SMART Stone Multidisciplinary Team (MDT) and patient care : recommendations for the adult high-risk kidney stone patient pathway
Somani, Bhaskar K. (University Hospital Southampton)
Emiliani, Esteban (Institut de Recerca Sant Pau)
Knoll, Thomas (Universitätsmedizin Mannheim)
Mandrile, Giorgia (San Luigi University Hospital)
Bhojani, Naeem (Université de Montréal (Québec, Canadà))
Bin Hamri, Saeed (King Abdulaziz Medical City (Riad, Aràbia Saudita))
Bres-Niewada, Ewa (Lazarski University)
Davis, Niall F. (Royal College of Surgeons in Ireland (RCSI))
Gauhar, Vineet (Ng Teng Fong General Hospital (Singapur))
Juliebø-Jones, Patrick (Haukeland University Hospital (Bergen, Noruega))
Tzelves, Lazaros (Sismanogleio Hospital)
Ferraro, Pietro Manuel (Università degli Studi di Verona)
Rumsby, Gill (University College London Hospitals NHS Foundation Trust (Londres, Regne Unit))
Acquaviva, Cecile (CHU de Lyon)
Fuster, Daniel G. (University Hospital Bern)
Garrelfs, Sander F. (Emma Children'S Hospital)
Hamamoto, Shuzo (Nagoya City University Graduate School of Medical Sciences)
Leporati, Marta (Azienda Ospedaliera Ordine Mauriziano di Torino)
Letavernier, Emmanuel (Sorbonne Université)
Takayama, Tatsuya (International University of Health and Welfare Hospital (Japó))
Yuen, Steffi Kar Kei (The Chinese University of Hong Kong (Hong Kong, Xina))
Universitat Autònoma de Barcelona. Departament de Medicina

Date:	2025
Abstract:	The SMART Stone Multidisciplinary Team (MDT) recommendations aim to provide guidance on the role of the MDT in the early identification, referral and assessment of adult high-risk recurrent kidney stone formers to advance patient care. Recommendations were developed by the expert Steering Committee (SC) comprising of three Urologists, one Nephrologist, and two Biochemists/Geneticists from the UK, Spain, Germany, and Italy. These recommendations were voted on by invited specialists via an online survey to determine their level of agreement, from 'strongly agree' to 'strongly disagree'. With an agreement threshold set at ≥ 70%, the SC reviewed the survey results, additional comments, and any areas of disagreement before finalizing the recommendations. A total of 44 recommendations were developed by the SC designed to support the set-up of an ideal MDT. Thirteen core recommendations were chosen as being highest priority and were voted on by 29 invited specialists from 19 countries across Europe, Canada, East Asia, South/Southeast Asia, and the Middle East. All 13 core recommendations reached the ≥ 70% agreement threshold. The remaining 31 recommendations were voted on by those specialists who opted-in to partake in the extended questionnaire. Fifteen specialists provided their responses from 14 different countries. All 31 recommendations reached the ≥ 70% agreement threshold. An ideal MDT process can achieve comprehensive, high-quality, and coordinated patient care, which is especially useful for patients with complex stone diseases. A high level of agreement was reached in areas relating to the implementation of an ideal MDT in identifying high-risk stone formers.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Complex stone disease ; Consensus ; High-risk kidney stone ; Multidisciplinary team ; Patient care
Published in:	World journal of urology, Vol. 43 (April 2025) , art. 240, ISSN 1433-8726

Correction: https://ddd.uab.cat/record/327950?ln=ca
DOI: 10.1007/s00345-025-05602-8
PMID: 40261420

15 p, 1.0 MB

The record appears in these collections:
Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
Articles > Research articles
Articles > Published articles