nad a22 4500 551468149 20181215081819.0 cr unu---uuuuu 181215e201901 xx s 000 0 eng 10.5167/uzh-159405 doi 10.1097/MOU.0000000000000562 doi (ZORA)oai:www.zora.uzh.ch:159405 610 ddc 30325869 pmid De Coninck Vincent Metabolic evaluation: who, when and how often [Elektronische Daten] [Vincent De Coninck, Etienne Xavier Keller, Olivier Traxer] openAccess eu-repo PURPOSE OF REVIEW To summarize recommendations of the guidelines of the American Urological Association and European Association of Urology, and our opinion on which urinary tract stone disease patients should be metabolically evaluated at which moment and how often. RECENT FINDINGS A standard metabolic evaluation should be performed in all stone formers to prevent recurrent disease. This includes a medical and lifestyle history, physical examination, basic urine and blood analysis, radiological examination and stone analysis. The latter should already be performed during surgery, especially when only a couple of fragments are sent for analysis. Supplementary, performing a 24-h urine analysis should be supported in all patients to understand the lithogenic process that will guide the according follow-up. When risk factors are found, an extended individualized metabolic evaluation should be performed to exclude underlying metabolic diseases and to start stone-specific recurrence prevention. SUMMARY Urologists should be trained in perioperative stone characterization, because it contains information of urinary environment at the times of stone formation and growth. The extensiveness and frequency of metabolic work-up and follow-up of stone formers should be tailored to the type of stone, severity of the disease, patient's comorbidities and medications. Urological Clinic zora Keller Etienne Xavier joint author Traxer Olivier joint author Current Opinion in Urology 29(1):52-64 https://www.zora.uzh.ch/id/eprint/159405/1/Metabolic_evaluation___who%2C_when_and_how_often.10.pdf text/html WWW-Backlink auf das Repository 1 Journal Article PeerReviewed zora ZORA 856 40 https://www.zora.uzh.ch/id/eprint/159405/1/Metabolic_evaluation___who%2C_when_and_how_often.10.pdf text/html WWW-Backlink auf das Repository ZORA 100 1- De Coninck Vincent ZORA 700 1- Keller Etienne Xavier joint author ZORA 700 1- Traxer Olivier joint author ZORA 773 0- Current Opinion in Urology 29(1):52-64 BK010053 XK010053 XK010000 ZORA ZORA ZORA Journal Article openAccess