Document detail
ID

doi:10.1186/s12894-024-01416-9...

Author
Collingridge, Adam O’Callaghan, Michael
Langue
en
Editor

BioMed Central

Category

Urology

Year

2024

listing date

2/7/2024

Keywords
calcium oxalate stone fluid intake nephrolithiasis randomized controlled trial urine volume study water stone
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Abstract

Kidney stones, a persistent urological condition, continue to affect people globally.

In this critical review, we examine the work of Borghi et al. who evaluated patients with idiopathic stone formation and randomised 99 patients to increased water intake (≥ 2 L/day) and 100 patients to usual care in a 5-year randomized controlled trial.

The study examined baseline urine volume in individuals with idiopathic calcium stones, recurrence rates, and relevant biochemical factors.

The study found reduced recurrence rate (12.1% vs. 27% (p = 0.008)), and time to recurrence with increased water intake (38.7 ± 13.2 months) vs. (25 ± 16.4 months) ( p  = 0.016).

These findings inform clinical practice, contributing to the guideline recommendations that kidney stone patients should aim for fluid intake of at least 2.5 L per day to prevent stone recurrence.

Collingridge, Adam,O’Callaghan, Michael, 2024, Seminal papers in urology: urinary volume, water and recurrences in idiopathic calcium nephrolithiasis: a 5-year randomized prospective study, BioMed Central

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