Kidney stone natural history, complications and prognosis: Difference between revisions
Jump to navigation
Jump to search
| Line 19: | Line 19: | ||
*If left untreated, <30% of patients with nephrolithiasis may progress to develop renal colicky pain due to increase in rate of growth.<ref name="pmid25463995">{{cite journal |vauthors=Dropkin BM, Moses RA, Sharma D, Pais VM |title=The natural history of nonobstructing asymptomatic renal stones managed with active surveillance |journal=J. Urol. |volume=193 |issue=4 |pages=1265–9 |date=April 2015 |pmid=25463995 |doi=10.1016/j.juro.2014.11.056 |url=}}</ref> | *If left untreated, <30% of patients with nephrolithiasis may progress to develop renal colicky pain due to increase in rate of growth.<ref name="pmid25463995">{{cite journal |vauthors=Dropkin BM, Moses RA, Sharma D, Pais VM |title=The natural history of nonobstructing asymptomatic renal stones managed with active surveillance |journal=J. Urol. |volume=193 |issue=4 |pages=1265–9 |date=April 2015 |pmid=25463995 |doi=10.1016/j.juro.2014.11.056 |url=}}</ref> | ||
*Most of the stones pass spontaneously. about 10-20% of symptom causing stones fail to pass.<ref name="pmid18486720">{{cite journal |vauthors=Worcester EM, Coe FL |title=Nephrolithiasis |journal=Prim. Care |volume=35 |issue=2 |pages=369–91, vii |date=June 2008 |pmid=18486720 |pmc=2518455 |doi=10.1016/j.pop.2008.01.005 |url=}}</ref> | *Most of the stones pass spontaneously. about 10-20% of symptom causing stones fail to pass.<ref name="pmid18486720">{{cite journal |vauthors=Worcester EM, Coe FL |title=Nephrolithiasis |journal=Prim. Care |volume=35 |issue=2 |pages=369–91, vii |date=June 2008 |pmid=18486720 |pmc=2518455 |doi=10.1016/j.pop.2008.01.005 |url=}}</ref> | ||
* | *Lower poles stones were significantly less likely to cause symptoms or pass spontaneously. | ||
*They can progress to hydronephrosis especially when combined or superimposed by u[[Urinary tract infection|rinary tract infection]]. | |||
===Complications=== | ===Complications=== | ||
Revision as of 06:01, 22 June 2018
|
Kidney stone Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Kidney stone natural history, complications and prognosis On the Web |
|
American Roentgen Ray Society Images of Kidney stone natural history, complications and prognosis |
|
FDA on Kidney stone natural history, complications and prognosis |
|
CDC on Kidney stone natural history, complications and prognosis |
|
Kidney stone natural history, complications and prognosis in the news |
|
Blogs onKidney stone natural history, complications and prognosis |
|
Risk calculators and risk factors for Kidney stone natural history, complications and prognosis |
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
- 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]
- Lower poles stones were significantly less likely to cause symptoms or pass spontaneously.
- They can progress to hydronephrosis especially when combined or superimposed by urinary tract infection.
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.
- Approximately 80-85% resolve spontaneously
- Recurrence rates for calcium stones after the initial event is 40–50% at the end of 5 years and 50–60% at the end of 10 years.[6]
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.
- ↑ 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.