PubMed Health⌕ Search

PubMed · 12522585

A complementary approach to urolithiasis prevention.

Abstract

About one-half million adults in the United States experience a renal stone each year, about two hundred thousand of whom are hospitalized; the lifetime incidence of renal stones in men is about ten percent. Risk factors for stone formation include a positive family history, nutritional factors (excessive intake of animal protein, fat, sugar, oxalates, colas, alcohol, caffeine, salt, and vitamin D), nutritional deficiencies (water, magnesium, calcium, potassium, and vitamin B6), lifestyle factors (physical inactivity and problematic pharmaceuticals), and associated disease states (osteoporosis, parathyroid problems, osteoporosis, gout and recurrent urinary tract infections). The chemical makeup of the stone is important since prevention of recurrences varies somewhat depending on the type of stone involved. The outline of preventive steps holds the potential for preventing recurrence in the vast majority of cases.

Explore related subjects

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

Robert A Anderson. 2002-10-17. A complementary approach to urolithiasis prevention.. https://doi.org/10.1007/s00345-002-0294-z

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

Complementary and alternative medicine for noncancer pain.

In summary, the past several years have shown an increase in the quality of trials examining the clinical efficacy of various CAM modalities for pain conditions. There is still need to raise the quality of the studies from a scientific and methodological point of view in many areas of CAM research by randomization, appropriate sample size, blinding, and developing more sophisticated sham procedures. However, much work still has to be done to find ways to preserve the clinical authenticity of CAM treatment methods when brought into the light of a research protocol. Recent attempts have been made to find a method of maintaining the standardization and reproducibility of research protocols while allowing the kind of flexible treatment that would normally be applied in a clinical setting. Other questions that should be answered with future studies include understanding how treatment length influences outcome, if maintenance treatments are needed for chronic conditions, and cost and risk comparisons with standard pharmacological treatment. Providing this kind of detail will assist both with reproducibility as well as help us gain a better understanding about whether certain treatment paradigms are superior to others for specific clinical conditions. Finally, physicians who have an interest in pursuing CAM research should educate themselves both about the methodological issues inherent with the particular area of interest as well as about ways to maintain the authenticity of the CAM treatment protocols so that the literature is not populated with more poorly designed studies. With the emerging interest in integrative medicine, there is a growing interest in collaboration and a greater number of physicians are interested in obtaining training in CAM modalities to help bridge this gap between CAM and conventional clinicians. For example, the American Academy of Medical Acupuncturists (AAMA) has been formed to help as both an educational and research forum for physician acupuncturists and the American Holistic Medical Association provides educational exposure in a broad range of Integrative and CAM modalities. The future of medicine will likely be Integrative and the more health care providers can educate themselves about this area of medicine, the better they will be able to provide the highest quality of care to their patients.

Complementary Therapies↗