Determinants of treatment pathway in renal colic: a size-stratified analysis from the emergency department of a tertiary center
Abstract
Acute flank pain due to ureteral calculi is a common presentation in emergency departments (EDs). Decisions between conservative management and inpatient intervention remain difficult in the absence of absolute indications. This study aims to identify size-stratified predictors to assist ED decision-making in ureterolithiasis. This was a single-center retrospective study of patients presenting in the ED of a tertiary center with acute renal colic between October 2020 and November 2024. A total of 752 patients with CT-confirmed ureteral stones were included and analyzed. Receiver operating characteristic (ROC) analysis identified a 5.65-mm threshold; operationalized as 6 mm in the subsequent analyses. After size-based stratification, uni- and multivariate regression analyses were conducted to identify predictors for inpatient admission in the
Fields of Study & Subjects
Kidney Stones and Urolithiasis Treatments
Ureteral procedures and complications
Pediatric Urology and Nephrology Studies
Publication details
- Journal / source
- Urolithiasis
- Publisher
- Springer Science and Business Media LLC
- Volume
- 54
- Issue
- 1
- Pages
- 50–50
- Publication date
- 12 February 2026
- Language
- EN