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The Stone Clinic Effect in Patients With Idiopathic Calcium Urolithiasis

1983; Lippincott Williams & Wilkins; Volume: 130; Issue: 6 Linguagem: Inglês

10.1016/s0022-5347(17)51711-5

1527-3792

Denis H. Hosking, Stephen B. Erickson, C. J. Van Den Berg, David M. Wilson, Lynwood H. Smith,

Porphyrin Metabolism and Disorders

No AccessJournal of Urology1 Dec 1983The Stone Clinic Effect in Patients With Idiopathic Calcium Urolithiasis Denis H. Hosking, Stephen B. Erickson, Christian J. Van Den Berg, David M. Wilson, and Lynwood H. Smith Denis H. HoskingDenis H. Hosking , Stephen B. EricksonStephen B. Erickson , Christian J. Van Den BergChristian J. Van Den Berg , David M. WilsonDavid M. Wilson , and Lynwood H. SmithLynwood H. Smith View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)51711-5AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail The "stone clinic effect" refers to the effect of encouraging a high intake of fluid and avoiding dietary excesses on stone formation and growth in patients with urolithiasis. To determine the extent of this effect we reviewed the clinical courses of 108 patients with idiopathic calcium urolithiasis and indeterminant metabolic activity. There was no evidence of stone growth or new stone formation (metabolic inactivity) after a mean followup of 62.6 months in 63 of the 108 patients (58.3 per cent), including 12 of 17 (70.6 per cent) with hypercalciuria and 7 of 15 (46.7 per cent) with hyperuricosuria. Comparison of initial and followup 24-hour urine volumes demonstrated a significant increase in patients who were metabolically inactive at followup (p less than 0.0005), while no increase was detected in patients who were metabolically active at followup. We recommend that specific drug therapy should not be given to patients with idiopathic calcium urolithiasis until the stone clinic effect has been evaluated. © 1983 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByHsi R, Sanford T, Goldfarb D and Stoller M (2018) The Role of the 24-Hour Urine Collection in the Prevention of Kidney Stone RecurrenceJournal of Urology, VOL. 197, NO. 4, (1084-1089), Online publication date: 1-Apr-2017.Tracy C, Best S, Bagrodia A, Poindexter J, Adams-Huet B, Sakhaee K, Maalouf N, Pak C and Pearle M (2018) Animal Protein and the Risk of Kidney Stones: A Comparative Metabolic Study of Animal Protein SourcesJournal of Urology, VOL. 192, NO. 1, (137-141), Online publication date: 1-Jul-2014.Miernik A, Eilers Y, Bolwien C, Lambrecht A, Hauschke D, Rebentisch G, Lossin P, Hesse A, Rassweiler J, Wetterauer U and Schoenthaler M (2018) Automated Analysis of Urinary Stone Composition Using Raman Spectroscopy: Pilot Study for the Development of a Compact Portable System for Immediate Postoperative Ex Vivo ApplicationJournal of Urology, VOL. 190, NO. 5, (1895-1900), Online publication date: 1-Nov-2013.Lotan Y and Pearle M (2018) Cost-Effectiveness of Primary Prevention Strategies for NephrolithiasisJournal of Urology, VOL. 186, NO. 2, (550-555), Online publication date: 1-Aug-2011.Eisner B, Porten S, Bechis S and Stoller M (2018) The Role of Race in Determining 24-Hour Urine Composition in White and Asian/Pacific Islander Stone FormersJournal of Urology, VOL. 183, NO. 4, (1407-1411), Online publication date: 1-Apr-2010.PARKS J, GOLDFISCHER E and COE F (2018) Changes in Urine Volume Accomplished by Physicians Treating NephrolithiasisJournal of Urology, VOL. 169, NO. 3, (863-866), Online publication date: 1-Mar-2003.TEKIN A, TEKGUL S, ATSU N, BAKKALOGLU M and KENDI S (2018) Oral Potassium Citrate Treatment for Idiopathic Hypocitruria in Children With Calcium UrolithiasisJournal of Urology, VOL. 168, NO. 6, (2572-2574), Online publication date: 1-Dec-2002.COE F, WISE H, PARKS J and ASPLIN J (2018) PROPORTIONAL REDUCTION OF URINE SUPERSATURATION DURING NEPHROLITHIASIS TREATMENTJournal of Urology, VOL. 166, NO. 4, (1247-1251), Online publication date: 1-Oct-2001.COE F, WISE H, PARKS J, FLEURY P and ASPLIN J (2018) DIFFERENCES IN URINE VOLUME AND SUPERSATURATION IN 2 PHYSICIAN NETWORKSJournal of Urology, VOL. 166, NO. 2, (423-428), Online publication date: 1-Aug-2001.Husmann D, Milliner D and Segura J (2018) Ureteropelvic Junction Obstruction with Concurrent Renal Pelvic Calculi in the Pediatric Patient: A Long-term FollowupJournal of Urology, VOL. 156, NO. 2S, (741-743), Online publication date: 1-Aug-1996.Borghi L, Meschi T, Amato F, Briganti A, Novarini A and Giannini A (2018) Urinary Volume, Water and Recurrences in Idiopathic Calcium Nephrolithiasis: A 5-year Randomized Prospective StudyJournal of Urology, VOL. 155, NO. 3, (839-843), Online publication date: 1-Mar-1996.Parivar F, Low R and Stoller M (2018) The Influence of Diet on Urinary Stone DiseaseJournal of Urology, VOL. 155, NO. 2, (432-440), Online publication date: 1-Feb-1996.Husmann D, Milliner D and Segura J (2018) Ureteropelvic Junction Obstruction with a Simultaneous Renal Calculus: Long-Term FollowupJournal of Urology, VOL. 153, NO. 5, (1399-1402), Online publication date: 1-May-1995.Barcelo P, Wuhl O, Servitge E, Rousaud A and Pak C (2018) Randomized Double-Blind Study of Potassium Citrate in Idiopathic Hypocitraturic Calcium NephrolithiasisJournal of Urology, VOL. 150, NO. 6, (1761-1764), Online publication date: 1-Dec-1993.Berg C, Larsson L and Tiselius H (2018) The Effects of a Single Evening Dose of Alkaline Citrate on Urine Composition and Calcium Stone FormationJournal of Urology, VOL. 148, NO. 3 Part 2, (979-985), Online publication date: 1-Sep-1992.Tiselius H (2018) Calcium Oxalate Crystallization Properties in Urine with Different Specific Electrical ConductivitiesJournal of Urology, VOL. 148, NO. 3 Part 2, (990-994), Online publication date: 1-Sep-1992.Rodman J (2018) Prophylaxis of Uric Acid Stones With Alternate Day Doses of Alkaline Potassium SaltsJournal of Urology, VOL. 145, NO. 1, (97-99), Online publication date: 1-Jan-1991.Insogna K, Ellison A, Burtis W, Sartori L, Lang R and Broadus A (2018) Trichlormethiazide and Oral Phosphate Therapy in Patients with Absorptive HypercalciuriaJournal of Urology, VOL. 141, NO. 2, (269-273), Online publication date: 1-Feb-1989.Preminger G (2018) Editorial CommentJournal of Urology, VOL. 141, NO. 2, (273-274), Online publication date: 1-Feb-1989.Smith L (2018) The Medical Aspects of Urolithiasis: An OverviewJournal of Urology, VOL. 141, NO. 3 Part 2, (707-710), Online publication date: 1-Mar-1989. 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Volume 130Issue 6December 1983Page: 1115-1118 Advertisement Copyright & Permissions© 1983 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Denis H. Hosking More articles by this author Stephen B. Erickson More articles by this author Christian J. Van Den Berg More articles by this author David M. Wilson More articles by this author Lynwood H. Smith More articles by this author Expand All Advertisement Loading ...