{"id":6397,"date":"2023-03-02T05:25:39","date_gmt":"2023-03-02T04:25:39","guid":{"rendered":"https:\/\/perruchenautomne.eu\/wordpress\/?p=6397"},"modified":"2023-03-03T05:41:56","modified_gmt":"2023-03-03T04:41:56","slug":"moins-cest-mieux-lithiase","status":"publish","type":"post","link":"https:\/\/perruchenautomne.eu\/wordpress\/2023\/03\/02\/moins-cest-mieux-lithiase\/","title":{"rendered":"Moins c&rsquo;est mieux lithiase"},"content":{"rendered":"\n<p>Essai randomis\u00e9 contr\u00f4l\u00e9 majeur dans le NEJM, malheureusement n\u00e9gatif, l&rsquo;hydrochlorothiazide bien que diminuant la calciurie ne diminue pas le risque de r\u00e9currence de colique n\u00e9phr\u00e9tique avec un suivi de pr\u00eat de 3 ans. On pourra discuter la d\u00e9finition de l&rsquo;hypercalciurie et le fait que seulement 60% des patients le sont. Il n&#8217;emp\u00eache que vu l&rsquo;augmentation du nombre de cas de diab\u00e8te \u00e7a ne donne pas tr\u00e8s envie de prescrire de l&rsquo;hydrochlorothiazide en pr\u00e9vention de la lithiase r\u00e9nale. Dans certains cas, on discutera son utilisation surtout les hypercalciuries importantes. Bravo aux auteurs suisses d&rsquo;avoir randomis\u00e9s plus de 400 patients dans ce tr\u00e8s bel essai.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"465\" height=\"1024\" src=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2023\/03\/nejmoa2209275_f1-465x1024.jpg\" alt=\"\" class=\"wp-image-6398\" srcset=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2023\/03\/nejmoa2209275_f1-465x1024.jpg 465w, https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2023\/03\/nejmoa2209275_f1-136x300.jpg 136w, https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2023\/03\/nejmoa2209275_f1-768x1692.jpg 768w, https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2023\/03\/nejmoa2209275_f1-697x1536.jpg 697w, https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2023\/03\/nejmoa2209275_f1.jpg 800w\" sizes=\"auto, (max-width: 465px) 100vw, 465px\" \/><\/figure>\n\n\n\n<p><a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa2209275?query=TOC&amp;cid=NEJM%20eToc,%20March%202,%202023%20DM2076332_NEJM_Non_Subscriber&amp;bid=1439112985\">https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa2209275?query=TOC&amp;cid=NEJM%20eToc,%20March%202,%202023%20DM2076332_NEJM_Non_Subscriber&amp;bid=1439112985<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Essai randomis\u00e9 contr\u00f4l\u00e9 majeur dans le NEJM, malheureusement n\u00e9gatif, l&rsquo;hydrochlorothiazide bien que diminuant la calciurie ne diminue pas le risque de r\u00e9currence de colique n\u00e9phr\u00e9tique avec un suivi de pr\u00eat de 3 ans. On pourra discuter la d\u00e9finition de l&rsquo;hypercalciurie &hellip; <a href=\"https:\/\/perruchenautomne.eu\/wordpress\/2023\/03\/02\/moins-cest-mieux-lithiase\/\">Continuer la lecture <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[14],"tags":[969,2242,299],"class_list":["post-6397","post","type-post","status-publish","format-standard","hentry","category-nephrologie","tag-lithiase-renale","tag-rct","tag-thiazidique"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/p1l1zM-1Fb","jetpack_sharing_enabled":true,"jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/posts\/6397","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/comments?post=6397"}],"version-history":[{"count":1,"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/posts\/6397\/revisions"}],"predecessor-version":[{"id":6399,"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/posts\/6397\/revisions\/6399"}],"wp:attachment":[{"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/media?parent=6397"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/categories?post=6397"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/tags?post=6397"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}