Evidence map›Paper›PMID 27573100›Full record

ArticleUrolithiasis2017

Renal stone clinic survey: calcium stone formers' self-declared understanding of and adherence to physician's recommendations.

Bernhard Hess

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Urolithiasis, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04169165 (How to Improve Patient Compliance for Metabolic Evaluation and Medical & Dietary Prophylaxis in Calcium Stone Patients?), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04169165 unknown statusnot on this mapstarted 2020, after this paper: background citation

How to Improve Patient Compliance for Metabolic Evaluation and Medical & Dietary Prophylaxis in Calcium Stone Patients?

Typeobservational_patient_registrySponsorEULIS Colloborative Research Working GroupRan2020 to 2021Enrolled500ConditionsKidney Calculi, Nephrolithiasis, Patient Compliance, Calcium Oxalate Urolithiasis
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

Bernhard HessInternal Medicine and Nephrology, Kidney Stone Center Zurich, Klinik Im Park, Bellariastrasse 38, 8038, Zurich, Switzerland. bernhard.hess@hirslanden.ch.
Hirslanden Klinik Im Park · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nothing is known about how well stone formers understand physician's explanations of stone formation, and a few data are available on adherence to provided recommendations. In this study, two groups of recurrent calcium stone formers (RCSFs) were compared. Group 1: 153 consecutive RCSF (118 men, 35 women) referred 1/2011-6/2014. At least 3 months after a 60-75 min consultation explaining metabolic evaluation and therapeutic measures, RCSF received a questionnaire by mail, regarding understanding of stone formation and adherence to therapeutic recommendations (diet, lifestyle, drug treatment). Response rate was 62 %. Group 2 (control): 81 consecutive RCSFs referred 7/2014-3/2016 (60 men, 21 women) were asked to answer the same questionnaire in the stone center while waiting for their follow-up consultation 3 months after starting prevention; response rate was 100 %. Alkali citrate was prescribed in 45 %. Answer sheets were analyzed anonymously, and frequencies of answers were compared by Chi-square test.

results67 % (group 1) and 62 % (group 2) indicated >80 % understanding of the given information (NS). Over 80 % adherence to recommendations occurred in 26 and 30 % (NS). Most frequent changes in dietary/lifestyle habits were increases in calcium (93 vs. 89 %) and fluid intakes (81 vs. 78 %); lowering psychosocial stress (23 vs. 24 %) was least popular. Adherence to 100 % on 6-7 days/week was significantly more frequent for medication than for dietary/lifestyle interventions, both in group 1 (84 vs. 24 %, p < 0.001) and group 2 (91 vs. 28 %, p < 0.001).

conclusions(1) results do not differ whether RCSFs are voluntarily participating by mail or asked to answer questionnaires in the stone clinic; (2) pathophysiologic explanations of stone disease are understood to >80 % by 2/3 of RCSFs; (3) after 3 months, perfect adherence to recommended treatment is more frequent on alkali citrate than on dietary/lifestyle measures; and (4) increasing calcium and fluid intake are the most popular dietary measures.

Indexed as

Calcium Chelating AgentsCalcium, DietaryCalcium OxalateCalcium PhosphatesCitric AcidFemaleHealth LiteracyHealthy LifestyleHumansKidney CalculiMalePatient CompliancePhysician-Patient RelationsRecurrenceReferral and ConsultationSelf ReportCalcium Chelating AgentsCalcium, DietaryCalcium Oxalatecalcium phosphateCalcium PhosphatesCitric AcidAdherence to dietAdherence to medicationAlkali citrateMetabolic evaluationPatients’ understanding of physicians’ adviceRenal stone clinic

Identifiers

PMID27573100
OpenAlexW2517827311

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.