Skip to main content

Advertisement

SpringerLink
Log in

Patient compliance to dietary recommendations: tips and tricks to improve compliance rates

  • Topic Paper
  • Published:
World Journal of Urology Aims and scope Submit manuscript

Abstract

Urinary stone disease continues to be a public health problem with growing incidence and recurrences. Recurrence is nearly detected in 50% of the patients within 5 years after the first episode. However, stone recurrence rates can be reduced to a certain extent. The American Urological Association (AUA) and the European Urological Association (EAU) guidelines advice dietary, fluid intake, and medical treatment to prevent or minimize stone recurrence. However, studies have shown that compliance to dietary and fluid intake recommendations is low. Beside this, nutritional evaluation of the patients is sufficient. Using food frequency questionnaires (FFQs), 24 h recall methods (short, individual-oriented, and easily applicable) or mobile apps can be used. In addition, cooperation with registered dietitians (RD) and planning tailored dietary programmes may have positive effect on compliance. Providers who give dietary advices should improve their knowledge about the topic and communication skills to create a patient–provider trust relationship. Simplifying the advices (shorter lists, applicable advices), spending more time, and giving education until being sure for patients’ understanding with regular remindings may improve adherence. Moreover, patients increased awareness and knowledge about dietary advices are beneficial. Smart devices for fluid uptake or urine pH monitoring, mobile apps or web-based portals, and telemedicine applications can be used to maintain the compliance on dietary advices. Compliance with dietary modifications and fluid intake recommendations can be well achieved by individualized evaluation/close follow-up and the elimination of the problems limiting the patient compliance.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

Data availability

Data available on request from the authors.

References

  1. Sorokin I, Mamoulakis C, Miyazawa K, Rodgers A, Talati J, Lotan Y (2017) Epidemiology of stone disease across the world. World J Urol 35(9):1301–1320. https://doi.org/10.1007/s00345-017-2008-6

    Article  PubMed  Google Scholar 

  2. Ghani KR, Sammon JD, Karakiewicz PI, Sun M, Bhojani N, Sukumar S, Peabody JO, Menon M, Trinh QD (2013) Trends in surgery for upper urinary tract calculi in the USA using the Nationwide Inpatient Sample: 1999–2009. BJU Int 112(2):224–230. https://doi.org/10.1111/bju.12059

    Article  PubMed  Google Scholar 

  3. Scales CD, SmithHanley ACJM Jr, Saigal CS, Urologic Diseases in America Project (2012) Prevalence of kidney stones in the United States. Eur Urol 62(1):160–165. https://doi.org/10.1016/j.eururo.2012.03.0522

    Article  PubMed  PubMed Central  Google Scholar 

  4. Strohmaier WL (2000) Course of calcium stone disease without treatment. What can we expect? Eur Urol 37(3):339–344

    Article  CAS  PubMed  Google Scholar 

  5. Saigal CS, Joyce G, Timilsina AR, Urologic Diseases in America Project (2005) Direct and indirect costs of nephrolithiasis in an employed population: opportunity for disease management? Kidney İnt 68(4):1808–1814. https://doi.org/10.1111/j.1523-1755.2005.00599.x

    Article  PubMed  Google Scholar 

  6. Pearle MS, Goldfarb DS, Assimos DG, Curhan G, Denu-Ciocca CJ, Matlaga BR, Monga M, Penniston KL, Preminger GM, Turk TM, White JR, Assocation AU (2014) Medical management of kidney stones: AUA guideline. J Urol 192(2):316–324. https://doi.org/10.1016/j.juro.2014.05.006

    Article  PubMed  Google Scholar 

  7. Türk C, Petřík A, Sarica K, Seitz C, Skolarikos A, Straub M, Knoll T (2016) EAU guidelines on diagnosis and conservative management of urolithiasis. Eur Urol 69(3):468–474. https://doi.org/10.1016/j.eururo.2015.07.040

    Article  PubMed  Google Scholar 

  8. Fink HA, Akornor JW, Garimella PS, MacDonald R, Cutting A, Rutks IR, Monga M, Wilt TJ (2009) Diet, fuid, or supplements for secondary prevention of nephrolithiasis: a systematic review and meta-analysis of randomized trials. Eur Urol 56(1):72–80. https://doi.org/10.1016/j.eururo.2009.03.031

    Article  PubMed  PubMed Central  Google Scholar 

  9. Hosking DH, Erickson SB, Van den Berg CJ, Wilson DM, Smith LH (1983) The stone clinic effect in patients with idiopathic calcium urolithiasis. J Urol 130(6):1115–1118. https://doi.org/10.1016/s0022-5347(17)51711-5

    Article  CAS  PubMed  Google Scholar 

  10. Karagöz MA, Güven S, Tefik T, Gökçe Mİ, Kiremit MC, Atar FA, İbiş MA, Yitgin Y, Böyük A, Verep S, Sarıca K (2022) Attitudes of urologists on metabolic evaluation for urolithiasis: outcomes of a global survey from 57 countries. Urolithiasis 50(6):711–720. https://doi.org/10.1007/s00240-022-01362-x

    Article  PubMed  Google Scholar 

  11. Wertheim ML, Nakada SY, Penniston KL (2014) Current practice patterns of urologists providing nutrition recommendations to patients with kidney stones. J Endourol 28(9):1127–1131. https://doi.org/10.1089/end.2014.0164

    Article  PubMed  Google Scholar 

  12. Fritsche HM, Dötzer K (2012) Improving the compliance of the recurrent stone-former. Arab J Urol 10(3):342–346. https://doi.org/10.1016/j.aju.2012.07.003

    Article  PubMed  PubMed Central  Google Scholar 

  13. Kok DJ (2016) The preventive treatment of recurrent stone-formation: how can we improve compliance in the treatment of patients with recurrent stone disease? Urolithiasis 44(1):83–90. https://doi.org/10.1007/s00240-015-0842-9

    Article  PubMed  Google Scholar 

  14. Sabate E. (2003). WHO Report. Adherence to long term therapies, evidence for action. ISBN 92 4 154599 2; Geneva, Switzerland, p. 7–9

  15. Hess B (2017) Renal stone clinic survey: calcium stone formers’ self-declared understanding of and adherence to physician’s recommendations. Urolithiasis 45(4):363–370. https://doi.org/10.1007/s00240-016-0916-3

    Article  CAS  PubMed  Google Scholar 

  16. Khambati A, Matulewicz RS, Perry KT, Nadler RB (2017) Factors associated with compliance to increased fluid intake and urine volume following dietary counseling in first-time kidney stone patients. J Endourol 31(6):605–610. https://doi.org/10.1089/end.2016.0836

    Article  PubMed  Google Scholar 

  17. Parks JH, Asplin JR, Coe FL (2001) Patient adherence to long-term medical treatment of kidney stones. J Urol 166(6):2057–2060

    Article  CAS  PubMed  Google Scholar 

  18. Robertson WG (2006) Is prevention of stone recurrence financially worthwhile? Urol Res 34(2):157–161. https://doi.org/10.1007/s00240-005-0030-4

    Article  CAS  PubMed  Google Scholar 

  19. Dai JC, Pearle MS (2022) Diet and Stone Disease in (2022). J Clin Med 11(16):4740. https://doi.org/10.3390/jcm11164740

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Kirkpatrick SI, Baranowski T, Subar AF et al (2019) Best practices for conducting and interpreting studies to validate self-report dietary assessment methods. J Acad Nutr Diet 119:1801–1816. https://doi.org/10.1016/j.jand.2019.06.010

    Article  PubMed  Google Scholar 

  21. Thompson FE, Kirkpatrick SI, Subar AF et al (2015) The National Cancer Institute’s dietary assessment primer: a resource for diet research. J Acad Nutr Diet 115:1986–1995. https://doi.org/10.1016/j.jand.2015.08.016

    Article  PubMed  PubMed Central  Google Scholar 

  22. Penniston KL (2015) The nutrition consult for recurrent stone formers. Curr Urol Rep 16(7):47. https://doi.org/10.1007/s11934-015-0518-6

    Article  PubMed  Google Scholar 

  23. Pietrow PK, Auge BK, Weizer AZ, Delvecchio FC, Silverstein AD, Mathias B, Albala DM, Preminger GM (2003) Durability of the medical management of cystinuria. J Urol 169:68–70

    Article  PubMed  Google Scholar 

  24. Small AC, Thorogood SL, Shah O, Healy KA (2019) Emerging mobile platforms to aid in stone management. Urol Clin N Am 46(2):287–301. https://doi.org/10.1016/j.ucl.2018.12.010

    Article  Google Scholar 

  25. Marsh BM, Sathianathen N, Tejpaul R, Albersheim-Carter J, Bearrick E, Borofsky MS (2019) Public perceptions on the influence of diet and kidney stone formation. J Endourol 33(5):423–429. https://doi.org/10.1089/end.2019.0010

    Article  PubMed  Google Scholar 

  26. Alghamdi S, Alamri A, Alzahrani R, Alghamdi A, Alghamdi A, Alghamdi A, Alghamdi R (2018) Awareness about symptoms and role of diet in renal stones among general population of Albaha City. Egyptian J Hospital Med 70(1):50–59. https://doi.org/10.12816/0042983

    Article  Google Scholar 

  27. Patel SR (2018) Strategies for providing nutritional therapy and education to stone-forming patients. Nut Therapy Urolithiasis 2018:203–209. https://doi.org/10.1007/978-3-319-16414-4_17. (Springer International Publishing AG)

    Article  Google Scholar 

  28. Penniston KL, Wertheim ML, Nakada SY, Jhagroo RA (2016) Factors associated with patient recall of individualized dietary recommendations for kidney stone prevention. Eur J Clin Nutr 70(9):1062–1067. https://doi.org/10.1038/ejcn.2016.79

    Article  CAS  PubMed  Google Scholar 

  29. Bensalah K, Tuncel A, Raman JD, Bagrodia A, Pearle M, Lotan Y (2009) How physician and patient perceptions differ regarding medical management of stone disease. J Urol 182:998–1004

    Article  PubMed  Google Scholar 

  30. Lotan Y, Buendia Jiménez I, Lenoir-Wijnkoop I, Daudon M, Molinier L, Tack I, Nuijten MJ (2012) Primary prevention of nephrolithiasis is cost-effective for a national healthcare system. BJU Int 110:E1060–E1067

    Article  PubMed  Google Scholar 

  31. Streeper NM, Dubnansky A, Sanders AB, Lehman K, Thomaz E, Conroy DE (2019) Improving fluid intake behavior among patients with kidney stones: understanding patients’ experiences and acceptability of digital health technology. Urology 133:57–66. https://doi.org/10.1016/j.urology.2019.05.056

    Article  PubMed  Google Scholar 

  32. Wang CJ, Grantham JJ, Wetmore JB (2013) The medicinal use of water in renal disease. Kidney Int 84(1):45–53. https://doi.org/10.1038/ki.2013.23

    Article  PubMed  Google Scholar 

  33. van Drongelen J, Kiemeney LA, Debruyne FM, de la Rosette JJ (1998) Impact of urometabolic evaluation on prevention of urolithiasis: a retrospective study. Urology 52(3):384–391. https://doi.org/10.1016/s0090-4295(98)00201-5

    Article  PubMed  Google Scholar 

  34. McCauley LR, Dyer AJ, Stern K, Hicks T, Nguyen MM (2012) Factors influencing fluid intake behavior among kidney stone formers. J Urol 187(4):1282–1286. https://doi.org/10.1016/j.juro.2011.11.111

    Article  PubMed  Google Scholar 

  35. Borofsky MS, Dauw CA, York N, Terry C, Lingeman JE (2018) Accuracy of daily fluid intake measurements using a “smart” water bottle. Urolithiasis 46(4):343–348. https://doi.org/10.1007/s00240-017-1006-x

    Article  PubMed  Google Scholar 

  36. Wright HC, Alshara L, DiGennaro H, Kassis YE, Li J, Monga M, Calle J, Sivalingam S (2022) The impact of smart technology on adherence rates and fluid management in the prevention of kidney stones. Urolithiasis 50(1):29–36. https://doi.org/10.1007/s00240-021-01270-6

    Article  PubMed  Google Scholar 

  37. Wagner CA, Mohebbi N (2010) Urinary pH and stone formation. J Nephrol 23(Suppl 16):S165–S169

    PubMed  Google Scholar 

  38. López JM, Mainez JA, Mora Christian J, Gil J, Garganta R (2022) Usefulness and acceptability of a Smart pH meter and mobile medical app as a monitoring tool in patients with urolithiasis: short-term prospective study. Utilidad y aceptabilidad de un pH-metro inteligente y una aplicación móvil de salud como herramienta de monitorización en pacientes con urolitiasis: estudio prospectivo a corto plazo. Arch Esp Urol 75(1):60–68

    PubMed  Google Scholar 

  39. Rosalie Lack MIMS (2007) The importance of user-centered design: exploring findings and methods. J Arch Organ 4(1–2):69–86. https://doi.org/10.1300/J201v04n01_05

    Article  Google Scholar 

  40. Agarwal S, LeFevre AE, Lee J, L’Engle K, Mehl G, Sinha C, Labrique A, WHO mHealth Technical Evidence Review Group (2016) Guidelines for reporting of health interventions using mobile phones: mobile health (mHealth) evidence reporting and assessment (mERA) checklist. BMJ (Clin Res ed) 352:i1174. https://doi.org/10.1136/bmj.i1174

    Article  Google Scholar 

  41. Free C, Phillips G, Watson L et al (2013) The efectiveness of mobile-health technologies to improve health care service delivery processes: a systematic review and meta-analysis. PLoS Med 10(1):e1001363

    Article  PubMed  PubMed Central  Google Scholar 

  42. Hou C, Carter B, Hewitt J, Francisa T, Mayor S (2016) Do mobile phone applications improve glycemic control (HbA1c) in the self-management of diabetes? A systematic review, meta-analysis, and GRADE of 14 randomized trials. Diabetes Care 39(11):2089–2095

    Article  PubMed  Google Scholar 

  43. Traver MA, Passman CM, LeRoy T, Passmore L, Assimos DG (2009) Is the Internet a reliable source for dietary recommendations for stone formers? J Endourol 23(4):715–717. https://doi.org/10.1089/end.2008.0490

    Article  PubMed  PubMed Central  Google Scholar 

  44. Streeper NM, Lehman K, Conroy DE (2018) Acceptability of mobile health technology for promoting fuid consumption in patients with nephrolithiasis. Urology 122:64–69

    Article  PubMed  Google Scholar 

  45. Lange JN, Easter L, Amoroso R, Benfield D, Mufarri PW, Knight J, Holmes RP, Assimos DG (2013) Internet program for facilitating dietary modifications limiting kidney stone risk. Can J Urol 20(5):6922–6926

    PubMed  PubMed Central  Google Scholar 

  46. Nevo A, Stern KL, Moore JP, Humphreys MR, Tyson MD, Keddis MT (2021) The impact of phone counseling on urinary stone prevention. World J Urol 39(5):1625–1629. https://doi.org/10.1007/s00345-020-03320-x

    Article  PubMed  Google Scholar 

  47. Gasparini ME, Chang TW, St Lezin M, Skerry JE, Chan A, Ramaswamy KA (2019) Feasibility of a telemedicine-administered, pharmacist-staffed, protocol-driven, multicenter program for kidney stone prevention in a large integrated health care system: results of a pilot program. Permanente J 23(19):023. https://doi.org/10.7812/TPP/19.023

    Article  Google Scholar 

  48. Whited JD, Datta S, Hall RP et al (2003) An economic analysis of a store and forward teledermatology consult system. Telemed J e-Health 9(4):351–360. https://doi.org/10.1089/153056203772744671

    Article  PubMed  Google Scholar 

  49. Kobayashi H, Sado T (2019) Satisfaction of a new telephone consultation service for prenatal and postnatal health care. J Obstet Gynaecol Res 45(7):1376–1381. https://doi.org/10.1111/jog.13987

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Urology, Health Sciences University, Prof. Dr. Cemil Taşcıoğlu City Hospital, Istanbul, Turkey

    Mehmet Ali Karagöz

  2. Department of Urology, Faculty of Medicine, Biruni University, Istanbul, Turkey

    Kemal Sarıca

Authors
  1. Mehmet Ali Karagöz
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Kemal Sarıca
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

MAK: conception and design, manuscript writing, and literature search. KS: protocol/project development and critical revision.

Corresponding author

Correspondence to Kemal Sarıca.

Ethics declarations

Conflict of interest

The authors declare no conflict of interest.

Research involving human participants and/or animals

This review article does not contain any human participants and/or animals.

Informed consent

This review article does not contain human subjects.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Karagöz, M.A., Sarıca, K. Patient compliance to dietary recommendations: tips and tricks to improve compliance rates. World J Urol 41, 1261–1268 (2023). https://doi.org/10.1007/s00345-023-04318-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00345-023-04318-x

Keywords

Search

Navigation