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Thought Leadership

Dornier 0122 Thought Leadership Early Surgical Intervention Vfa Fb

When Is Surgical Intervention of Kidney Stones Necessary?

Early surgical intervention is important for removing obstructive kidney stones. However, when dealing with smaller stones, it may be better to leave them alone.

According to Innes et al, early intervention of smaller stones (<5mm) leads to a 14% increase in treatment failure compared with spontaneous passage*. Patients who are older, female, prone to hydronephrosis and have proximal stones are also at higher risk of treatment failure.

Sources:
Which Patients Should Have Early Surgical Intervention for Acute Ureteral Colic?

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D Thoughtleadership Femaleurologist Fb

Gender Bias in Urology

Despite growing patient demand, urology has consistently struggled to recruit and retain female urologists. A recent interview in the Urology Times suggests that gender biases may be a driving factor.

According to Dr Jennifer Miles-Thomas, M.D., female urologists are often the subject of offensive comments and gender-stereotypic perceptions at work*.

Listening actively and developing a retention strategy are some ways that urology practices can help women tackle these unseen barriers!

*Source:
Dr. Jennifer Miles-Thomas addresses the gender gap in urology

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Dornier Feb 22 Pp Parentswithks Fb

The Importance Of Treating Kidney Stones Promptly

Kidney stones can strike at the most unexpected time, and some parents from our kidney stone patient community have been delaying treatment due to a lack of childcare arrangements.

Studies have shown that patients who delay treatment by more than 45 days are up to 15 times more likely to have an unplanned clinic visit, and 5 times more likely to develop infections*. Offering some flexibility in treatment scheduling can help to ease patients’ stress and help them to receive timely care.

*Source:
MP75-15 The Consequences Of Delaying Stone Treatment

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D Thoughtleadership Feb 22 Kidneystonecasesinus Fb (1)

Kidney Stone Cases in the U.S. Much Higher Than Expected

A recent NHANES study found significantly more symptomatic stone cases in the U.S than expected, with a 12-month incidence rate of 2.1% — double that of year 2000!​

A rapidly expanding kidney stone patient population would require more healthcare resources, as emergency department visits and demand for treatments surge. Understanding patients’ needs will help urologists allocate resources more effectively.​

Download the 2022 Global Urology Survey report to find out more.

*Sources:
Direct and indirect costs of nephrolithiasis in an employed population: opportunity for disease management?
US Kidney Stone Rate Higher Than Expected

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Dornier 1221 Vfa Flat Image Pp12 Osteoporosis Fb Li

Osteoporosis Patients and Kidney Stones

Osteoporosis patients are typically treated with Denosumab injections (e.g. Prolia), which can cause hypocalcemia. As such, patients are often prescribed calcium and vitamin D supplements. However, these supplements can promote stone formation*, and some patients in our community have developed more stones as a result.

*Source:
Vitamin D, Calcium, or Combined Supplementation for the Primary Prevention of Fractures in Community-Dwelling Adults: US Preventive Services Task Force Recommendation Statement

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