A preliminary survey of practice patterns across several European kidney stone centers and a call for action in developing shared practice.

Détails

ID Serval
serval:BIB_D0617FCB3823
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
A preliminary survey of practice patterns across several European kidney stone centers and a call for action in developing shared practice.
Périodique
Urolithiasis
Auteur(s)
Ferraro P.M., Arrabal-Polo M.Á., Capasso G., Croppi E., Cupisti A., Ernandez T., Fuster D.G., Galan J.A., Grases F., Hoorn E.J., Knauf F., Letavernier E., Mohebbi N., Moochhala S., Petkova K., Pozdzik A., Sayer J., Seitz C., Strazzullo P., Trinchieri A., Vezzoli G., Vitale C., Vogt L., Unwin R.J., Bonny O., Gambaro G.
ISSN
2194-7236 (Electronic)
ISSN-L
2194-7228
Statut éditorial
Publié
Date de publication
06/2019
Peer-reviewed
Oui
Volume
47
Numéro
3
Pages
219-224
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
Currently an evidence-based approach to nephrolithiasis is hampered by a lack of randomized controlled trials. Thus, there is a need for common platforms for data sharing and recruitment of patients to interventional studies. A first step in achieving this objective would be to share practice methods and protocols for subsequent standardization in what is still a heterogeneous clinical field. Here, we present the results of a pilot survey performed across 24 European clinical kidney stone centers. The survey was distributed by a voluntary online questionnaire circulated between June 2017 and January 2018. About 46% of centers reported seeing on average 20 or more patients per month. Only 21% adopted any formal referral criteria. Centers were relatively heterogeneous in respect of the definition of an incident stone event. The majority (71%) adopted a formal follow-up scheme; of these, 65% included a follow-up visit at 3 and 12 months, and 41% more than 12 months. In 79% of centers some kind of imaging was performed systematically. 75% of all centers performed laboratory analyses on blood samples at baseline and during follow-up. All centers performed laboratory analyses on 24-h urine samples, the majority (96%) at baseline and during follow-up. There was good correspondence across centers for analyses performed on 24-h urine samples, although the methods of 24-h urine collection and analysis were relatively heterogeneous. Our survey among 24 European stone centers highlights areas of homogeneity and heterogeneity that will be investigated further. Our aim is the creation of a European network of stone centers sharing practice patterns and hosting a common database for research and guidance in clinical care.
Mots-clé
Aftercare/standards, Aftercare/statistics & numerical data, Europe, Evidence-Based Medicine/standards, Evidence-Based Medicine/statistics & numerical data, Humans, Information Dissemination, Kidney Calculi/diagnosis, Kidney Calculi/therapy, Pilot Projects, Practice Guidelines as Topic, Practice Patterns, Physicians'/standards, Practice Patterns, Physicians'/statistics & numerical data, Surveys and Questionnaires/statistics & numerical data, Tertiary Care Centers/standards, Tertiary Care Centers/statistics & numerical data, Clinical practice, Metabolic evaluation, Network, Survey, Urolithiasis
Pubmed
Web of science
Création de la notice
08/04/2019 16:58
Dernière modification de la notice
17/09/2020 8:13
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