Document Detail


Trends in the medical management of urolithiasis: a comparison of general urologists and endourology specialists.
MedLine Citation:
PMID:  20951418     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVES: To determine whether there are differences in the medical and dietary recommendations given to stone formers between urologists that subspecialize in endourology and general urologists.
METHODS: A 10 question on-line survey was sent via e-mail to members of the North Central Section (NCS) of the American Urological Association and the Endourological Society (ES).
RESULTS: A total of 206 surveys were completed by members of the NCS and 122 surveys were completed by members of the ES. Of the ES members, 75% were in academic practice versus 21% of NCS members (P < .01). Urologists in both groups performed their own medical management (88% ES, 83% NCS) and believed that they were able to provide effective dietary recommendations (73% ES, 72% NCS). Most urologists in both groups performed 24-hour urine and serum studies in recurrent stone formers (68% ES, 73% NCS) as opposed to all stone formers (17% ES, 18% NCS). Members of both groups recommended low salt intake to all stone formers (68% ES, 61% NCS) or only calcium stone formers (18% ES, 29% NCS; P = .03). A higher percentage of urologists from the ES recommended low animal protein intake to all stone formers than urologists from the NCS (69% ES, 47% NCS; P < .05).
CONCLUSIONS: Urologists from both the NCS and the ES, despite differences in the type of practice, subspecialty interest in endourology and geographic location of practice, have similar medical and nutritional practices when counseling patients in the prevention of stone disease.
Authors:
Sutchin R Patel; Kristina L Penniston; Stephen Y Nakada
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Publication Detail:
Type:  Journal Article     Date:  2010-10-15
Journal Detail:
Title:  Urology     Volume:  77     ISSN:  1527-9995     ISO Abbreviation:  Urology     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-02-07     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0366151     Medline TA:  Urology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  291-4     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Elsevier Inc. All rights reserved.
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