Evidence map›Paper›PMID 37341368›Full record

ArticleUrology practice2023

Associations Between Provider Specialty and Use of Follow-up Testing Among Patients on Preventive Pharmacological Therapy for Urinary Stone Disease.

Joseph J Crivelli, Phyllis L Yan, Vahakn Shahinian, Ryan S Hsi, John M Hollingsworth

Abstract read
In one paragraph

Article in Urology practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

5 authors.

Joseph J CrivelliDepartment of Urology, University of Alabama at Birmingham Heersink School of Medicine and Birmingham Veterans Affairs Medical Center, Birmingham, Alabama.ORCID 0000-0001-6140-279X
Phyllis L YanDow Division of Health Services Research, Department of Urology, University of Michigan Medical School, Ann Arbor, Michigan.
Vahakn ShahinianDow Division of Health Services Research, Department of Urology, University of Michigan Medical School, Ann Arbor, Michigan.
Ryan S HsiDepartment of Urology, NorthShore University Health System, Evanston, Illinois.
John M HollingsworthDepartment of Urology, NorthShore University Health System, Evanston, Illinois.

Funding

Real-world effectiveness of preventive pharmacological therapy for patients with kidney stonesR01DK121709 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HOLLINGSWORTH, JOHN MALCOLM, SHAHINIAN, VAHAKN B · 2020 to 2024
$3.0M
NIDDK NIH HHS R01 DK121709
6 · The paper itself

Abstract

introductionThe AUA Medical Management of Kidney Stones guideline outlines recommendations on follow-up testing for patients prescribed preventive pharmacological therapy. We evaluated adherence to these recommendations by provider specialty.

methodsUsing claims data from working-age adults with urinary stone disease (2008-2019), we identified patients prescribed a preventive pharmacological therapy agent (a thiazide diuretic, alkali citrate therapy, allopurinol, or a combination thereof) and the specialty of the prescribing physician (urology, nephrology, and general practice). Next, we identified patients who completed a 24-hour urine collection prior to their prescription fill. We then measured adherence to 3 recommendations outlined in the AUA guideline. Finally, we fit multivariable logistic regression models evaluating associations between prescribing provider specialty and adherence to recommended follow-up testing.

resultsAmong 2,600 patients meeting study criteria, 1,523 (59%) adhered to ≥1 follow-up testing recommendation, with a significant increase over the study period. Nephrologists had higher odds of adherence to ≥1 follow-up test compared to urologists (odds ratio, 1.52; 95% confidence interval, 1.19-1.94;

conclusionsFollowing initiation of preventive pharmacological therapy, adherence to guideline-recommended follow-up testing was low overall. There exist meaningful specialty-specific differences in the use of this testing.

Indexed as

General PracticeKidney CalculiUrinary CalculiUrolithiasisUrologic DiseasesAdultFollow-Up StudiesHumansfollow-up studiesmetabolismtertiary preventionurolithiasis

Identifiers

PMID37341368
PMCPMC10313156

What OpenQuestion holds

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Registered trials

None linked

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.