MP29-05 OUTCOMES OF A PROTOCOL-BASED VIRTUAL STONE (TELEPHONE-BASED, NURSE LED) CLINIC FOR ONGOING SURVEILLANCE OF PATIENTS WITH KIDNEY STONES: 5-YEAR PROSPECTIVE ANALYSIS FROM AN ENDOUROLOGY CENTRE

INTRODUCTION AND OBJECTIVES:Patients with kidney stones often need on-going follow-up and imaging surveillance adding to the clinical burden and cost of treatment. This is usually done in face-to-face clinical appointments. However, this can be avoided in suitably counselled patients who can have a telephone-based nurse led follow-up instead. We look at the outcomes of stone patients from our protocol-based virtual stone follow-up clinic.METHODS:Over a period of 5 years (2014-2018), all patients who were high risk of stone recurrence or with small asymptomatic stones were referred to our protocol-based nurse led virtual telephone stone clinic. The high-risk stone patient group included those with solitary kidneys, bilateral stones, those under 25 years of age, recurrent stone disease, uric acid and cystine stones. The follow-up duration and imaging were tailored and included a 6- or 12-months follow-up with either a plain KUB XR (radio-opaque stones) or USS (radio-lucent stone). The calculated followup co...