How the lack of consensus among stone researchers influences current guidelines

Technology for the treatment of stone disease has rapidly advanced, but a common nomenclature to communicate research and high-quality studies to assess treatment outcomes are lacking. Thus, guidelines are based on low-grade evidence and cannot make definitive recommendations in many scenarios. To improve clinical practice and patient outcomes, the endourology community must unite to address these inadequacies.

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Correspondence to Amy Elizabeth Krambeck.

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A.E.K. is a consultant for Boston Scientific and Lumenis, the data safety monitoring chair for SonoMotion, and a panel member of the American Urological Association (AUA) guidelines for the surgical management of stone disease and the revision of the AUA guidelines for the metabolic management of stone disease. C.U.N. declares no competing interests.

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Nottingham, C.U., Krambeck, A.E. How the lack of consensus among stone researchers influences current guidelines. Nat Rev Urol 17, 483–484 (2020). https://doi.org/10.1038/s41585-020-0317-9

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