317 A Trust-Wide Assessment of Follow-Up Care & Success Rates for the Conservative Management of Urinary Stones

Aim A re-audit to determine the effectiveness and quality of follow-up care in conservatively managed ureteric/renal colic patients. This is by assessing the proportion of cases that had timely follow-up appointments with imaging studies in accordance with the BAUS (British Association of Urological Surgeons) recommendations. Method Retrospective study with data collection over 12 months(1st January 2021 – 31st December 2021) from anonymised patient data, PACS, discharge documents and patient portal. Results A total of 116 (68 males/48 females) urinary colic patients were admitted during this period and 46% were treated nonoperatively. The mean age of patients was 48 years with a higher incidence in males. Specifically, while 60% of patients had successful conservative management, 31% were unsuccessful and 9% were lost to follow-up. Furthermore, just 7% had a follow-up appointment within 28 days while 45% were followed up in three months & 20% beyond this. Finally, 88% of these patients had follow-up imaging done but only 51% had it within 28 days as per BAUS recommendations. CT-Renal was the imaging modality in 81% while ultrasonography was used in the remainder. Conclusions This re-audit showed that conservative management continues to remain a viable option for stones <5mmwith more distal stones also having better success rates locally. We did not meet the 95% national objective for follow-up imaging & appointments within four weeks however, we did make some progress from the prior cycle. Our recommendations include setting up virtual stone clinics & streamlining local follow-up procedures.