ArticleUrology2026
Laboratory Abnormalities Associated With the Use of Preventive Pharmacological Therapy for Urinary Stone Disease.
Article in Urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
objectiveTo define the risk of laboratory abnormalities associated with commonly prescribed medications in the context of urinary stone disease (USD). MATERIALS AND
methodsWe used the Veterans Health Administration Corporate Warehouse to identify adults ≥ 18 years with an index episode of USD. The development of laboratory abnormalities for those ever versus never on preventive pharmacological therapy was then compared using separate Cox proportional hazards regression models for each laboratory abnormality-drug class combination, adjusting for baseline patient characteristics and time-varying medication use over the study period. To provide a sense for absolute risk, we then used the models to estimate 2-year predicted probabilities of developing a laboratory abnormality for each.
resultsThiazide use was associated with a risk of: hypokalemia (hazard ratio [HR], 2.85; 95% confidence interval [CI], 2.66-3.05), hyponatremia (HR 1.41, 95% CI: 1.24-1.60), and hypercalcemia (HR 2.04, 95% CI: 1.70-2.46). Potassium citrate was associated with a risk of hyperkalemia (HR 1.44, 95% CI: 1.23-1.69). Allopurinol was associated with a risk of cytopenia (HR 1.17, 95% CI: 1.02-1.33). No significant association was observed between thiazide use and hyperglycemia or allopurinol use and transaminitis. The greatest absolute risk was for hypokalemia with thiazide use: a 2-year predicted probability of 17.3%.
conclusionPreventive pharmacological therapy for USD is associated with an increased risk of a variety of laboratory abnormalities, with the greatest absolute risk being hypokalemia with thiazides at over 1 in 6 patients. The study findings provide guidance for laboratory monitoring while on these therapies.
Indexed as
Identifiers
What OpenQuestion holds
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.