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International Alliance of Urolithiasis (IAU) guidelines on the metabolic evaluation and medical management of urolithiasis

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机构: [1]Department of Urology and Guangdong Key Laboratoryof Urology, The First Affiliated Hospital of GuangzhouMedical University, Guangzhou, China [2]Lithoscreen Service, Over CB24 5NE, Cambridge, UK [3]Department of Urology, School of Medicine and PublicHealth, University of Wisconsin, Madison, WI, USA [4]Department of Urology, Westmoreland Street Hospital,University College Hospital London, London, UK [5]Nephrology and Dialysis Department, Kidney Stone Clinic,Hôpital Universitaire Brugmann, Brussels, Belgium [6]Department of Urology, Istanbul Faculty of Medicine,Istanbul University, Istanbul, Turkey [7]Department of Neuroscience, Reproductive Sciencesand Dentistry, Federico II University, Naples, Italy [8]Department of Urology, UT Southwestern Medical Center,Dallas, TX, USA [9]Department of Urologic Sciences, University of BritishColumbia, Vancouver, BC, Canada [10]Department of Urology, Comprehensive Cancer Center,Medical University of Vienna, Vienna General Hospital,Vienna, Austria [11]Division of Urology, Department Of Oncology, Schoolof Medicine, University of Turin, San Luigi Hospital,Orbassano, Turin, Italy [12]Department of Urology, First Affiliated Hospital of GuangxiMedical University, Nanning, China [13]Department of Urology, Technical University Munich,Munich, Germany [14]Sisters of Charity Hospital Vienna, Vienna, Austria [15]Department of Urology, West Virginia University, Wheeling,WV, USA [16]Department of Urology, Institute of Urology, Laboratoryof Reconstructive Urology), West China Hospital, SichuanUniversity, Chengdu, China [17]Fondazione Scientifica Ospedale Mauriziano Onlus, Turin,Italy [18]Department of Urology, The First Affiliated Hospitalof Zhengzhou University, Zhengzhou, China [19]Department of Urology, Huazhong University of Scienceand Technology Union Shenzhen Hospital (NanshanHospital), Shenzhen, China [20]Department of Urology, Tongji Hospital, Tongji MedicalCollege, Huazhong University of Science and Technology,Wuhan 430000, China [21]Department of Urology, Karolinska Institutet - HuddingeCampus, Stockholm, Sweden [22]Department of Urology, Medical School, Biruni University,Istanbul, Turkey [23]Faculty of Medicine, Université Libre de Bruxelles (ULB),Brussels, Belgium
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关键词: Urolithiasis IAU Kidney stone Metabolic evaluation Prevention Follow-up

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The aim of this study was to construct the fourth in a series of guidelines on the treatment of urolithiasis by the International Alliance of Urolithiasis (IAU) that by providing a clinical framework for the metabolic evaluation, prevention, and follow-up of patients with urolithiasis based on the best available published literature. All recommendations were summarized following a systematic review and assessment of the literature in the PubMed database from January 1976 to June 2022. Each generated recommendation was graded using a modified GRADE methodology. Guideline recommendations were developed that addressed the following topics: initial evaluation, metabolic testing, dietary measures, medical management, and follow-up of recurrent stone formers. It was emphasized by the Panel that prevention of new stone formation is as important as the surgical removal of the stones. Although general preventive measures may be effective in reducing stone recurrence rates in some patients, specific medical and dietary management should be well considered and eventually applied in an individualized manner based on the outcomes of metabolic work-up, stone analysis and some certain patient related factors. A detailed follow-up of each case is essential depending on the metabolic activity of each individual patient.© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

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大类 | 2 区 医学
小类 | 2 区 泌尿学与肾脏学
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大类 | 2 区 医学
小类 | 2 区 泌尿学与肾脏学
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Q2 UROLOGY & NEPHROLOGY
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Q2 UROLOGY & NEPHROLOGY

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第一作者机构: [1]Department of Urology and Guangdong Key Laboratoryof Urology, The First Affiliated Hospital of GuangzhouMedical University, Guangzhou, China
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