Open research questions in Kidney Stones and Urolithiasis Treatments
155 unresolved questions extracted from the limitations and future-work sections of 612 Kidney Stones and Urolithiasis Treatments papers in our library. Each links back to the study that raised it.
What the literature leaves open
The current risk assessment strategies do not fully explain the variability in stone characteristics. The biological basis for the heterogeneity in calcium oxalate nephrolithiasis is not fully understood.
Association of plasma oxalate with computed tomography–derived stone characteristics in calcium oxalate nephrolithiasis · 2026 · DOIThe study was conducted in vitro and in vivo using a rat model, which may not fully represent human physiology. The sample size of the study was limited to 42 rats. The study only investigated the effects of TFDS on calcium oxalate crystallization and renal inflammation, and did not examine other potential mechanisms. The study did not investigate the long-term effects of TFDS treatment.
Total flavonoids of Desmodium styracifolium attenuate nephrolithiasis via reducing calcium oxalate crystallization and renal inflammation · 2026 · DOIFurther studies are needed to investigate the long-term effects of TFDS treatment on nephrolithiasis. The therapeutic potential of TFDS in human patients with nephrolithiasis should be investigated in clinical trials. The mechanisms by which TFDS reduces calcium oxalate crystallization and renal inflammation should be further elucidated. The effects of TFDS on other types of kidney stones should be investigated.
Total flavonoids of Desmodium styracifolium attenuate nephrolithiasis via reducing calcium oxalate crystallization and renal inflammation · 2026 · DOIpotential reverse causation, - near-separation, - small sample size (only 40 cases), - lack of uniform collection of culture-confirmed urinary tract infection (UTI) data
Factors associated with de novo urolithiasis after kidney transplantation: a matched case-control study · 2026 · DOIfurther investigation into the relationship between serum urate and de novo urolithiasis, - examination of the effects of calcineurin inhibitor (CNI) use on serum urate levels, - study of the impact of altered metabolic status on stone formation
Factors associated with de novo urolithiasis after kidney transplantation: a matched case-control study · 2026 · DOIThe relationship between DI-GM and kidney stone prevalence is not well understood. The mediation effect of diabetes on the relationship between DI-GM and kidney stone prevalence is unclear. There is a need for non-invasive, dietary-based preventive strategies for kidney stones.
Dietary index for gut microbiota and its protective role against kidney stones: evidence of diabetes as a mediator from NHANES cross-sectional data · 2025 · DOITherefore, the findings may not be generalizable to patients with asymptomatic or conservatively managed stones or to those with other stone compositions.
Association of plasma oxalate with computed tomography–derived stone characteristics in calcium oxalate nephrolithiasis · 2026 · DOIHowever, the pathomechanism of the disease and the regulation of the MUC1-fs are poorly understood.
In Mauritania, clinical experience and economic data regarding this technique remain poorly documented.
Flexible ureteroscopy with laser lithotripsy in Mauritania: first national experience, clinical outcomes, and economic impact in a resource-limited setting · 2026 · DOIHowever, the intrinsic relationship and regulatory mechanism between them in kidney stone formation remain unclear.
CaSR regulates SLC26A6 expression via the PKA-FOXO4 signaling axis to promote experimental calcium oxalate kidney stone formation in rats · 2026 · DOIConclusion: Mini-PCNL may provide superior stone clearance and fewer retreatments than ESWL for pediatric renal stones <2 cm, but current evidence remains limited by study quality and heterogeneity.
Mini-Percutaneous Nephrolithotomy Compared with Extracorporeal Shock Wave Lithotripsy for 10-20 mm Renal Stones in Children: A Systematic Review and Meta-Analysis · 2026 · DOIHowever, the underlying mechanism of the process of kidney stone formation and the kidney damage caused are not well understood.
Lgals3 Promotes Calcium Oxalate Crystal Formation and Kidney Injury Through Histone Lactylation‐Mediated FGFR4 Activation · 2025 · DOIWhile urinary albumin-to-creatinine ratio (UACR) is a recognized marker for kidney disease, its relationship with kidney stones, especially within the normal UACR range, remains unclear.
Association between urinary albumin-to-creatinine ratio within normal range and kidney stones in U.S. adults: a cross-sectional observational study · 2025 · DOIThe role of DI-GM and its mediation by diabetes in KS pathogenesis remains unclear.
Dietary index for gut microbiota and its protective role against kidney stones: evidence of diabetes as a mediator from NHANES cross-sectional data · 2025 · DOIHowever, the link between the skeletal muscle-to-visceral fat ratio (SVR) and kidney stone risk remains to be clarified.
Association between the skeletal muscle-to-visceral fat ratio and kidney stones: a cross-sectional study · 2025 · DOIComprehensive research on the global burden and evolving trends of urinary calculi in the 20-54 age range is lacking.
Epidemiological trends of urolithiasis in working-age populations: Findings from the global burden of disease study 1990–2021 · 2025 · DOIWhile most children maintained normal renal function, the relationship between NC and renal functional decline warrants further investigation.
Although it may pose a problem in developing countries, it has not been adequately studied in the Middle East.
First retrospective study on pediatric nephrocalcinosis in Syria: clinical symptoms and causes · 2025 · DOI, probiotics) as an adjunctive strategy, while antibiotic stewardship is warranted to minimize microbiota disruption.
Dysbiosis of gut and urinary microbiota in urolithiasis patients and post-surgical cases · 2025 · DOINevertheless, the relationship between NHHR and the risk of kidney stones remains unexplored.
Association between non-high-density lipoprotein cholesterol to high-density lipoprotein cholesterol ratio (NHHR) and kidney stone: evidence from NHANES 2007–2018 · 2024 · DOIHowever, the relationship between the composite dietary antioxidant index (CDAI), a crucial measure used to assess an individual’s overall antioxidant capacity from daily dietary intake, and kidney stones remains unclear.
Association between composite dietary antioxidant index and kidney stone prevalence in adults: data from National Health and Nutrition Examination Survey (NHANES, 2007–2018) · 2024 · DOIAlthough the gut microbiome has a notable association with KSD formation, the relationship between dietary live microbes and KSD risk remains underexplored.
Association of dietary live microbe intake with kidney stone disease in US adults: a real-world cross-sectional study · 2024 · DOIFor diseases influenced by lifestyle, conclusive evidence on targeted interventions for nephrolithiasis prevention is lacking, though preliminary research suggests potential benefits.
The Multidisciplinary Approach in the Management of Patients with Kidney Stone Disease—A State-of-the-Art Review · 2024 · DOIThe effects of vitamins and physical activity on kidney stone risk remain unresolved due to mixed evidence.
The Multidisciplinary Approach in the Management of Patients with Kidney Stone Disease—A State-of-the-Art Review · 2024 · DOIManual interpretation of CT images is time-consuming and subject to variability. There is a need for automated methods for kidney stone detection.
Urological diagnostics based on kidney stone detection in CT imaging using YOLOv8 deep learning framework · 2026 · DOI
Most-cited papers in Kidney Stones and Urolithiasis Treatments
- Obesity, Weight Gain, and the Risk of Kidney Stones · JAMA · 2005 · 960 citations
- Dietary Factors and the Risk of Incident Kidney Stones in Younger Women · Archives of Internal Medicine · 2004 · 385 citations
- Prospective Study of Beverage Use and the Risk of Kidney Stones · American Journal of Epidemiology · 1996 · 224 citations
- Increasing Incidence of Kidney Stones in Children Evaluated in the Emergency Department · The Journal of Pediatrics · 2010 · 216 citations
- Thulium Fibre Laser versus Holmium:YAG for Ureteroscopic Lithotripsy: Outcomes from a Prospective Randomised Clinical Trial · European Urology · 2022 · 194 citations
- Epidemiology of paediatric renal stone disease in the UK · Archives of Disease in Childhood · 2003 · 172 citations
- Effect of dietary oxalate and calcium on urinary oxalate and risk of formation of calcium oxalate kidney stones · Journal of the American Dietetic Association · 1993 · 166 citations
- Drug-Induced Kidney Stones and Crystalline Nephropathy: Pathophysiology, Prevention and Treatment · Drugs · 2017 · 158 citations
- A Systematic Review of Medical Therapy to Facilitate Passage of Ureteral Calculi · Annals of Emergency Medicine · 2007 · 148 citations
- Kidney Stones and the Ketogenic Diet: Risk Factors and Prevention · Journal of Child Neurology · 2007 · 136 citations
Most recent work
- Prevention of urinary stones with hydration: a randomised clinical trial of an adherence intervention · The Lancet · 2026
- Should we keep pushing a high fluid intake in kidney stones? · The Lancet · 2026
- The gut–kidney microbiome–oxalate axis in calcium oxalate nephrolithiasis: mechanisms and microbiome-based interventions · Frontiers in Cellular and Infection Microbiology · 2026
- Citrate-coated Prussian blue nanozyme hitchhikes neutrophils to ameliorate calcium oxalate crystal-induced kidney injury via inhibiting pyroptosis and NETosis · Journal of Nanobiotechnology · 2026
- Combined Effects of Long-Term Sulfur Dioxide Exposure and Environmental Heat Stress on the Risk of Kidney Stone Disease. · International Journal of Urology · 2026
- Pre‐clinical evaluation of a laser system with emission control based on stone vs soft tissue recognition · British Journal of Urology · 2026
- Comparison of the effects of commonly used double-J stents on stone-free rates and ureteral stent-related symptoms after lithotripsy for upper urinary tract stones · Editor-in-Chief s Voice List of Authors is an Important Element in a Scientific Publication · 2026
- A fully optimized deep learning framework for explainable and efficient kidney stone detection in computed tomography imaging · Abdominal Radiology · 2026
- Comprehensive survey on urological stent practices by the European Association of Urology (EAU) Endourology · World Journal of Urology · 2026
- CaSR regulates SLC26A6 expression via the PKA-FOXO4 signaling axis to promote experimental calcium oxalate kidney stone formation in rats · Frontiers in Cell and Developmental Biology · 2026
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