Ashley J Housten, Geetanjali R Kamath, Therese B Bevers, Scott B Cantor, Nickell Dixon, Andre Hite, Michael A Kallen, Viola B Leal, Liang Li, Robert J Volk
Does Animation Improve Comprehension of Risk Information in Patients with Low Health Literacy? A Randomized Trial
Medical decision making : an international journal of the Society for Medical Decision Making
management asymptomatic kidney stones ongoing debate followup treatment guidelines based lowlevel evidence aim evaluate current management asymptomatic urinary stones 70question survey designed collaboration european association urology young academic urologists section urotechnology section urolithiasis groups distributed responders filled hypothetical scenarios 2 perspectives either treating physicians patients total 212 4001 responses obtained median responder age 39 years 75 responders interested urolithiasis 825 never experienced renal colic 896 never undergone urolithiasis treatmentoverall kidney stone scenarios got complicated invasiveness treatment preference increased physician responders preferred conservative option situations would choose patient ureteral stones conservative approach preferred small stones ureteroscopy became preferred stone size increasedfor smaller kidney stones preferred followup schedule 46 monthly whereas larger complicated stones 03 monthly perspectives respectively ureteral stone scenarios 04 weekly followup mostly preferredinterestingly renal colic independent predictor interventional approach whereas intervention independent predictor conservative approach current treatment followup patterns asymptomatic urinary stones agreement international guidelines symptomatic stonesin urolithiasis situations urologists chose conservative approach patients compared would prefer conversely urologists scenarios patient would like frequent followup schedule stones compared would followup patients