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Letters |7 April 2015

Prevention of Recurrent Nephrolithiasis in Adults

Amir Qaseem, MD, PhD; Howard A. Fink, MD, MPH; Thomas D. Denberg, MD, PhD

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Dr. Bell raises an important issue and suggests that the American College of Physicians should offer guidance on what drugs to use under specific circumstances. We acknowledge in the guideline that biochemistry suggests a link between the mode of action of the various drugs and stone type. However, results were mixed about whether baseline biochemistry measures predicted treatment effectiveness for reducing the risk for stone recurrence or for the efficacy of dietary or pharmacologic treatments compared with placebo or controls for recurrent stone outcomes. In addition, no randomized, controlled trials compared risk for stone recurrence according to follow-up...
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Qaseem A, Fink HA, Denberg TD. Prevention of Recurrent Nephrolithiasis in Adults. Ann Intern Med. 2015;162:529. doi: https://doi.org/10.7326/L15-5074-3

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

DOI: 10.7326/L15-5074-3

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

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