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Propensity score matched analysis of Thulium fiber versus pulsed Thulium:Yttrium aluminum garnet laser lithotripsy in flexible ureteroscopy for kidneystonedisease using a flexible and navigable suction ureteral access sheath. Results from a prospective To evaluate outcomes after flexible ureteroscopy (F-URS) for renal stone(s) using a flexible and navigable suction ureteral access sheath (FANS
The Evolving Role of Genetic Testing in Monogenic KidneyStoneDisease: Spotlight on Primary Hyperoxaluria. Multiple factors are thought to give rise to common, recurrent kidneystonedisease, but for monogenic stone disorders a firm diagnosis is possible through genetic testing. The autosomal recessive primary hyperoxalurias (PH) are rare but important forms of monogenic kidneystonedisease and mortality, occurs in the setting of CKD when oxalate clearance by the kidneys declines. Novel small interfering RNA-based therapeutics targeting the liver to reduce urinary oxalate excretion have been approved, introducing precision medicine to treat primary hyperoxaluria type 1 (PH1). Increased access to genetic testing facilitates early detection of PH and other monogenic causes of kidneystonedisease
Paracellular Transport and Renal Tubule Calcium Handling: Emerging Roles in KidneyStoneDisease. The kidney plays a major role in maintenance of serum calcium concentration, which must be kept within a narrow range to avoid disruption of numerous physiologic processes that depend critically on the level of extracellular calcium, including cell signaling, bone structure, and muscle and nerve function. This defense of systemic calcium homeostasis comes, however, at the expense of the dumping of calcium into the kidney tissue and the urine. Due to the large size and multivalency of calcium ion, its salts are the least soluble among all the major cations in the body. The potential pathologic consequences of this are nephrocalcinosis and kidneystonedisease. In this review, we discuss recent
Intensity-Specific Physical Activity Measured by Accelerometer, Genetic Susceptibility, and the Risk of KidneyStoneDisease: Results From the UK Biobank. Kidneystonedisease (KSD), a significant healthcare problem within both developed and developing countries, has been associated with genetic risk factors. As well, an association between physical activity and KSD risk has been hypothesized
A Patient-Prioritized Research Agenda for Clinical Trials in KidneyStoneDisease. To ensure that research on kidney stones provides meaningful impact for the kidney stone community, patients and caregivers should be engaged as stakeholders in clinical trial design, starting at study inception. This project aimed to elicit, refine, and prioritize research ideas from kidney stone stakeholders proposed trials from these themes focused on surveillance, surgical intervention, and medical prevention. Patients and caregivers valued comparative effectiveness kidney stone research that focused on individualized care, shared decision-making, and improvement of patient-reported experiences. This process provided actionable recommendations for future patient-centered clinical trials within kidneystone
Non-contrast CT attenuation value of renal papilla is a novel predictor of recurrence in kidneystonedisease. In calcium stone formers, most stones grow attached to Randall's plaque, which can be identified by measuring the computed tomography (CT) attenuation value of renal papilla. We hypothesized that the CT attenuation value of renal papilla can predict the severity (recurrent or multiple
The association between domestic water hardness and kidneystonedisease: a prospective cohort study from the UK Biobank. Kidneystonedisease is a common surgical disease and significant public health issue, may be influenced by environmental factors such as domestic water hardness and its related minerals. Previous studies have shown inconsistent and controversial results regarding the impact of domestic water hardness on kidney stone formation. This prospective cohort study analyzed data from 288,041 participants in the UK Biobank with no prior history of kidney stones from 2006-2024. The exposures were domestic water hardness, calcium concentration, calcium carbonate concentration, and magnesium concentration. The main outcomes were the disease status and onset time of kidneystonediseases
Perioperative Fast-Track Surgery Nursing Intervention for Patients with KidneyStoneDisease under Computed Tomography Imaging. This research aims to analyze the clinical intervention effect of perioperative fast-track surgery (FTS) nursing on patients with kidneystonedisease (KSD) under computed tomography (CT) imaging. One-hundred KSD patients were selected as research objects and grouped
'Like a ticking time bomb': A qualitative study exploring the illness experiences of adults with kidneystonedisease. Kidneystonedisease (KSD) is a common, complex and painful urological condition, but how patients make sense of and respond to the challenges of KSD is poorly understood. Using the common-sense model of illness self-regulation (CSM-SR), we aimed to explore the illness
The impact of secondhand smoke on the development of kidneystonedisease is not inferior to that of smoking: a longitudinal cohort study. Tobacco use and secondhand smoke (SHS) are risk factors of kidneystonedisease (KSD). The hypothesis is that tobacco produces chemicals that increase oxidative stress and vasopressin, which leads to decreased urine output, and contributes to stone formation
Association of body fat percentage with kidneystoneDisease: a cross-sectional and longitudinal study among bus drivers. The association between body fat percentage (BFP) and kidneystonedisease (KSD) among bus drivers has not been explored in the existing literature. Thus, this study was conducted to explore the influence of BFP on the risk of KSD as well as KSD development for bus drivers
Application of Artificial Intelligence to Patient-Targeted Health Information on KidneyStoneDisease. The American Medical Association (AMA) recommends health information to be written at a 6 grade level reading level. Our aim was to determine whether Artificial Intelligence (AI) can outperform the existing health information on kidney stone prevention and treatment. The top 50 search results information on kidneystonedisease is of subpar quality and too complex to understand. Machine learning tools could in generating information that is comprehensible by the public.
Central Adiposity Increases Risk of KidneyStoneDisease via Effects on Serum Calcium Concentrations. Kidneystonedisease affects approximately 10% of individuals in their lifetime and is frequently recurrent. The disease is linked to obesity, but the mechanisms mediating this association are uncertain. Associations of adiposity and incident kidneystonedisease were assessed in the UK Biobank over a mean of 11.6 years/person. Genome-wide association studies and Mendelian randomization (MR) analyses were undertaken in the UK Biobank, FinnGen, and in meta-analysed cohorts to identify factors that affect kidneystonedisease risk. Observational analyses on UK Biobank data demonstrated that increasing central and general adiposity are independently associated with incident kidney stone
Causal effects of inflammatory bowel diseases on the risk of kidneystonedisease: a two-sample bidirectional mendelian randomization. Existing epidemiological observational studies have suggested interesting but inconsistent clinical correlations between inflammatory bowel disease (IBD), including Crohn's disease (CD) and ulcerative colitis (UC), and kidneystonedisease (KSD). Herein, we
Prevalence and risk factors of kidneystonedisease in population aged 40-70 years old in Kharameh cohort study: a cross-sectional population-based study in southern Iran. Kidney stone is the major cause of morbidity, and its prevalence is increasing in the world. This study aimed to assess the prevalence and risk factors of kidney stone in the adult population of southern Iran based on the data
Social Determinants of KidneyStoneDisease: The Impact of Race, Income and Access on Urolithiasis Treatment and Outcomes. The medical and surgical management of kidney stones is one of the most common functions of the urologist. Management choices are often nuanced, involving the decision to embark on one surgical plan among several options. As the wider medical community critically evaluates of kidneystonedisease.
Machine Learning Models to Predict 24 Hour Urinary Abnormalities for KidneyStoneDisease. To help guide empiric therapy for kidneystonedisease, we sought to demonstrate the feasibility of predicting 24-hour urine abnormalities using machine learning methods. We trained a machine learning model (XGBoost [XG]) to predict 24-hour urine abnormalities from electronic health record-derived data (n for kidneystonedisease appears to be feasible with machine learning methods. Further optimization of the performance could facilitate dietary or pharmacologic prevention.
Comparison of Empiric Preventative Pharmacologic Therapies on Stone Recurrence Among Patients with KidneyStoneDisease. To compare the frequency of stone-related events among patients receiving thiazides, alkali citrate, and allopurinol without prior 24 h urine testing. It is unknown whether 1 preventative pharmacological therapy (PPT) medication class is more beneficial for reducing kidney stone recurrence when prescribed empirically. Using medical claims data from working-age adults with kidneystonedisease diagnoses (2008-2018), we identified those prescribed thiazides, alkali citrate, or allopurinol. We excluded those who received 24 h urine testing prior to initiating PPT and those with less than 3 years of follow-up. We fit multivariable regression models to estimate
The genetics of kidneystonedisease and nephrocalcinosis. Kidney stones (also known as urinary stones or nephrolithiasis) are highly prevalent, affecting approximately 10% of adults worldwide, and the incidence of stone disease is increasing. Kidney stone formation results from an imbalance of inhibitors and promoters of crystallization, and calcium-containing calculi account for over 80