Surgical Management of Stones: American Urological Association/Endourological Society Guideline, PART I

No AccessJournal of UrologyAdult Urology1 Oct 2016Surgical Management of Stones: American Urological Association/Endourological Society Guideline, PART I Dean Assimos, Amy Krambeck, Nicole L. Miller, Manoj Monga, M. Hassan Murad, Caleb P. Nelson, Kenneth T. Pace, Vernon M. Pais, Margaret S. Pearle, Glenn M. Preminger, Hassan Razvi, Ojas Shah, and Brian R. Matlaga Dean AssimosDean Assimos More articles by this author , Amy KrambeckAmy Krambeck More articles by this author , Nicole L. MillerNicole L. Miller More articles by this author , Manoj MongaManoj Monga More articles by this author , M. Hassan MuradM. Hassan Murad More articles by this author , Caleb P. NelsonCaleb P. Nelson More articles by this author , Kenneth T. PaceKenneth T. Pace More articles by this author , Vernon M. PaisVernon M. Pais More articles by this author , Margaret S. PearleMargaret S. Pearle More articles by this author , Glenn M. PremingerGlenn M. Preminger More articles by this author , Hassan RazviHassan Razvi More articles by this author , Ojas ShahOjas Shah More articles by this author , and Brian R. MatlagaBrian R. Matlaga More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.05.090AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: This Guideline is intended to provide a clinical framework for the surgical management of patients with kidney and/or ureteral stones. The summary presented herein represents Part I of the two-part series dedicated to Surgical Management of Stones: American Urological Association/Endourological Society Guideline. Please refer to Part II for an in-depth discussion of patients presenting with ureteral or renal stones. Materials and Methods: A systematic review of the literature (search dates 1/1/1985 to 5/31/2015) was conducted to identify peer-reviewed studies relevant to the surgical management of stones. The review yielded an evidence base of 1,911 articles after application of inclusion/exclusion criteria. These publications were used to create the Guideline statements. Evidence-based statements of Strong, Moderate, or Conditional Recommendation were developed based on benefits and risks/burdens to patients. Additional directives are provided as Clinical Principles and Expert Opinions when insufficient evidence existed. Results: The Panel identified 12 adult Index Patients to represent the most common cases seen in clinical practice. Three additional Index Patients were also created to describe pediatric and pregnant patients with such stones. With these patients in mind, Guideline statements were developed to aid the clinician in identifying optimal management. Conclusions: Proper treatment selection, which is directed by patient- and stone-specific factors, remains the greatest predictor of successful treatment outcomes. This Guideline is intended for use in conjunction with the individual patient’s treatment goals. In all cases, patient preferences and personal goals should be considered when choosing a management strategy. References 1 : Urologic diseases in America project: direct and indirect costs of nephrolithiasis in an employed population: opportunity for disease management?. Kidney Int2005; 68: 1808. Google Scholar 2 : Prevalence of kidney stones in the United States. Eur Urol2012; 62: 160. Google Scholar 3 : Urologic diseases in America project: urolithiasis. J Urol2005; 173: 848. Link, Google Scholar 4 : Staying at the cutting edge: a review and analysis of evidence reporting and grading; the recommendations of the American Urological Association. BJU Int2009; 104: 294. 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Volume 196Issue 4October 2016Page: 1153-1160 Advertisement Copyright & Permissions© 2016 by American Urological Association Education and Research, Inc.KeywordsureteroscopypercutaneousnephrolithiasisnephrostomyMetricsAuthor Information Dean Assimos More articles by this author Amy Krambeck More articles by this author Nicole L. Miller More articles by this author Manoj Monga More articles by this author M. Hassan Murad More articles by this author Caleb P. Nelson More articles by this author Kenneth T. Pace More articles by this author Vernon M. Pais More articles by this author Margaret S. Pearle More articles by this author Glenn M. Preminger More articles by this author Hassan Razvi More articles by this author Ojas Shah More articles by this author Brian R. Matlaga More articles by this author Expand All Advertisement PDF downloadLoading ...