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Lithotripsy

[+] Article and Author Information

Grant support: The development of this paper by the Clinical Efficacy Assessment Project was funded by the John A. Hartford Foundation.

▸Requests for reprints should be addressed to Linda Johnson White; Clinical Efficacy Assessment Project, Department of Health and Public Policy, American College of Physicians, 4200 Pine Street; Philadelphia, PA 19104.


© 1985 American College of PhysiciansAmerican College of Physicians


Ann Intern Med. 1985;103(4):626-629. doi:10.7326/0003-4819-103-4-626
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Urolithiasis is a common problem causing considerable morbidity and medical care costs. The annual incidence of clinical stone disease is approximately 1 per 1000 in the adult population; about 1 in 10 Americans will require treatment for a stone during his or her lifetime (1-3). Recurrences are common, occurring among 20% to 50% of patients within a 5-year period (4-6). Fortunately, most stones are small enough to pass spontaneously (5-7). In such cases, the major costs are indirect, due to the substantial morbidity produced in an otherwise healthy, productive segment of the population (most first episodes occur between 30 and

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