{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:37:43Z","timestamp":1777509463276,"version":"3.51.4"},"reference-count":13,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T00:00:00Z","timestamp":1764028800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T00:00:00Z","timestamp":1764028800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100014688","name":"Region Uppsala","doi-asserted-by":"publisher","award":["ALF-agreement grant"],"award-info":[{"award-number":["ALF-agreement grant"]}],"id":[{"id":"10.13039\/501100014688","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Acta Radiol"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Patient-reported symptoms is considered a possible alternative to computed tomography (CT) for the evaluation of remaining ureteral stones at follow-up after a ureteral colic attack.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To investigate patient-reported symptoms at follow-up after a ureteral colic attack in patients with a remaining ureteral stone and to assess the association of symptoms with degree of urinary obstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>This was a prospective study of 81 patients (68 men, 13 women; mean age = 59 years; age range = 23\u201388 years) referred for a follow-up CT after a ureteral colic attack with a remaining unilateral ureteral stone. A dynamic enhanced scan defined urinary obstruction. Stone size was the largest diameter of three multiplanar reformatations (axial, coronal, sagittal). Stone location was registered as proximal, mid-ureter or distal. Symptoms were registered in standardized questionnaires by the patient at the time of the follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In total, 43\/81 (53%) patients reported symptoms. Obstruction of any degree was present in 16 (20%) patients. In 7 (100%) patients with moderate-severe obstruction reported discomfort attributed to the stone. In patients with mild obstruction, 5 (56%) reported discomfort; in patients with no obstruction, 31 (48%) reported discomfort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Almost half of the patients at follow-up reported no discomfort despite having a stone in the ureter. A significant association was found between a higher degree of obstruction and reported symptoms. Asymptomatic stones and silent partial obstruction could be missed based on reported symptoms. Imaging is still required to evaluate stone passage at follow-up after a ureteral colic attack.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02841851251393798","type":"journal-article","created":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T17:31:28Z","timestamp":1764091888000},"page":"151-156","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Patient-reported symptoms at follow-up after a ureteral colic attack as an indication of spontaneous stone passage\/remaining ureteral stone or presence of urinary tract obstruction"],"prefix":"10.1177","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2793-6613","authenticated-orcid":false,"given":"Klara","family":"Sahl\u00e9n","sequence":"first","affiliation":[{"name":"Uppsala University Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3339-0995","authenticated-orcid":false,"given":"P\u00e4r","family":"Dahlman","sequence":"additional","affiliation":[{"name":"Uppsala University Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4379-0906","authenticated-orcid":false,"given":"Per","family":"Liss","sequence":"additional","affiliation":[{"name":"Uppsala University Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"L\u00f6nnemark","sequence":"additional","affiliation":[{"name":"Uppsala University Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monica","family":"Segelsj\u00f6","sequence":"additional","affiliation":[{"name":"Uppsala University Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1986-398X","authenticated-orcid":false,"given":"Anders","family":"Magnusson","sequence":"additional","affiliation":[{"name":"Uppsala University Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,11,25]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare11030424"},{"key":"e_1_3_2_3_2","unstructured":"Svensson H Lindkvist K. Njursten. Available at: https:\/\/www.internetmedicin.se\/urologi\/njursten."},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2015.07.040"},{"key":"e_1_3_2_5_2","first-page":"1","article-title":"Prognosis of stone in the ureter","volume":"219","author":"Sandeg\u00e5rd E","year":"1956","unstructured":"Sandeg\u00e5rd E. Prognosis of stone in the ureter. Acta Chir Scand Suppl 1956;219:1\u201367.","journal-title":"Acta Chir Scand Suppl"},{"key":"e_1_3_2_6_2","unstructured":"Sveriges regioner i samverkan. Nationellt programomr\u00e5de f\u00f6r njur- och urinv\u00e4gssjukdomar \u201cNationellt v\u00e5rdprogram f\u00f6r stenar i \u00f6vre urinv\u00e4garna\u201d 2022 Version 1. Sveriges regioner i samverkan. Available at: https:\/\/vardpersonal.1177.se\/globalassets\/nkk\/nationell\/media\/dokument\/kunskapsstod\/vardprogram\/nationellt-vardprogram-for-stensjukdom-ovre-urinvagarna.pdf. 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