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Kidney stone disease has become a common phenomenon in the US and Europe with a growing incidence of about 10%. Life style and dietary changes have a cardinal part in kidney stone prevention. Therefore it was only natural to determine the impact of the addition of a nutritionist to a stone clinic run by a urologist and a nephrologist.
Kidney stone disease has become a common phenomenon in the US and Europe with a growing incidence of about 10%. A history of kidney stone disease has also been connected to cardiovascular and renal insufficiency events to a point that kidney stones is looked at today as a systemic predictor of hypertension, cardiovascular disease and more.
Seeing the importance of these risk factors we initiated a stone clinic for our kidney stone patients several years ago run jointly by a urologist and a nephrologist. Seeing that life style and dietary changes have a cardinal part in kidney stone prevention, it was only natural to determine the impact of the addition of a nutritionist to a stone clinic run by a urologist and a nephrologist on our patient parameters.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Test group | 100 Patients that were referred to our stone clinic for follow up with risk factors for stone recurrence like metabolic syndrome and diabetes, uric acid stones etc. In addition to seeing our urologist and nephrologist these patients will also be referred to a nutritionist in order to balance risk factors and will be followed for one year with our usual blood tests and imaging |
| |
| Control group | 100 Patients that were referred to our stone clinic for follow up without risk factors for stone recurrence will see our urologist and nephrologist and will be followed for one year with our usual blood tests and imaging |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dietary recommendations | Behavioral | The test group will be seen by a nutritionist and will receive specific dietary recommendations according to their specific comorbidities and drugs |
| Measure | Description | Time Frame |
|---|---|---|
| 24h Urine collection results | to follow changes in the 24 hour urine collection results that are routinely taken as part as follow up: volume in millilitres; calcium, oxalate, magnesium, phosphorus sodium and potassium in mg/day; | Through study completion, an average of 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Weight | weight in kilograms | Through study completion, an average of 1 year |
| Height | Height in meters | Through study completion, an average of 1 year |
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Inclusion Criteria:
Exclusion Criteria:
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Patients18 yo and older referred to out kidney stone clinic
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Carmel Lady Davis Medical Center | Haifa | Israel |
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| ID | Term |
|---|---|
| D007669 | Kidney Calculi |
| ID | Term |
|---|---|
| D053040 | Nephrolithiasis |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
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| BMI | Calculated BMI using the above weight and height | Through study completion, an average of 1 year |
| Creatinin in mg/dl | Lab results | Through study completion, an average of 1 year |
| Calcium in mg/dl | Lab results | Through study completion, an average of 1 year |
| sodium in mg/dl | Lab results | Through study completion, an average of 1 year |
| potassium in mg/dl | Lab results | Through study completion, an average of 1 year |
| D005261 |
| Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052878 | Urolithiasis |
| D014545 | Urinary Calculi |
| D052801 | Male Urogenital Diseases |
| D002137 | Calculi |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |