SMART Stone Multidisciplinary Team (MDT) and patient care: recommendations for the adult high-risk kidney stone patient pathway

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Multidisciplinary teams (MDTs) enhance patient care by coordinating healthcare services for complex conditions like recurrent kidney stones.
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High-risk recurrent kidney stone formers experience significant morbidity and reduced quality of life, increasing healthcare system burdens.
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The SMART Stone Steering Committee developed 44 recommendations to establish effective MDTs for managing high-risk kidney stone patients.
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All core recommendations achieved over 70% agreement, indicating strong support for MDTs to improve patient outcomes in complex stone disease.
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Extended recommendations emphasized communication and care integration, while team composition had the lowest agreement but still met the threshold.

World Journal Of Urology

by Bhaskar Somani, Esteban Emiliani, Thomas Knoll, Giorgia Mandrile, Gill Rumsby, Cecile Acquaviva, Naeem Bhojani, Saeed Bin Hamri, Ewa Bres-Niewada, Niall F. Davis, Daniel G. Fuster, Sander F. Garrelfs, Vineet Gauhar, Shuzo Hamamoto, Patrick Juliebø-Jones, Marta Leporati, Emmanuel Letavernier, Tatsuya Takayama, Lazaros Tzelves, Steffi Kar Kei Yuen, Pietro Manuel Ferraro
April 22, 2025

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