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In actual practice, the NNT will be higher (and the benefit lower), because these represent optimal circumstances for diagnosis, management, and surveillance.

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Metabolic evaluation and treatment are indicated for patients at greater risk for recurrence, including those who present with multiple stones, who have a personal or family history of previous stone formation, who present with stones at a younger age, or who have residual stones after treatment.

There was no difference in their primary outcome of need for intubation, although they powered the study to detect a 20% difference, which is probably larger than the clinically important difference.

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