Kidney stone natural history, complications and prognosis: Difference between revisions
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**[[Hypertension]]<ref name="pmid9820450">{{cite journal |vauthors=Madore F, Stampfer MJ, Willett WC, Speizer FE, Curhan GC |title=Nephrolithiasis and risk of hypertension in women |journal=Am. J. Kidney Dis. |volume=32 |issue=5 |pages=802–7 |date=November 1998 |pmid=9820450 |doi= |url=}}</ref> | **[[Hypertension]]<ref name="pmid9820450">{{cite journal |vauthors=Madore F, Stampfer MJ, Willett WC, Speizer FE, Curhan GC |title=Nephrolithiasis and risk of hypertension in women |journal=Am. J. Kidney Dis. |volume=32 |issue=5 |pages=802–7 |date=November 1998 |pmid=9820450 |doi= |url=}}</ref> | ||
**[[Cardiovascular Disease]]<ref name="pmid23917291">{{cite journal |vauthors=Ferraro PM, Taylor EN, Eisner BH, Gambaro G, Rimm EB, Mukamal KJ, Curhan GC |title=History of kidney stones and the risk of coronary heart disease |journal=JAMA |volume=310 |issue=4 |pages=408–15 |date=July 2013 |pmid=23917291 |pmc=4019927 |doi=10.1001/jama.2013.8780 |url=}}</ref> | **[[Cardiovascular Disease]]<ref name="pmid23917291">{{cite journal |vauthors=Ferraro PM, Taylor EN, Eisner BH, Gambaro G, Rimm EB, Mukamal KJ, Curhan GC |title=History of kidney stones and the risk of coronary heart disease |journal=JAMA |volume=310 |issue=4 |pages=408–15 |date=July 2013 |pmid=23917291 |pmc=4019927 |doi=10.1001/jama.2013.8780 |url=}}</ref> | ||
**Increased risk of fracture<ref name="pmid25341724">{{cite journal |vauthors=Denburg MR, Leonard MB, Haynes K, Tuchman S, Tasian G, Shults J, Copelovitch L |title=Risk of fracture in urolithiasis: a population-based cohort study using the health improvement network |journal=Clin J Am Soc Nephrol |volume=9 |issue=12 |pages=2133–40 |date=December 2014 |pmid=25341724 |pmc=4255404 |doi=10.2215/CJN.04340514 |url=}}</ref> | |||
===Prognosis=== | ===Prognosis=== |
Revision as of 00:36, 22 June 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
If left untreated, [#]% of patients with [disease name] may progress to develop [manifestation 1], [manifestation 2], and [manifestation 3].
OR
Common complications of [disease name] include [complication 1], [complication 2], and [complication 3].
OR
Prognosis is generally excellent/good/poor, and the 1/5/10-year mortality/survival rate of patients with [disease name] is approximately [#]%.
Natural History, Complications, and Prognosis
Natural History
- The symptoms of (disease name) usually develop in the first/ second/ third decade of life, and start with symptoms such as ___.
- The symptoms of (disease name) typically develop ___ years after exposure to ___.
- If left untreated, <30% of patients with nephrolithiasis may progress to develop renal colicky pain due to increase in rate of growth.[1]
- Most of the stones pass spontaneously. about 10-20% of symptom causing stones fail to pass.[2]
- Less than 30% caused renal colic, less than 20% were operated on for pain and 7% spontaneously passed. Lower poles stones were significantly less likely to cause symptoms or pass spontaneously. Despite 3 stones causing silent hydronephrosissuggestive of obstruction, regular followup imaging facilitated interventions t
Complications
- Common complications of nephrolithiasis include:
- Hydronephrosis
- Chronic renal failure
- Hypertension[3]
- Cardiovascular Disease[4]
- Increased risk of fracture[5]
Prognosis
- Prognosis is generally excellent/good/poor, and the 1/5/10-year mortality/survival rate of patients with [disease name] is approximately [#]%.
- Depending on the extent of the [tumor/disease progression/etc.] at the time of diagnosis, the prognosis may vary. However, the prognosis is generally regarded as poor/good/excellent.
- The presence of [characteristic of disease] is associated with a particularly [good/poor] prognosis among patients with [disease/malignancy].
- [Subtype of disease/malignancy] is associated with the most favorable prognosis.
- The prognosis varies with the [characteristic] of tumor; [subtype of disease/malignancy] have the most favorable prognosis.
References
- ↑ Dropkin BM, Moses RA, Sharma D, Pais VM (April 2015). "The natural history of nonobstructing asymptomatic renal stones managed with active surveillance". J. Urol. 193 (4): 1265–9. doi:10.1016/j.juro.2014.11.056. PMID 25463995.
- ↑ Worcester EM, Coe FL (June 2008). "Nephrolithiasis". Prim. Care. 35 (2): 369–91, vii. doi:10.1016/j.pop.2008.01.005. PMC 2518455. PMID 18486720.
- ↑ Madore F, Stampfer MJ, Willett WC, Speizer FE, Curhan GC (November 1998). "Nephrolithiasis and risk of hypertension in women". Am. J. Kidney Dis. 32 (5): 802–7. PMID 9820450.
- ↑ Ferraro PM, Taylor EN, Eisner BH, Gambaro G, Rimm EB, Mukamal KJ, Curhan GC (July 2013). "History of kidney stones and the risk of coronary heart disease". JAMA. 310 (4): 408–15. doi:10.1001/jama.2013.8780. PMC 4019927. PMID 23917291.
- ↑ Denburg MR, Leonard MB, Haynes K, Tuchman S, Tasian G, Shults J, Copelovitch L (December 2014). "Risk of fracture in urolithiasis: a population-based cohort study using the health improvement network". Clin J Am Soc Nephrol. 9 (12): 2133–40. doi:10.2215/CJN.04340514. PMC 4255404. PMID 25341724.