Kidney stones are a common condition in the general population, however, high-quality evidence for its management is scarce. We propose the creation of an international network with the aim of sharing practice patterns and patient data towards an improvement of our knowledge of the disease.
Cross-sectional survey.
An online survey was circulated through several scientific societies. Items were grouped into six domains. Each center's overall score (OS) was also calculated.
Chi square and Mann-Whitney tests were performed for differences across centers.
The countries that contributed most were Italy (8.6%), Turkey (6.6%), France and Spain (6.1%). Some type of nutritional work-up was implemented in 62% of centers. A DEXA scan was performed by 46% of centers, whereas some kind of acidification test was performed by 25% of centers. Most centers (80%) implemented blood investigations at least at baseline. With regard to 24-h urine exams, 7 out of 16 were performed by at least 50% of centers. Information on stone composition was collected by 58% of centers. The OS was significantly higher among higher-volume centers compared with lower-volume centers (p = 0.002). Significant differences between EU and non-EU centers were found.
Cross-sectional design; no validation on information.
Our survey highlights the potential for the creation of a network of centers that could share information in a common database for observational research and for enrollment of patients in interventional trials.
Journal of nephrology. 2020 Sep 12 [Epub ahead of print]
Pietro Manuel Ferraro, Robert Unwin, Olivier Bonny, Giovanni Gambaro
U.O.C. Nefrologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo A. Gemelli 8, 00168, Rome, Italy. ., Department of Renal Medicine, University College London Medical School, London, UK., Service of Nephrology, Lausanne University Hospital, Lausanne, Switzerland., Division of Nephrology and Dialysis, Department of Medicine, University of Verona, Verona, Italy.