α-Blockers for uncomplicated ureteric stones

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dc.contributor University of Helsinki, University of Helsinki en
dc.contributor University of Helsinki, HUS Abdominal Center en
dc.contributor.author Vermandere, Mieke
dc.contributor.author Kuijpers, Ton
dc.contributor.author Burgers, Jako S.
dc.contributor.author Kunnamo, Ilkka
dc.contributor.author van Lieshout, Jan
dc.contributor.author Wallace, Emma
dc.contributor.author Vlayen, Joan
dc.contributor.author Schoenfeld, Elizabeth
dc.contributor.author Siemieniuk, Reed A.
dc.contributor.author Trevena, Lyndal
dc.contributor.author Zhu, Xiaoye
dc.contributor.author Verermen, Francis
dc.contributor.author Neuschwander, Ben
dc.contributor.author Dahm, Philipp H.
dc.contributor.author Tikkinen, Kari A. O.
dc.contributor.author Aubrey-Bassler, Kris
dc.contributor.author Vernooij, Robin W. M.
dc.contributor.author Aertgeerts, Bert
dc.contributor.author Bekkering, Gertrude E.
dc.date.accessioned 2019-01-11T09:28:01Z
dc.date.available 2019-01-11T09:28:01Z
dc.date.issued 2018-12
dc.identifier.citation Vermandere , M , Kuijpers , T , Burgers , J S , Kunnamo , I , van Lieshout , J , Wallace , E , Vlayen , J , Schoenfeld , E , Siemieniuk , R A , Trevena , L , Zhu , X , Verermen , F , Neuschwander , B , Dahm , P H , Tikkinen , K A O , Aubrey-Bassler , K , Vernooij , R W M , Aertgeerts , B & Bekkering , G E 2018 , ' α-Blockers for uncomplicated ureteric stones : a clinical practice guideline ' BJU International , vol. 122 , no. 6 , pp. 924-931 . https://doi.org/10.1111/bju.14457 en
dc.identifier.issn 1464-4096
dc.identifier.other PURE: 121056845
dc.identifier.other PURE UUID: 6d56fb53-3b20-44b1-bedf-3d59ddc741c6
dc.identifier.other WOS: 000454359900010
dc.identifier.other Scopus: 85052897158
dc.identifier.other ORCID: /0000-0002-1389-8214/work/52696097
dc.identifier.uri http://hdl.handle.net/10138/290318
dc.description.abstract Objective To develop an evidence-based recommendation concerning the use of alpha-blockers for uncomplicated ureteric stones based on an up-to-date Cochrane review, as the role of medical expulsive therapy for uncomplicated ureteric stones remains controversial in the light of new contradictory trial evidence. Methods We applied the Rapid Recommendations approach to guideline development, which represents an innovative approach by an international collaborative network of clinicians, researchers, methodologists and patient representatives seeking to rapidly respond to new, potentially practice-changing evidence with recommendations developed according to standards for trustworthy guidelines. Results The panel suggests the use of alpha-blockers in addition to standard care over standard care alone in patients with uncomplicated ureteric stones (weak recommendation based on low-quality evidence). The panel judged that the net benefit of alpha-blockers was small and that there was considerable uncertainty about patients' values and preferences. This means that the panel expects that most patients would choose treatment with alpha-blockers but that a substantial proportion would not. This recommendation applies to both patients in whom the presence of ureteric stones is confirmed by imaging, as well as patients in whom the diagnosis is made based on clinical grounds only. Conclusion The Rapid Recommendations panel suggests the use of alpha-blockers for patients with ureteric stones. Shared decisionmaking is emphasised in making the final choice between the treatment options. en
dc.format.extent 8
dc.language.iso eng
dc.relation.ispartof BJU International
dc.rights en
dc.subject alpha-blockers en
dc.subject ureteric stones en
dc.subject clinical practice guideline en
dc.subject MANAGEMENT en
dc.subject TAMSULOSIN en
dc.subject LOCATION en
dc.subject PASSAGE en
dc.subject SIZE en
dc.subject 3126 Surgery, anesthesiology, intensive care, radiology en
dc.title α-Blockers for uncomplicated ureteric stones en
dc.title a clinical practice guideline en
dc.type Article
dc.description.version Peer reviewed
dc.identifier.doi https://doi.org/10.1111/bju.14457
dc.type.uri info:eu-repo/semantics/other
dc.type.uri info:eu-repo/semantics/publishedVersion
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