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| Recurrent nephrolithiasis in adults: comparative effectiveness of preventive medical strategies |
| Fink HA, Wilt TJ, Eidman KE, Garimella PS, MacDonald R, Rutks IR, Brasure M, Kane RL, Monga M |
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Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Fink HA, Wilt TJ, Eidman KE, Garimella PS, MacDonald R, Rutks IR, Brasure M, Kane RL, Monga M. Recurrent nephrolithiasis in adults: comparative effectiveness of preventive medical strategies. Rockville: Agency for Healthcare Research and Quality (AHRQ). Comparative Effectiveness Review No. 61. 2012 Authors' objectives To determine the efficacy and harms of diet and pharmacological interventions for preventing recurrent kidney stones, and whether stone composition and pre- and post-treatment biochemistries predict treatment efficacy. Authors' conclusions Increased fluid intake, reduced soft drink consumption, thiazide diuretics, citrate pharmacotherapy, and allopurinol reduce risk of recurrent calcium stones. Effects of other dietary interventions appear mixed. We identified no RCTs for uric acid or cystine stones. Data regarding whether baseline or followup biochemistries predict treatment efficacy is extremely limited. Indexing Status Subject indexing assigned by CRD MeSH Adult; Nephrolithiasiss; Recurrence Language Published English Country of organisation United States English summary An English language summary is available. Address for correspondence AHRQ, Center for Outcomes and Evidence Technology Assessment Program, 540 Gaither Road, Rockville, MD 20850, USA Email: AHRQTAP@ahrq.hhs.gov AccessionNumber 32013000200 Date abstract record published 25/03/2013 |
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