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Eric M Ghiraldi1, Leonard E Braitman2, Justin I Friedlander3

  • 1Einstein Healthcare Network, Department of Urology, Philadelphia, PA.

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Summary
This summary is machine-generated.

Patients over 50, those with metabolic stone predisposition, and those not undergoing surgery were more likely to complete 24-hour urine collections. Not having surgery strongly predicted compliance with this kidney stone diagnostic test.

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Area of Science:

  • Urology
  • Nephrology
  • Medical Comorbidities

Background:

  • Urolithiasis management requires accurate metabolic evaluation.
  • 24-hour urine collection is crucial for identifying metabolic risk factors.
  • Patient compliance with 24-hour urine collection can be a barrier to comprehensive stone evaluation.

Purpose of the Study:

  • To determine factors predicting patient compliance with 24-hour urine collection.
  • To identify demographic, comorbidity, and treatment-related predictors of compliance.
  • To develop a predictive model for 24-hour urine sample submission in urolithiasis patients.

Main Methods:

  • Retrospective review of urolithiasis patient records (August 2014 - March 2017).
  • Inclusion of patient demographics, medical characteristics, stone factors, and treatment type.
  • Bivariate analysis to identify significant variables, followed by model formulation.

Main Results:

  • 183 of 303 patients (60.4%) submitted a 24-hour urine collection.
  • Older age (>50), metabolic predisposition for stones, and not undergoing surgery were associated with higher compliance.
  • A predictive model identified 'not undergoing surgery' as a significant predictor of compliance.

Conclusions:

  • Patient perception of treatment (surgery vs. conservative) may influence compliance.
  • Enhanced patient education on stone natural history and metabolic management is vital.
  • Improving compliance with 24-hour urine collection is essential for effective nephrolithiasis prevention.