Attitudes of urologists on metabolic evaluation for urolithiasis: outcomes of a global survey from 57 countries

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dc.contributor.authorKaragoz, Mehmet Ali
dc.contributor.authorGuven, Selcuk
dc.contributor.authorTefik, Tzevat
dc.contributor.authorGokce, Mehmet Ilker
dc.contributor.authorKiremit, Murat Can
dc.contributor.authorAtar, Feyzi Arda
dc.contributor.authorIbis, Muhammed Arif
dc.date.accessioned2024-02-23T13:43:34Z
dc.date.available2024-02-23T13:43:34Z
dc.date.issued2022
dc.departmentNEÜen_US
dc.description.abstractAlthough stone disease is an important health problem with high incidence and recurrence rates, it is a preventable disease. Attitudes and practices of urologists regarding the prevention of recurrence continue to be a subject of debate. In this context, an online survey study was conducted involving 305 urologists from 57 different countries. The first 7 questions collected demographic data about the urologists and the remaining 23 questions were about the recurrence and metabolic evaluation, medical treatment, and follow-up of urinary stone disease. Most urologists (85.2%) thought that metabolic examination was important. Approximately one-third of the participants (34.1%) performed 24-hour urine analysis and stone analysis was ordered by 87.5% of the urologists. Metabolic analysis was performed for all patients by 14.7% of the participants. For pediatric patients this rate was 68.5%, and for adults with recurrence the rate was 81.6%. Reasons cited by the urologists for not performing metabolic analysis included not feeling confident doing so (18.3%), having limited facilities in their hospital (26.5%), having an excessive daily workload (31.8%), patient-related factors (27.5%), and referring patients to other departments for metabolic evaluation (20.9%). Although majority of the responding urologists do consider the metabolic analysis as vital important, they seemed not to be willing to perform these tests with the same degree of enthusiasm in their daily practice. Our results show that urologists need support in performing and interpreting 24-hour urine analysis, improving their knowledge levels, and communicating with patients. Urology residency training should focus more on the prevention of urinary stone recurrence in addition to the surgical training.en_US
dc.identifier.doi10.1007/s00240-022-01362-x
dc.identifier.endpage720en_US
dc.identifier.issn2194-7228
dc.identifier.issn2194-7236
dc.identifier.issue6en_US
dc.identifier.pmid36169664en_US
dc.identifier.scopus2-s2.0-85139090714en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage711en_US
dc.identifier.urihttps://doi.org/10.1007/s00240-022-01362-x
dc.identifier.urihttps://hdl.handle.net/20.500.12452/10856
dc.identifier.volume50en_US
dc.identifier.wosWOS:000862639200001en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofUrolithiasisen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectUrolithiasisen_US
dc.subjectMetabolic Evaluationen_US
dc.subject24-Hour Urine Analysisen_US
dc.subjectStone Analysisen_US
dc.subjectStone Recurrenceen_US
dc.titleAttitudes of urologists on metabolic evaluation for urolithiasis: outcomes of a global survey from 57 countriesen_US
dc.typeArticleen_US

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