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The effect of obstructive sleep apnea (OSA) on 24-h urine parameters and resultant kidney stone risk is unknown. We sought to compare urinary lithogenic risk factors among patients with kidney stone disease with and without OSA. We performed a retrospective cohort study of adult patients with nephrolithiasis undergoing both polysomnography and 24-h urine analysis.

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Article Synopsis
  • The TWIST score is a 5-part physical exam tool designed to help diagnose testicular torsion and potentially reduce the need for imaging tests in certain cases.
  • This quality improvement study aimed to achieve full compliance in using the TWIST score among urology and emergency department residents and to evaluate how closely their scores matched.
  • Results showed a significant increase in proper documentation of TWIST components, with a strong correlation between scores from both departments, and a high specificity (94.5%) for diagnosing torsion when using the TWIST cutoff.
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