24-Hour urine collection for first time pediatric stone formers: Is it worth it?

24-h urine collections are recommended for motivated first-time stone formers. Given that children have a lifetime potential for recurrences, metabolic work-up has been recommended. 24-hour urine collections can be problematic, especially in children. We sought to study the benefits of 24-h urine co...

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Bibliographic Details
Published in:Journal of pediatric urology 2021-06, Vol.17 (3), p.387.e1-387.e7
Main Authors: Carnes, Kevin, Howe, Adam, Feustel, Paul J., Listman, James A., White, Mark, Kogan, Barry A.
Format: Article
Language:English
Subjects:
24-Hour urine collection
Adolescent
Child
Citric Acid
Humans
Hypercalciuria
Hypocitraturia
Kidney Calculi - diagnosis
Pediatric nephrolithiasis
Recurrence
Retrospective Studies
Risk Factors
Urine Specimen Collection
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Summary:24-h urine collections are recommended for motivated first-time stone formers. Given that children have a lifetime potential for recurrences, metabolic work-up has been recommended. 24-hour urine collections can be problematic, especially in children. We sought to study the benefits of 24-h urine collections in children with stones. We performed a single center, retrospective chart review of the most recent pediatric nephrolithiasis patients under age 18 at our center who supplied their first 24-h urine collection. We assessed whether 24-h urine results led to a change in management and if those patients were adherent to the recommendations. Seventy pediatric nephrolithiasis patients who had 24-h urine collection were reviewed. Recommendations other than standard dietary and fluid intake changes were made in 8/70 (11%). A low citrate/calcium ratio (327 vs. 525, p 
ISSN:1477-5131
1873-4898
DOI:10.1016/j.jpurol.2020.12.001