Results: 72 patients were studied, out of which 5 were in group I, 20 in group II and III each, and 27 in group IV. Introduction & Objective: To determine the pertinence of percutaneous nephrostomy (PCN) drainage in adult patients of primary uretero‐pelvic junction (UPJ) obstruction with poorly functioning kidneys (PFK 10% and had daily PCN output >400 ml, underwent pyeloplasty and the rest underwent nephrectomy. Sanjay Gandhi Post Graduate institute of medical sciences. MP01-03 Percutaneous nephrostomy in Ureteropelvic junction obstruction with poorly functioning kidney: Is it still pertinent in adultsĪ Srivastava, S Kakoti, Z Tamboli, SK Sureka, UP Singh Barriers to F/V intake, which may include seasonal variations in cost and availability, should be addressed. Moreover, F/V intake can account for up to 30% of urine output and thus may help to meet fluid recommendations. F/V also provide other stone inhibitors, including phytate, which in urine inhibits calcium stone formation, and prebiotics, some of which selectively enhance oxalate‐degrading gut bacteria. F/V are important in stone prevention because they provide bicarbonate precursors that increase urine citrate and pH. The COVID pandemic did not affect F/V intake specifically but did reduce adherence to all DRs. 5.9 d/week, P = 0.009 for difference from before).Ĭonclusions: Overall, adherence to eating more F/V was significantly lower than for other DRs and was lower yet during winter/spring. For the pre‐post COVID pandemic comparison, patients reported lower adherence to all DRs after the start of the pandemic (5.0 vs. F/V intake was significantly lower during winter/spring than summer/fall (4.4 vs. We separated responses by their receipt: summer/fall (April to mid‐November) and winter/spring (mid‐November to April), and by pre‐ vs. nearly 5.5 d/week for all other DRs, P < 0.004). Overall, adherence to eating more F/V was lower (4.7 vs. one‐time stone formers, nor for those on stone‐related medications vs. There were no differences in adherence for men vs. Of those providing clinical details, 77% were recurrent stone formers and 46% were on stone medication(s). Results: Respondents (n = 132) represented 29% of patients who were sent questionnaires and were 50% female (61 ± 13 y). This was a quality improvement project patients were thus offered to respond anonymously. Questionnaires were sent by mail with postage‐paid envelopes for return. We asked patients to estimate the number of days within the last week they followed the most common DRs and, in a separate question, days they followed all DRs. Methods: From 1/2020‐1/2021 we invited patients to complete a questionnaire approximately 1 month after their appointment. We assessed adherence to individualized, targeted DRs issued in our multidisciplinary stone prevention clinic. Adherence is challenging to assess and optimally includes multiple measures including patient‐reported outcomes. Common dietary recommendations (DRs) include higher fluid intake, lower salt intake, lower dietary acid load (e.g., more fruits/vegetables, F/V), and normal calcium intake (neither excessive nor insufficient). Introduction & Objective: Nutrition therapy for stone prevention is indicated if risks are nutrition‐related. University of Wisconsin School of Medicine and Public Health MP01-01 Seasonal and COVID Pandemic‐Related Variations in Patients' Self‐Reported Adherence to Nutrition Recommendations for Stone Prevention Suggest Temporal Increases in Stone Recurrence Risk

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