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Letters |7 April 2015

Prevention of Recurrent Nephrolithiasis in Adults

Amy E. Krambeck, MD; John C. Lieske, MD

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TO THE EDITOR:
Qaseem and colleagues' (1) recommendation to drink at least 2 L of fluid per day and use thiazide diuretics, citrate, or allopurinol when fluids alone are insufficient mirror a recent guideline released by the American Urological Association. However, several features of the American College of Physicians' recommendations disagree with those of the American Urological Association. For example, Qaseem and colleagues do not recommend baseline evaluation of stone composition or 24-hour urine analysis for stone risk factors. Kidney stone analysis by infrared spectroscopy is relatively inexpensive; very precise; and, in our opinion, essential to properly diagnose...
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Krambeck AE, Lieske JC. Prevention of Recurrent Nephrolithiasis in Adults. Ann Intern Med. 2015;162:528–529. doi: 10.7326/L15-5074-2

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Published: Ann Intern Med. 2015;162(7):528-529.

DOI: 10.7326/L15-5074-2

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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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