Renal stone disease — DVA SoP factors

Reasonable Hypothesis (RH) — Statement of Principles No. 69 of 2019

At least one of the following factors must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting renal stone disease or death from renal stone disease with the circumstances of a person's relevant service:

1. (1)
   being a prisoner of war of the Japanese before the clinical onset of renal stone disease;
2. (2)
   having primary hyperparathyroidism within the ten years before the clinical onset of renal stone disease;
3. (3)
   having post-surgical hypoparathyroidism at the time of the clinical onset of renal stone disease;
4. (4)
   having a malignant neoplasm, other than non-metastatic non-melanotic malignant neoplasm of the skin, at the time of the clinical onset of renal stone disease;
5. (5)
   having a haematological disease from the specified list of haematological diseases at the time of the clinical onset of renal stone disease;

   Note: specified list of haematological diseases is defined in the Schedule 1 - Dictionary.

6. (6)
   having gout or hyperuricaemia at the time of the clinical onset of renal stone disease;

   Note: hyperuricaemia is defined in the Schedule 1 - Dictionary.

7. (7)
   having tumour lysis syndrome at the time of the clinical onset of renal stone disease;

   Note: tumour lysis syndrome is defined in the Schedule 1 - Dictionary.

8. (8)
   having diarrhoea on more days than not, for a continuous period of at least four weeks, within the three months before the clinical onset of renal stone disease;
9. (9)
   having hypokalaemia for a continuous period of at least the four weeks before the clinical onset of renal stone disease;
10. (10)
    having distal renal tubular acidosis at the time of the clinical onset of renal stone disease;

    Note: distal renal tubular acidosis is defined in the Schedule 1 - Dictionary.

11. (11)
    having a urinary tract infection with urease-producing bacteria within the five years before the clinical onset of renal stone disease;

    Note: urease-producing bacteria is defined in the Schedule 1 - Dictionary.

12. (12)
    having an acquired narrowing or obstruction of the ureter, ureteropelvic junction or renal calyx, on the affected side, at the time of the clinical onset of renal stone disease;
13. (13)
    having a gastrointestinal disease from the specified list of gastrointestinal diseases at the time of the clinical onset of renal stone disease;

    Note: specified list of gastrointestinal diseases is defined in the Schedule 1 - Dictionary.

14. (14)
    having undergone: (a) a malabsorptive bariatric procedure; or (b) ileal resection or ileal bypass surgery; or (c) Roux-en-Y gastric bypass surgery; within the five years before the clinical onset of renal stone disease;

    Note: malabsorptive bariatric procedure is defined in the Schedule 1 - Dictionary.

15. (15)
    having a systemic disease from the specified list of systemic diseases at the time of the clinical onset of renal stone disease;

    Note: specified list of systemic diseases is defined in the Schedule 1 - Dictionary.

16. (16)
    being treated with a drug or a drug from a class of drugs from the specified list of drugs, within the six weeks before the clinical onset of renal stone disease;

    Note: specified list of drugs is defined in the Schedule 1 - Dictionary.

17. (17)
    using a vitamin D supplement combined with at least 1 000 milligrams calcium supplementation daily for a continuous period of at least the two years before the clinical onset of renal stone disease;
18. (18)
    having a urinary diversion procedure before the clinical onset of renal stone disease;

    Note: urinary diversion procedure is defined in the Schedule 1 - Dictionary.

19. (19)
    having neurogenic bladder at the time of the clinical onset of renal stone disease;

    Note: neurogenic bladder is defined in the Schedule 1 - Dictionary.

20. (20)
    having paraplegia or quadriplegia at the time of the clinical onset of renal stone disease;
21. (21)
    being immobile for a continuous period of at least four weeks within the three months before the clinical onset of renal stone disease;

    Note: being immobile is defined in the Schedule 1 - Dictionary.

22. (22)
    an inability to consume an average of at least 400 grams of calcium per day for a continuous period of at least six months, within the one year before the clinical onset of renal stone disease;
23. (23)
    having inadequate fluid intake, for a continuous period of at least four weeks, within the three months before the clinical onset of renal stone disease;

    Note: inadequate fluid intake is defined in the Schedule 1 - Dictionary.

24. (24)
    being overweight or obese for at least the five years before the clinical onset of renal stone disease;

    Note: being overweight or obese is defined in the Schedule 1 - Dictionary.

25. (25)
    having anorexia nervosa at the time of the clinical onset of renal stone disease;
26. (26)
    having a renal transplant before the clinical onset of renal stone disease;
27. (27)
    inhaling cadmium fumes from the smelting and refining of metals, from soldering or welding metal that contains cadmium, or working in plants that make cadmium products: (a) for a cumulative period of at least 3 500 hours before the clinical onset of renal stone disease; and (b) where that exposure has ceased, the clinical onset of renal stone disease has occurred within ten years of cessation;
28. (28)
    experiencing spaceflight for a continuous period of at least seven days within the 30 days before the clinical onset of renal stone disease;
29. (29)
    inability to obtain appropriate clinical management for renal stone disease;

Aggravation-only factors: the factors in subsection 9(29) apply only to material contribution to, or aggravation of, the condition where it was suffered or contracted before or during (but did not arise out of) the person’s relevant service.