Login to Access Video or Poster Abstract: MP95-15
Sources of Funding: None

Introduction

Nephrolithiasis is a chronic disease and stone recurrence rates can be reduced by implementing the AUA kidney stone medical management guidelines. Patient compliance to completion of the necessary laboratory studies has been low. This investigation assessed the impact of a population management program on patient compliance rate for completing the recommend serum and 24-hour urine exams.

Methods

A 3-year period (2013-2015) retrospective review of electronic medical records of patients at high risk for kidney stone recurrence was performed. The high risk patient group was defined as: stone at young age, bilateral stones, multiple stones, stones over 2 cm, recurrent stones, and malabsorptive gastrointestinal disorders. Patients at high risk for stone recurrence were referred to a registered nurse case manager who followed these individuals under this program. All patients had metabolic evaluation studies ordered by the case manager and were contacted if the test was not completed. Patient compliance rate on completion of the studies was measured annually.

Results

A total of 4,853 patients were identified with kidney stones. Of these patients, 1,302 patients were identified to be at high risk for kidney stone recurrence. Compliance with the studies were measured and summarized in Table 1.

Conclusions

Compliance to the recommended preventive kidney stone studies remains a significant challenge. A population management program can effectively improve patient compliance and improve care outcomes in patients at high risk for kidney stone recurrence.

Funding

None