Impacto de la profilaxis secundaria en el manejo de pacientes con urolitiasis de alto riesgo de recidiva

In a previous study, we showed our experience in a group of 54 patients with a high risk of urolithiasis recurrence, who were subjected to a complete metabolic evaluation. Aim: To report the evolution of these patients after 5 years of follow-up. Patients and Methods: All patients underwent a genera...

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Autores principales:	Ossandón S,Enrique, Sepúlveda T,Francisco, Acevedo C,Cristián
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2016
Materias:	Recurrence Secondary Prevention Urolithiasis
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000600004
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spelling	oai:scielo:S0034-988720160006000042016-10-03Impacto de la profilaxis secundaria en el manejo de pacientes con urolitiasis de alto riesgo de recidivaOssandón S,EnriqueSepúlveda T,FranciscoAcevedo C,Cristián Recurrence Secondary Prevention Urolithiasis In a previous study, we showed our experience in a group of 54 patients with a high risk of urolithiasis recurrence, who were subjected to a complete metabolic evaluation. Aim: To report the evolution of these patients after 5 years of follow-up. Patients and Methods: All patients underwent a general management of urolithiasis plus specific treatments for underlying metabolic disorders. Each patient had an annual medical assessment including a clinical examination, urinalysis and imaging studies (non-enhanced computed tomography scan, ultrasonography and plain abdominal Rx rays). In every case, the underlying metabolic disorder, treatment adherence, stones on imaging studies and symptomatology were evaluated. Adherence of general and specific measures were evaluated subjectively. Failure of secondary prevention was defined as the recurrence of clinical or imaging urolithiasis (increase of the number of lithiasis) despite a correct treatment of the metabolic disorders. Results: Twenty nine patients completed the follow-up. Mean age was 45 years old. Nineteen patients (65%) had only one metabolic disorder, three patients (10%) two disorders, one patient (3%) four disorders, and six patients (21%) a normal metabolic study. The median of follow-up was 54 months (45-60). During that period, twenty-three patients (79%) kept the treatment as it was indicated. In this subgroup, 21 had no clinical or imaging recurrence of urolithiasis during follow-up (91%). Total adherence to treatment and follow-up was 42% (23/54) of the initial group of patients. Conclusions: A complete metabolic study allows to identify patients with a high risk of urolithiasis recurrence, enabling a specific treatment of the metabolic disorder. Our experience shows that 75% (21/29) of patients remain free of recurrence at five years of follow-up.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.144 n.6 20162016-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000600004es10.4067/S0034-98872016000600004
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Recurrence Secondary Prevention Urolithiasis
spellingShingle	Recurrence Secondary Prevention Urolithiasis Ossandón S,Enrique Sepúlveda T,Francisco Acevedo C,Cristián Impacto de la profilaxis secundaria en el manejo de pacientes con urolitiasis de alto riesgo de recidiva
description	In a previous study, we showed our experience in a group of 54 patients with a high risk of urolithiasis recurrence, who were subjected to a complete metabolic evaluation. Aim: To report the evolution of these patients after 5 years of follow-up. Patients and Methods: All patients underwent a general management of urolithiasis plus specific treatments for underlying metabolic disorders. Each patient had an annual medical assessment including a clinical examination, urinalysis and imaging studies (non-enhanced computed tomography scan, ultrasonography and plain abdominal Rx rays). In every case, the underlying metabolic disorder, treatment adherence, stones on imaging studies and symptomatology were evaluated. Adherence of general and specific measures were evaluated subjectively. Failure of secondary prevention was defined as the recurrence of clinical or imaging urolithiasis (increase of the number of lithiasis) despite a correct treatment of the metabolic disorders. Results: Twenty nine patients completed the follow-up. Mean age was 45 years old. Nineteen patients (65%) had only one metabolic disorder, three patients (10%) two disorders, one patient (3%) four disorders, and six patients (21%) a normal metabolic study. The median of follow-up was 54 months (45-60). During that period, twenty-three patients (79%) kept the treatment as it was indicated. In this subgroup, 21 had no clinical or imaging recurrence of urolithiasis during follow-up (91%). Total adherence to treatment and follow-up was 42% (23/54) of the initial group of patients. Conclusions: A complete metabolic study allows to identify patients with a high risk of urolithiasis recurrence, enabling a specific treatment of the metabolic disorder. Our experience shows that 75% (21/29) of patients remain free of recurrence at five years of follow-up.
author	Ossandón S,Enrique Sepúlveda T,Francisco Acevedo C,Cristián
author_facet	Ossandón S,Enrique Sepúlveda T,Francisco Acevedo C,Cristián
author_sort	Ossandón S,Enrique
title	Impacto de la profilaxis secundaria en el manejo de pacientes con urolitiasis de alto riesgo de recidiva
title_short	Impacto de la profilaxis secundaria en el manejo de pacientes con urolitiasis de alto riesgo de recidiva
title_full	Impacto de la profilaxis secundaria en el manejo de pacientes con urolitiasis de alto riesgo de recidiva
title_fullStr	Impacto de la profilaxis secundaria en el manejo de pacientes con urolitiasis de alto riesgo de recidiva
title_full_unstemmed	Impacto de la profilaxis secundaria en el manejo de pacientes con urolitiasis de alto riesgo de recidiva
title_sort	impacto de la profilaxis secundaria en el manejo de pacientes con urolitiasis de alto riesgo de recidiva
publisher	Sociedad Médica de Santiago
publishDate	2016
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000600004
work_keys_str_mv	AT ossandonsenrique impactodelaprofilaxissecundariaenelmanejodepacientesconurolitiasisdealtoriesgoderecidiva AT sepulvedatfrancisco impactodelaprofilaxissecundariaenelmanejodepacientesconurolitiasisdealtoriesgoderecidiva AT acevedoccristian impactodelaprofilaxissecundariaenelmanejodepacientesconurolitiasisdealtoriesgoderecidiva
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Impacto de la profilaxis secundaria en el manejo de pacientes con urolitiasis de alto riesgo de recidiva

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