Prevention of Recurrent Nephrolithiasis in Adults
Authors: Amir Qaseem, Howard A. Fink, Thomas D. Denberg
Journal: Annals of Internal Medicine (2015)

Letters7 April 2015Prevention of Recurrent Nephrolithiasis in AdultsAmir Qaseem, MD, PhD, Howard A. Fink, MD, MPH, and Thomas D. Denberg, MD, PhDAmir Qaseem, MD, PhDFrom American College of Physicians, Philadelphia, Pennsylvania; Minneapolis Veterans Affairs Medical Center, Minneapolis, Minnesota; and Carilion Clinic, Roanoke, Virginia.Search for more papers by this author, Howard A. Fink, MD, MPHFrom American College of Physicians, Philadelphia, Pennsylvania; Minneapolis Veterans Affairs Medical Center, Minneapolis, Minnesota; and Carilion Clinic, Roanoke, Virginia.Search for more papers by this author, and Thomas D. Denberg, MD, PhDFrom American College of Physicians, Philadelphia, Pennsylvania; Minneapolis Veterans Affairs Medical Center, Minneapolis, Minnesota; and Carilion Clinic, Roanoke, Virginia.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L15-5074-3 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:Dr. Bell raises an important issue and suggests that the American College of Physicians should offer guidance on what drugs to use under specific circumstances. We acknowledge in the guideline that biochemistry suggests a link between the mode of action of the various drugs and stone type. However, results were mixed about whether baseline biochemistry measures predicted treatment effectiveness for reducing the risk for stone recurrence or for the efficacy of dietary or pharmacologic treatments compared with placebo or controls for recurrent stone outcomes. In addition, no randomized, controlled trials compared risk for stone recurrence according to follow-up ...Reference1. Fink HA, Wilt TJ, Eidman KE, Garimella PS, MacDonald R, Rutks IR, et al. Medical management to prevent recurrent nephrolithiasis in adults: a systematic review for an American College of Physicians Clinical Guideline. Ann Intern Med. 2013;158:535-43. [PMID: 23546565] doi:10.7326/0003-4819-158-7-201304020-00005 LinkGoogle Scholar Author, Article, and Disclosure InformationAuthors: Amir Qaseem, MD, PhD; Howard A. Fink, MD, MPH; Thomas D. Denberg, MD, PhDAffiliations: From American College of Physicians, Philadelphia, Pennsylvania; Minneapolis Veterans Affairs Medical Center, Minneapolis, Minnesota; and Carilion Clinic, Roanoke, Virginia.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M13-2908. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoDietary and Pharmacologic Management to Prevent Recurrent Nephrolithiasis in Adults: A Clinical Practice Guideline From the American College of Physicians Amir Qaseem , Paul Dallas , Mary Ann Forciea , Melissa Starkey , and Thomas D. Denberg , for the Clinical Guidelines Committee of the American College of Physicians* Prevention of Recurrent Nephrolithiasis in Adults David S.H. Bell Prevention of Recurrent Nephrolithiasis in Adults Amy E. Krambeck and John C. Lieske Metrics Cited byWater for preventing urinary stones 7 April 2015Volume 162, Issue 7Page: 529KeywordsAllopurinolBiochemistryDisclosureDrugsTreatment guidelinesUric acid ePublished: 7 April 2015 Issue Published: 7 April 2015 Copyright & PermissionsCopyright © 2015 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...