Figure 2. Renal colic management.
Figure 3
Figure 3. Investigation and follow-up of patients with nephrolithiasis.
Figure 4
Figure 4. Recommendation for radiological follow-up of patients diagnosed with asymptomatic urinary stone disease.
Figure 5
Figure 5. Treatment according to the stone type or metabolic disorder.
Figura 1
Figura 1. Investigação de suspeita de cólica renal.
Figura 2
Figura 2. Manejo da cólica renal.
Figura 3
Figura 3. Investigação e seguimento do paciente com nefrolitíase.
Figura 4
Figura 4. Recomendação de seguimento radiológico de pacientes com diagnóstico de litíase urinária assintomáticos.
Figura 5
Figura 5. Tratamento de acordo com o tipo de cálculo ou distúrbio metabólico.
See this image and copyright information in PMC

References

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