STONE Score for Uncomplicated Ureteral Stones
Predicts the likelihood of an uncomplicated ureteral stone in adults with suspected renal colic who are eligible for CT. Score 0–13.
Score interpretation
Ureteral stone in 8.3 % (derivation) and 9.2 % (validation) of STONE 0–5.
→ Clinical correlation required; consider alternative diagnoses. CT-KUB if clinical suspicion remains high.
Ureteral stone in 51.6 % (derivation) and 51.3 % (validation) of STONE 6–9.
→ Proceed to CT-KUB; analgesic management; urology follow-up.
Ureteral stone in 89.6 % (derivation) and 88.6 % (validation) of STONE 10–13; acutely important alternative findings in 0.3–1.6 %.
→ Adequate analgesia (NSAIDs preferred); alpha-blocker for medical expulsion; urology review if stone >10 mm or obstructing solitary kidney.
Interpretation bands for the STONE Score. Apply clinical judgement and local guidance.
References
- Moore CL 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.
Related
Curated clinical cross-links plus same-class fallbacks.
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- Methoxyflurane · Inhaled Analgesic — Acute Pain
- Fentanyl Transdermal Patch (Elderly Chronic Pain) · Opioid Analgesic — Transdermal Patch
- Morphine Slow-Release (Elderly Chronic Pain) · Opioid Analgesic — Modified-Release Oral
- Fosfomycin · Phosphonic Acid Antibiotic — Uncomplicated UTI / ESBL / MDR Gram-Negatives
- Hyperkalaemia Management · UK Kidney Association Guidelines 2020; NICE CKD Guidelines
- Rhabdomyolysis · Renal Association 2018; UpToDate 2024
- Hypocalcaemia (Adult) · Society for Endocrinology
- SIADH (Endocrine Perspective) · European Hyponatraemia Guidelines 2014
- Hepatorenal Syndrome · EASL 2018; ICA 2015
- Acute Kidney Injury (AKI) · KDIGO 2012 / NICE AKI 2019
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.