Urinary Stone Disease: Advancing Knowledge, Patient Care, and Population Health.

Published

Journal Article (Review)

Expanding epidemiologic and physiologic data suggest that urinary stone disease is best conceptualized as a chronic metabolic condition punctuated by symptomatic, preventable stone events. These acute events herald substantial future chronic morbidity, including decreased bone mineral density, cardiovascular disease, and CKD. Urinary stone disease imposes a large and growing public health burden. In the United States, 1 in 11 individuals will experience a urinary stone in their lifetime. Given this high incidence and prevalence, urinary stone disease is one of the most expensive urologic conditions, with health care charges exceeding $10 billion annually. Patient care focuses on management of symptomatic stones rather than prevention; after three decades of innovation, procedural interventions are almost exclusively minimally invasive or noninvasive, and mortality is rare. Despite these advances, the prevalence of stone disease has nearly doubled over the past 15 years, likely secondary to dietary and health trends. The NIDDK recently convened a symposium to assess knowledge and treatment gaps to inform future urinary stone disease research. Reducing the public health burden of urinary stone disease will require key advances in understanding environmental, genetic, and other individual disease determinants; improving secondary prevention; and optimal population health strategies in an increasingly cost-conscious care environment.

Full Text

Duke Authors

Cited Authors

  • Scales, CD; Tasian, GE; Schwaderer, AL; Goldfarb, DS; Star, RA; Kirkali, Z

Published Date

  • July 2016

Published In

Volume / Issue

  • 11 / 7

Start / End Page

  • 1305 - 1312

PubMed ID

  • 26964844

Pubmed Central ID

  • 26964844

Electronic International Standard Serial Number (EISSN)

  • 1555-905X

International Standard Serial Number (ISSN)

  • 1555-9041

Digital Object Identifier (DOI)

  • 10.2215/CJN.13251215

Language

  • eng