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Patients with nephrolithiasis are engaged in shared decision making to determine the most suitable treatment option. This process is inherently accompanied by decisional conflict, which is defined as perceived uncertainty regarding a medical decision. There is a paucity of literature pertaining to the uncertainty experienced by patients contemplating treatment options for kidney stone disease. The objective of our study was to assess decisional conflict and regret surrounding their decision.

Patients with a newly diagnosed kidney stone were identified in a specialty stone clinic and administered a validated questionnaire at the end of their initial visit, and again at a follow-up visit either after surgery or active surveillance. Clinical characteristics were obtained from the patient’s electronic medical record. Decisional conflict was measured with the validated 16-item Decisional …