Can I read Duration of Follow-up and Timing of Discharge from Imaging Follow-up, in Adult Patients with Urolithiasis After Surgical or Medical Intervention: A Systematic Review and Meta-analysis from the European Association of Urology Guideline Panel on Urolithiasis on EtoBox?

Duration of Follow-up and Timing of Discharge from Imaging Follow-up, in Adult Patients with Urolithiasis After Surgical or Medical Intervention: A Systematic Review and Meta-analysis from the European Association of Urology Guideline Panel on Urolithiasis by Lazaros Tzelves; Robert Geraghty; Riccardo Lombardo; Niall F. Davis; Ales Petřík; Andreas Neisius; Giovanni Gambaro; Christian Türk; Kay Thomas; Bhaskar Somani; Andreas Skolarikos is a Medicine article available to read on EtoBox.

What is Duration of Follow-up and Timing of Discharge from Imaging Follow-up, in Adult Patients with Urolithiasis After Surgical or Medical Intervention: A Systematic Review and Meta-analysis from the European Association of Urology Guideline Panel on Urolithiasis about?

Context: No algorithm exists for structured follow-up of urolithiasis patients. Objective: To provide a discharge time point during follow-up of urolithiasis patients after treatment. Evidence acquisition: We performed a systematic review of PubMed/Medline, EMBASE, Cochrane Library, clinicaltrials.gov, and reference lists according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses statement. Fifty studies were eligible. Evidence synthesis: From a pooled analysis of 5467 stone-free patients, we estimated that for a safety margin of 80% for remaining stone free, patients should be followed up using imaging, for at least 2 yr (radiopaque stones) or 3 yr (radiolucent stones) before being discharged. Patients should be discharged after 5 yr of no recurrence with a safety margin of 90%. Regarding residual disease, patients with fragments 4 mm could be offered surveillance up to 4 yr since intervention rates range between 17% and 29%, disease progression between 9% and 34%, and spontaneous passage between 21% and 34% at 49 mo. Patients with larger residual fragments should be offered further definitive intervention since intervention rates are high (24-100%). Insuf

Who reads Duration of Follow-up and Timing of Discharge from Imaging Follow-up, in Adult Patients with Urolithiasis After Surgical or Medical Intervention: A Systematic Review and Meta-analysis from the European Association of Urology Guideline Panel on Urolithiasis?

Author

Lazaros Tzelves; Robert Geraghty; Riccardo Lombardo; Niall F. Davis; Ales Petřík; Andreas Neisius; Giovanni Gambaro; Christian Türk; Kay Thomas; Bhaskar Somani; Andreas Skolarikos

Publisher

Elsevier BV

Published

2022

Language

EN

Field

Medicine (Health Sciences)