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CJEM. 2018 Sep;20(5):702-712. doi: 10.1017/cem.2018.31. Epub 2018 Apr 4.

Variability of renal colic management and outcomes in two Canadian cities.

Author information

1
*Department of Emergency Medicine,University of Calgary,Calgary,AB.
2
‡Department of Emergency Medicine,University of British Columbia,Vancouver,BC.
3
§School for Population and Public Health,University of British Columbia,Vancouver,BC.
4
¶Department of Urology,University of British Columbia,Vancouver,BC.
5
ǁSection of Urology,Department of Surgery,University of Calgary,Calgary,AB.

Abstract

CLINICIAN'S CAPSULE What is known about the topic? Most ureteral stones pass spontaneously, but intervention is an option. No trials have compared conservative vs. interventional treatment. What did this study ask? We compared 60-day outcomes for ED patients with ureteral colic in Calgary and Vancouver. What did this study find? Index intervention rate was seven-fold higher in Calgary. Calgary patients had more subsequent ED revisits and hospitalizations. Adverse outcomes were associated with intervention for small stones and with non-intervention for large stones. Why does this study matter to clinicians? Conservative management of small stones and early intervention for large stones may improve system utilization and patient outcomes.

KEYWORDS:

emergency; management; outcomes; renal colic

PMID:
29615138
DOI:
10.1017/cem.2018.31

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