The Urological Association of Asia clinical guideline for urinary stone disease
The Urological Association of Asia clinical guideline for urinary stone disease
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DOI：
10.1111/iju.13957
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发表时间：
2019-07-01
影响因子：
2.6
通讯作者：
Yasui, Takahiro
中科院分区：
文献类型：
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作者：
Taguchi, Kazumi;Cho, Sung Yong;Yasui, Takahiro
亚洲泌尿外科协会自1990年成立以来，由25个成员协会和一个附属成员组成，计划为所有泌尿外科领域制定亚洲指南。结石病领域是其指导性项目的第三个。由于不同的气候，社会，经济和种族环境，泌尿系结石疾病的临床实践在亚洲国家之间存在很大差异。亚洲泌尿外科协会泌尿系结石疾病临床指南委员会成员进行了一项监测研究，以更好地了解不同地区治疗策略的多样性，并通过PubMed和MEDLINE数据库进行了1966年至2017年的系统性文献综述。根据相关策略决定每个管理层的证据等级和建议等级。所有委员会成员及其同事都对每个临床问题和答案进行了全面审查和讨论，并听取了美国泌尿外科协会和欧洲泌尿外科协会专家代表的建议。然而，我们专注于患者的务实护理和我们自己在亚洲的证据，其中包括最近的手术趋势，如小型经皮肾镜取石术和内窥镜联合肾内手术。该指南涵盖了结石病的所有领域，从病因到复发预防。在这里，我们提出了一个简短的总结指南的第一版-包括43个临床问题-并概述其关键的实际问题。
The Urological Association of Asia, consisting of 25 member associations and one affiliated member since its foundation in 1990, has planned to develop Asian guidelines for all urological fields. The field of stone diseases is the third of its guideline projects. Because of the different climates, and social, economic and ethnic environments, the clinical practice for urinary stone diseases widely varies among the Asian countries. The committee members of the Urological Association of Asia on the clinical guidelines for urinary stone disease carried out a surveillance study to better understand the diversity of the treatment strategy among different regions and subsequent systematic literature review through PubMed and MEDLINE database between 1966 and 2017. Levels of evidence and grades of recommendation for each management were decided according to the relevant strategy. Each clinical question and answer were thoroughly reviewed and discussed by all committee members and their colleagues, with suggestions from expert representatives of the American Urological Association and European Association of Urology. However, we focused on the pragmatic care of patients and our own evidence throughout Asia, which included recent surgical trends, such as miniaturized percutaneous nephrolithotomy and endoscopic combined intrarenal surgery. This guideline covers all fields of stone diseases, from etiology to recurrence prevention. Here, we present a short summary of the first version of the guideline - consisting 43 clinical questions - and overview its key practical issues.