Urolithiasis
Conditions
Keywords
application, StoneMD, Schools of patients
Brief summary
The cumulative risk of stone recurrence rate is up to 14% at 1 year, 35% at 5 years, and 52% at 10 years. Low urine volume caused by insufficient fluid consumption is one of the most crucial risk factors for kidney stone formation. According to the guidelines, a copious fluid intake to maintain a urine volume of at least 2.0 to 2.5 L/24 h is recommended for most kidney stone formers. Patients often find it difficult to follow the recommendations in fluid intake, which leads to stone recurrence. Therefore, there is a need to improve patient compliance and adherence to following the instructions on keeping water balance. For this purpose we developed a mixed educational program including two parts. The first is the mobile application called StoneMD: Kidney Stones. The second is the School for Patients with kidney stones, which is responsible for the stone clinic effect.
Detailed description
The aim of the study is to test the hypothesis that using mixed educational program additionally to standard recommendations in patients after the first stone surgery episode helps to achieve better adherence to daily fluid intake recommendations than the using standard recommendations alone given at the day of discharge.
Interventions
DEVICEStoneMD
StoneMD - is an app from App Store (for iOS) or Google Play (for Android).
BEHAVIORALSchools of Patients
The Schools for Patients with Urolithiasis is an online course for patients with urinary stone disease.
BEHAVIORALStandard recommendation
Only fluid balance recommendations given at the day of discharge.
Sponsors
Gadzhiev Nariman
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
In case of presence/absence of inclusion/exclusion criteria and written informed consent will be obtained, patients will be randomized in a 1:1:1 ratio according to the list of randomized blocks using a computer generator. Patients will be randomized at the last available moment in order to minimize bias.
Eligibility
Sex/Gender
ALL
Age
40 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Low risk recurrence group patients; * Patients after the first stone surgery;
Exclusion criteria
* Recurrent cases of stone formation; * Patients, who do not have smartphones; * Patients, who can't visit Schools for Patients with kidney stone disease;
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Volume of daily urine | 12 month after the surgery | The primary outcome will be measured in the lab in international units of measurement |
| Concentration of creatinine in daily urine | 12 month after the surgery | The primary outcome will be measured in the lab in international units of measurement |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Likert scale questionnaire scores | 12 month | Likert scale questionnaire of the usefulness of the app StoneMD and Schools for patients. Higher scores means a better outcome. |
Countries
Russia
Contacts
Primary ContactVitalii Gelig, MD
Outcome results
None listed