title: Medical management of kidney stones: AUA guideline.
abstract: OBJECTIVE
  The purpose of this guideline is to provide a clinical framework for the diagnosis, prevention and follow-up of adult patients with kidney stones based on the best available published literature.
  
  
  METHODS
  The primary source of evidence for this guideline was the systematic review conducted by the Agency for Healthcare Research and Quality on recurrent nephrolithiasis in adults. To augment and broaden the body of evidence in the AHRQ report, the AUA conducted supplementary searches for articles published from 2007 through 2012 that were systematically reviewed using a methodology developed a priori. In total, these sources yielded 46 studies that were used to form evidence-based guideline statements. In the absence of sufficient evidence, additional statements were developed as Clinical Principles and Expert Opinions.
  
  
  RESULTS
  Guideline statements were created to inform clinicians regarding the use of a screening evaluation for first-time and recurrent stone formers, the appropriate initiation of a metabolic evaluation in select patients and recommendations for the initiation and follow-up of medication and/or dietary measures in specific patients.
  
  
  CONCLUSIONS
  A variety of medications and dietary measures have been evaluated with greater or less rigor for their efficacy in reducing recurrence rates in stone formers. The guideline statements offered in this document provide a simple, evidence-based approach to identify high-risk or interested stone-forming patients for whom medical and dietary therapy based on metabolic testing and close follow-up is likely to be effective in reducing stone recurrence.
authors.affiliation: American Urological Assocation Education and Research, Inc., Linthicum, Maryland.
authors.forename: Margaret S
authors.initials: MS
authors.lastname: Pearle
authors.affiliation: American Urological Assocation Education and Research, Inc., Linthicum, Maryland.
authors.forename: David S
authors.initials: DS
authors.lastname: Goldfarb
authors.affiliation: American Urological Assocation Education and Research, Inc., Linthicum, Maryland.
authors.forename: Dean G
authors.initials: DG
authors.lastname: Assimos
authors.affiliation: American Urological Assocation Education and Research, Inc., Linthicum, Maryland.
authors.forename: Gary
authors.initials: G
authors.lastname: Curhan
authors.affiliation: American Urological Assocation Education and Research, Inc., Linthicum, Maryland.
authors.forename: Cynthia J
authors.initials: CJ
authors.lastname: Denu-Ciocca
authors.affiliation: American Urological Assocation Education and Research, Inc., Linthicum, Maryland.
authors.forename: Brian R
authors.initials: BR
authors.lastname: Matlaga
authors.affiliation: American Urological Assocation Education and Research, Inc., Linthicum, Maryland.
authors.forename: Manoj
authors.initials: M
authors.lastname: Monga
authors.affiliation: American Urological Assocation Education and Research, Inc., Linthicum, Maryland.
authors.forename: Kristina L
authors.initials: KL
authors.lastname: Penniston
authors.affiliation: American Urological Assocation Education and Research, Inc., Linthicum, Maryland.
authors.forename: Glenn M
authors.initials: GM
authors.lastname: Preminger
authors.affiliation: American Urological Assocation Education and Research, Inc., Linthicum, Maryland.
authors.forename: Thomas M T
authors.initials: TM
authors.lastname: Turk
authors.affiliation: American Urological Assocation Education and Research, Inc., Linthicum, Maryland.
authors.forename: James R
authors.initials: JR
authors.lastname: White
mesh_terms: D006801:Humans; D007669:Kidney Calculi / Q000737:chemistry / Q000628:therapy*
keywords: citrate; hypercalciuria; nephrolithiasis; oxalate; urolithiasis