Kidney stones have a lifetime incidence of up to 13 percentin North America.1 In the United States, this disorder was responsiblefor an estimated 1.32 million visits to physicians in 1995 andfor $1.83 billion in health care costs in 1993.2 In at least70 percent of cases, the stones consist of calcium oxalate crystals,often with calcium phosphate or sodium urate.3,4 Kidney stonesgenerally form only in urine that is markedly supersaturatedwith respect to a solid phase.5 Heterogeneous nucleation, inwhich the initial ion complex is attached to a foreign surface,occurs more often and at a . . . [Full Text of this Article]
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