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An effective treatment option for pain caused by urolithiasis: A randomized-controlled trial of local active warming with heat-patch
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  • huseyin mutlu,
  • Kamil Kokulu,
  • ekrem taha sert,
  • kasim ertas,
  • murat gul,
  • mehmet akif diri
huseyin mutlu
Aksaray Universitesi
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Kamil Kokulu
Aksaray University
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ekrem taha sert
Aksaray Universitesi
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kasim ertas
Van Yuzuncu Yil Universitesi
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murat gul
Selçuk University
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mehmet akif diri
Aksaray Universitesi
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Abstract

Background: There is growing interest in physical medicine treatment options for renal colic. In this study, we aimed to determine whether or not heat-patch treatment with no drug was effective in relieving renal colic. Methods: For this purpose, patients who were diagnosed with renal colic in the emergency department were randomized to have either heat-patch or sham treatment. The Visual Analog Scale (VAS) scores of renal colic, body temperature (Btemp), and sub-patch skin temperature (Stemp) values were measured at 0,15,30,45, and 60 min. In addition, the salvage treatment needs of the groups were compared. Results: The average age of the study group was30.5 ± 8.3 years and that of the sham group was 31.0 ± 8.2 years (p = 0.75). According to the baseline VAS score of the patients, 15, 30, 45, and 60min VAS scores significantly decreased in the heat-patch group (p<0.001). The Btemp values did not differ significantly between the heat-patch and sham groups. In addition, no statistically significant difference was found between the two groups in terms of Stemp values at 0 and 15 min (p = 0.39and p = 0.10, respectively). However, there was a significant difference in the heat-patch group in terms of Stemp values at30, 45, and 60 min compared to the sham group (p<0.001). The salvage treatment rates for the heat-patch and sham groups were 11.5% and 31.4%, respectively (p = 0.01). Conclusion: As non-pharmaceutical treatment, the heat-patch has been shown to be a possible candidate for pain relief in patients with urolithiasis. Further research should concentrate on multicenter and large-scale randomized studies.

Peer review status:Published

01 Nov 2020Submitted to International Journal of Clinical Practice
02 Nov 2020Submission Checks Completed
02 Nov 2020Assigned to Editor
16 Nov 2020Reviewer(s) Assigned
02 Dec 2020Review(s) Completed, Editorial Evaluation Pending
08 Dec 20201st Revision Received
10 Dec 2020Submission Checks Completed
10 Dec 2020Assigned to Editor
10 Dec 2020Reviewer(s) Assigned
17 Dec 2020Review(s) Completed, Editorial Evaluation Pending
21 Dec 2020Editorial Decision: Accept
24 Dec 2020Published in International Journal of Clinical Practice. 10.1111/ijcp.13969