TY - JOUR T1 - The STONE score can help diagnose urolithiasis and decrease the use of CT scans JF - Evidence Based Medicine JO - Evid Based Med SP - 234 LP - 234 DO - 10.1136/ebmed-2014-110017 VL - 19 IS - 6 AU - Seth K Bechis AU - Brian H Eisner Y1 - 2014/12/01 UR - http://ebm.bmj.com/content/19/6/234.abstract N2 - Commentary on: Moore CL, Bomann S, Daniels B, et al. Derivation and validation of a clinical prediction rule for uncomplicated ureteral stone—the STONE score: retrospective and prospective observational cohort studies. BMJ 2014;348:g2191.OpenUrlAbstract/FREE Full Text In the USA, symptomatic nephrolithiasis leading to flank or kidney pain is responsible for over two million annual visits to the emergency department, amounting to a burden on the country's healthcare system of over $5 billion (£3 billion) annually.1 CT is the most accurate imaging modality for the evaluation of suspected acute renal colic due to its superior sensitivity and specificity for detection of renal and ureteral stones.2 However, CT scans also come with a greater exposure to potentially harmful ionising radiation (as well as increased cost). In this manuscript, the authors derive and validate an objective clinical prediction … ER -