肾结石分析：欧洲泌尿外科学会尿石症分会（EULIS）关于全球当前实践与观点的调查

Kidney stone analysis: an EAU section of urolithiasis (EULIS) survey on current practices and perspectives worldwide.

作者信息

Stoots Simone J M, Somani Bhaskar K, Durutovic Otas, Cavadas Vitor, Secker Armin, Jung Helene Ulrik, Ulvik Øyvind, Ingimarsson Johann, Tefik Tzevat, Sener Emre, Dragos Laurian, Tailly Thomas, Popiolek Marcin, Hamri Saeed Bin, Gauhar Vineet, M Zeeshan Hameed Belthangady, Rivas Juan Gomez, Bhojani Naeem, Seitz Christian, Beerlage Harrie, de Jonge Robert, Kamphuis Guido M

机构信息

Department of Urology, University of Amsterdam, Amsterdam UMC, Amsterdam, The Netherlands.

Department of Urology, University Hospital Southampton NHS Trust, Southampton, UK.

出版信息

World J Urol. 2024 Dec 10;43(1):21. doi: 10.1007/s00345-024-05348-9.

DOI:10.1007/s00345-024-05348-9

PMID:39656283

Abstract

PURPOSE

To investigate the current thoughts and perspectives on kidney stone analysis amongst urologists and urology residents worldwide.

METHODS

In October 2022 an online survey supported by the EULIS was circulated amongst urologists and urology residents worldwide. The survey was based on the current EAU guidelines regarding stone analysis and its role in urolithiasis management. Responses were collected until February 2023.

RESULTS

The survey was completed by 351 urologists (75.4%) and 115 urology residents (24.7%). 49.1% of the participants stated that performing kidney stone analysis was of utmost importance in every patient. 91.8% were of the opinion that stone analysis changes KSD management. 62.3% of the participants declared to adhere to the guidelines. 44.7% aim to perform stone analysis in first-time stone formers. 1 out of 11 does not send stones for kidney stone analysis at all. Urologists that pursued an additional endo-urology sub-specialism performed stone analysis more frequently compared to those who were not endo-urologists.

CONCLUSION

Although majority of urologists consider stone analysis an essential part of kidney stone management, in reality the practice patterns regarding stone analysis deviate from the EAU guidelines. Our aim should be to bridge the knowledge gap regarding stone analysis, foster collaboration to streamline logistics regarding stone analysis and enhance the quality of care we provide for kidney stone patients.

摘要

目的

调查全球泌尿外科医生和泌尿外科住院医师对肾结石分析的当前想法和观点。

方法

2022年10月，一项由欧洲泌尿外科学会（EULIS）支持的在线调查在全球泌尿外科医生和泌尿外科住院医师中展开。该调查基于欧洲泌尿外科学会（EAU）关于结石分析及其在尿石症管理中作用的现行指南。调查结果收集至2023年2月。

结果

351名泌尿外科医生（75.4%）和115名泌尿外科住院医师（24.7%）完成了调查。49.1%的参与者表示，对每位患者进行肾结石分析至关重要。91.8%的人认为结石分析会改变尿石症的管理。62.3%的参与者宣称遵守指南。44.7%的人旨在对首次患结石者进行结石分析。11人中就有1人根本不送检结石进行肾结石分析。与非内镜泌尿外科医生相比，从事额外内镜泌尿外科亚专业的泌尿外科医生更频繁地进行结石分析。