Open Access

ARTICLE

Emergency room management of urolithiasis: a sex-based comparison

Mark Shilling¹, Lauren S. Faber², Hoi Doan², Merry Peckham², Timothy R. Petersen^1,3, Reza Ehsanian¹, Frances Alba^2,*

1 Department of Anesthesiology and Critical Care, School of Medicine, University of New Mexico, Albuquerque, NM 87131, USA
2 Division of Urology, Department of Surgery, School of Medicine, University of New Mexico, Albuquerque, NM 87131, USA
3 Department of Obstetrics and Gynecology, School of Medicine, University of New Mexico, Albuquerque, NM 87131, USA

* Corresponding Author: Frances Alba. Email:

Canadian Journal of Urology 2025, 32(2), 81-88. https://doi.org/10.32604/cju.2025.063415

Received 14 January 2025; Accepted 11 April 2025; Issue published 30 April 2025

Abstract

Introduction: Existing literature has highlighted disparities in acute pain management across racial and sex groups in both emergency department and pre-hospital settings. This study aimed to evaluate prescribing patterns among physicians and advanced practice providers for patients with upper tract urolithiasis in an academic emergency department. Materials and Methods: Retrospective chart review of patients diagnosed with upper tract urolithiasis was performed to evaluate age, sex, race, ethnicity, stone size and location, presence of hydronephrosis, admission status, history of prior nephrolithiasis, medications administered in the emergency department (ED), requests for urology consult or referral, and discharge medications. Results and Conclusions: In this single-center, propensity-matched analysis, we found no significant sex, race, or provider level of training-based differences in prescribing patterns for patients presenting with renal colic secondary to upper urinary tract stones in our academic emergency department.

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Keywords

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