Having had one kidney stone increases the risk of having a second one. Although it is possible to take precautionary measures, they may be expensive, burdensome and cause side effects. A test, developed and presented by US physicians in the "Journal of the American Society of Nephrology" (JASN), can predict the risk of developing another kidney stone.
To develop the ROKS test (Recurrence Of Kidney Stone), researchers from the Mayo Clinic in Rochester analysed data from all adults residing in an area of Minnesota, who had experienced a first kidney stone between 1984 and 2003. Of the 2.239 people identified, 707 experienced at least one more kidney stone by 2012.
The following risk factors were determined from the information gathered: younger age, male, white race, family history, blood in urine, stone made of uric acid, obstructing stone in the kidney pelvis, additional non-obstructing stone, and past painful event associated with kidney stones even though a stone was not seen.
Using the test, predictions can be made on the probability of having another kidney stone at two, five or 10 years after the first one, said study leader Andrew Rule. "If we knew which patients were at high risk for another symptomatic kidney stone, then we could better advise patients on whether to follow stone prevention diets or take medications," he explained
Tomado de Univadis
Bibliografia: Rule AD et al. The ROKS Nomogram for Predicting a Second Symptomatic Stone Episode. J Am Soc Nephrol. 2014 Aug 7
No hay comentarios:
Publicar un comentario