Kidney stones are increasing among new populations, while nephrology fellowships are going unfilled.
Simple measures like staying hydrated and consuming citrate in the form of lemon water or lemonade can help patients prevent recurring kidney stones, Jaeger said.
David Goldfarb, MD, clinical director of the Division of Nephrology at NYU Langone Health, in New York City, said that access to nephrologists who specialize in kidney stones is a critical piece of prevention. While urologists can treat stones, nephrologists get to the bottom of why the stones occurred in the first place and help patients prevent further stones from forming.
Fewer residents are also choosing to specialize in nephrology, with a decrease in the choice of fellowship of 50% from 2009 to 2019, according to aof nearly 4200 residents found that only 60% of nephrology fellowship positions were filled in 2018, and the majority of those residents reported a lack of interest in the kidney as being the most critical factor in not selecting the specialty. Others reported lack of exposure to nephrology overall.
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