AB019. SOH24AB_241. A closed-loop audit of metabolic stone profiling and analysis at Limerick University Hospital for improved guideline adherence in nephrolithiasis management
Urology Session

AB019. SOH24AB_241. A closed-loop audit of metabolic stone profiling and analysis at Limerick University Hospital for improved guideline adherence in nephrolithiasis management

Mohamed Basher, Ayazz Ali Sajjad, Lugman Ahmed, Ahmed Ahmed, Mohamed Zeid, Mohammed Abdelrahman, Mustafa Mohamed, Wael Alarofi, Silviu David, Thomas Jacob, Mamoun Abdelrahman, Numan Nab, Adrian Cham, Subhasis Giri

Urology Department, Limerick University Hospital, Dooradoyle, Limerick, Ireland

Background: The management of nephrolithiasis, a condition with a notably high recurrence risk, is guided by the European Association of Urology (EAU) recommendations that a comprehensive metabolic evaluation to prevent future episodes. This audit aimed to assess the adherence to these guidelines.

Methods: In a retrospective review, we assessed 30 patients in the first cycle and 40 patients in the second cycle, all of whom presented with nephrolithiasis. We evaluated the completion of the metabolic stone profile and conducted stone analysis.

Results: The first cycle revealed that only 4 out of 30 patients (13%) promptly received the full metabolic profile, and stone analysis was completed in 16 out of 30 cases (53%). In response to these findings, targeted interventions, including protocol refinement and enhanced staff education, were implemented. The follow-up second cycle, spanning three months, showed marked improvements, with 26 out of 40 patients (65%) undergoing metabolic profiling, and stone analysis performed for 25 out of 40 patients (62.5%). These findings indicate a positive shift towards guideline compliance.

Conclusions: The audit not only highlights the initial gaps in the hospital’s adherence to guidelines but also demonstrates the efficacy of the implemented improvements. Therefore, there is a need for continued evaluation, protocol refinement, and educational efforts to maintain and enhance guideline adherence in the clinical management of nephrolithiasis.

Keywords: Nephrolithiasis; stone profile; guideline adherence; European Association of Urology (EAU); stone analysis

Acknowledgments

Funding: None.

Footnote

Conflicts of Interest: The authors have no conflicts of interest to declare.

Ethical Statement: The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/.

doi: 10.21037/map-24-ab019
Cite this abstract as: Basher M, Sajjad AA, Ahmed L, Ahmed A, Zeid M, Abdelrahman M, Mohamed M, Alarofi W, David S, Jacob T, Abdelrahman M, Nab N, Cham A, Giri S. AB019. SOH24AB_241. A closed-loop audit of metabolic stone profiling and analysis at Limerick University Hospital for improved guideline adherence in nephrolithiasis management. Mesentery Peritoneum 2024;8:AB019.

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