Appropriateness Criteria for Ureteral Stent Omission following Ureteroscopy for Urinary Stone Disease.

ABSTRACT:

Objective

To bridge the gap between evidence and clinical judgement, we defined scenarios appropriate for ureteral stent omission after uncomplicated ureteroscopy (URS) using the RAND/UCLA Appropriateness Method (RAM). We retrospectively assessed rates of appropriate stent omission, with the goal to implement these criteria in clinical practice.

Methods

A panel of 15 urologists from the Michigan Urological Surgery Improvement Collaborative (MUSIC) met to define uncomplicated URS and the variables that influence stent omission decision-making. Over two rounds, they scored clinical scenarios for Appropriateness Criteria (AC) for stent omission based on a combination of variables. AC were defined by median scores: 1 to 3 (inappropriate), 4 to 6 (uncertain), and 7 to 9 (appropri

SUBMITTER: Hiller SC 

PROVIDER: S-EPMC9432824 | biostudies-literature | 2022 May

REPOSITORIES: biostudies-literature