Abstract
The rising prevalence of kidney stone disease is associated with significant costs to healthcare systems worldwide. This is in part due to direct procedural and medical management costs, as well as indirect costs to health systems, patients, and families. A number of manuscripts evaulating the economics of stone disease have been published since the 2008s International Consultation on Stone Disease. These highlight costs associated with stone disease, including acute management, surgical management, and medical management. This work hopes to highlight optimization in care by reducing inefficient treatments and maximizing cost-efficient preventative strategies.
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References
Pearle MS, Calhoun EA, Curhan GC, Urologic Diseases of America Project (2005) Urologic diseases in America project: urolithiasis. J Urol 173(3):848–857
Saigal CS, Joyce G, Timilsina AR, Urologic Diseases in America Project (2005) Direct and indirect costs of nephrolithiasis in an employed population: opportunity for disease management? Kidney Int 68(4):1808–1814
Bensalah K, Pearle M, Lotan Y (2008) Cost-effectiveness of medical expulsive therapy using alpha-blockers for the treatment of distal ureteral stones. Eur Urol 53(2):411–418
Izamin I, Aniza I, Rizal AM, Aljunid SM (2009) Comparing extracorporeal shock wave lithotripsy and ureteroscopy for treatment of proximal ureteric calculi: a cost-effectiveness study. Med J Malays 64(1):12–21
Bagrodia A, Gupta A, Raman JD, Bensalah K, Pearle MS, Lotan Y (2009) Predictors of cost and clinical outcomes of percutaneous nephrostolithotomy. J Urol 182(2):586–590
Bagrodia A, Raman JD, Bensalah K, Pearle MS, Lotan Y (2009) Synchronous bilateral percutaneous nephrostolithotomy: analysis of clinical outcomes, cost and surgeon reimbursement. J Urol 181(1):149–153
Koo V, Beattie I, Young M (2010) Improved cost-effectiveness and efficiency with a slower shockwave delivery rate. BJU Int 105(5):692–696
Raman JD, Bagrodia A, Bensalah K, Pearle MS, Lotan Y (2010) Residual fragments after percutaneous nephrolithotomy: cost comparison of immediate second look flexible nephroscopy versus expectant management. J Urol 183(1):188–193
Chu L, Farris CA, Corcoran AT, Averch TD (2011) Preoperative stent placement decreases cost of ureteroscopy. Urology 78(2):309–313
Koo V, Young M, Thompson T, Duggan B (2011) Cost-effectiveness and efficiency of shockwave lithotripsy vs flexible ureteroscopic holmium:yttrium-aluminium-garnet laser lithotripsy in the treatment of lower pole renal calculi. BJU Int 108(11):1913–1916
Lotan Y, Buendia Jiménez I, Lenoir-Wijnkoop I, Daudon M, Molinier L, Tack I, Nuijten MJC (2012) Primary prevention of nephrolithiasis is cost-effective for a national healthcare system. BJU Int 110(11 Pt C):E1060–E1067.
Hollingsworth JM, Saigal CS, Lai JC, Dunn RL, Strope SA, Hollenbeck BK, Urologic Diseases in America Project (2012) Medicare payments for outpatient urological surgery by location of care. J Urol 188(6):2323–2327
Eaton SH, Cashy J, Pearl JA, Stein DM, Perry K, Nadler RB (2013) Admission rates and costs associated with emergency presentation of urolithiasis: analysis of the Nationwide Emergency Department Sample 2006–2009. J Endourol 27(12):1535–1538
Gurbuz C, Atis G, Arikan O, Efilioglu O, Yildirim A, Danacioglu O, Caskurlu T (2014) The cost analysis of flexible ureteroscopic lithotripsy in 302 cases. Urolithiasis 42(2):155–158
Hollingsworth JM, Norton EC, Kaufman SR, Smith RM, Wolf JSJ, Hollenbeck BK (2013) Medical expulsive therapy versus early endoscopic stone removal for acute renal colic: an instrumental variable analysis. J Urol 190(3):882–887
Pan J, Chen Q, Xue W, Chen Y, Xia L, Chen H, Huang Y (2013) RIRS versus mPCNL for single renal stone of 2–3 cm: clinical outcome and cost-effective analysis in Chinese medical setting. Urolithiasis 41(1):73–78
Sutherland TN, Pearle MS, Lotan Y (2013) How much is a kidney worth? Cost-effectiveness of routine imaging after ureteroscopy to prevent silent obstruction. J Urol 189(6):2136–2141
Ursiny M, Eisner BH (2013) Cost-effectiveness of anti-retropulsion devices for ureteroscopic lithotripsy. J Urol 189(5):1762–1766
Health at a Glance 2015. OECD Indicators (2015). Accessed Oct 17, 2016. http://www.oecd.org/health/health-at-a-glance-19991312.htm
Chandhoke PS (2002) When is medical prophylaxis cost-effective for recurrent calcium stones? J Urol 168(3):937–940
Strohmaier WL (2000) Socioeconomic aspects of urinary calculi and metaphylaxis of urinary calculi. Der Urologe Ausg A 39(2):166–170
Resnick MI, Persky L (1995) Summary of the National Institutes of Arthritis, Diabetes, Digestive and Kidney Diseases conference on urolithiasis: state of the art and future research needs. J Urol 153(1):4–9
Ahlstrand C, Tiselius HG (1981) Renal stone disease in a Swedish district during one year. Scand J Urol Nephrol 15(2):143–146
Hollingsworth JM, Rogers MAM, Kaufman SR, Bradford TJ, Saint S, Wei JT, Hollenbeck BK (2006) Medical therapy to facilitate urinary stone passage: a meta-analysis. Lancet. 368(9542):1171–1179.
Porpiglia F, Destefanis P, Fiori C, Fontana D (2000) Effectiveness of nifedipine and deflazacort in the management of distal ureter stones. Urology 56(4):579–582
Borghi L, Meschi T, Amato F, Novarini A, Giannini A, Quarantelli C, Mineo F (1994) Nifedipine and methylprednisolone in facilitating ureteral stone passage: a randomized, double-blind, placebo-controlled study. J Urol 152(4):1095–1098
Yilmaz E, Batislam E, Basar MM, Tuglu D, Ferhat M, Basar H (2005) The comparison and efficacy of 3 different alpha1-adrenergic blockers for distal ureteral stones. J Urol 173(6):2010–2012
Dauw CA, Kaufman SR, Hollenbeck BK, Roberts WW, Faerber GJ, Wolf JS, Hollingsworth JM (2014) Expulsive therapy versus early endoscopic stone removal in patients with acute renal colic: a comparison of indirect costs. J Urol 191(3):673–677
Hollingsworth JM, Davis MM, West BT, Wolf JSJ, Hollenbeck BK (2009) Trends in medical expulsive therapy use for urinary stone disease in U.S. emergency departments. Urology 74(6):1206–1209
Morris DS, Wei JT, Taub DA, Dunn RL, Wolf JSJ, Hollenbeck BK (2006) Temporal trends in the use of percutaneous nephrolithotomy. J Urol 175(5):1731–1736
Seklehner S, Laudano MA, Jamzadeh A, Del Pizzo JJ, Chughtai B, Lee RK (2014) Trends and inequalities in the surgical management of ureteric calculi in the USA. BJU Int 113(3):476–483
Hollingsworth JM, Krein SL, Birkmeyer JD, Ye Z, Kim HM, Zhang Y, Hollenbeck BK (2010) Opening ambulatory surgery centers and stone surgery rates in health care markets. J Urol 184(3):967–971
Hyams ES, Shah O (2009) Percutaneous nephrostolithotomy versus flexible ureteroscopy/holmium laser lithotripsy: cost and outcome analysis. J Urol 182(3):1012–1017
Feng MI, Tamaddon K, Mikhail A, Kaptein JS, Bellman GC (2001) Prospective randomized study of various techniques of percutaneous nephrolithotomy. Urology 58(3):345–350
Grasso M, Beaghler M, Loisides P (1995) The case for primary endoscopic management of upper urinary tract calculi: II. Cost and outcome assessment of 112 primary ureteral calculi. Urology 45(3):372–376
Kapoor DA, Leech JE, Yap WT, Rose JF, Kabler R, Mowad JJ (1992) Cost and efficacy of extracorporeal shock wave lithotripsy versus ureteroscopy in the treatment of lower ureteral calculi. J Urol 148(3 Pt 2):1095–1096
Anderson KR, Keetch DW, Albala DM, Chandhoke PS, McClennan BL, Clayman RV (1994) Optimal therapy for the distal ureteral stone: extracorporeal shock wave lithotripsy versus ureteroscopy. J Urol 152(1):62–65
Parker BD, Frederick RW, Reilly TP, Lowry PS, Bird ET (2004) Efficiency and cost of treating proximal ureteral stones: shock wave lithotripsy versus ureteroscopy plus holmium:yttrium-aluminum-garnet laser. Urology 64(6):1102–1106
Wu CF, Chen CS, Lin WY, Shee JJ, Lin CL, Chen Y, Huang WS (2005) Therapeutic options for proximal ureter stone: extracorporeal shock wave lithotripsy versus semirigid ureterorenoscope with holmium:yttrium-aluminum-garnet laser lithotripsy. Urology 65(6):1075–1079
Lotan Y, Gettman MT, Roehrborn CG, Cadeddu JA, Pearle MS (2002) Management of ureteral calculi: a cost comparison and decision making analysis. J Urol 167(4):1621–1629
Pearle MS, Roehrborn CG, Pak CY (1999) Meta-analysis of randomized trials for medical prevention of calcium oxalate nephrolithiasis. J Endourol 13(9):679–685
Lotan Y, Cadeddu JA, Pearle MS (2005) International comparison of cost effectiveness of medical management strategies for nephrolithiasis. Urol Res 33(3):223–230
Lotan Y, Cadeddu JA, Roerhborn CG, Pak CY, Pearle MS (2004) Cost-effectiveness of medical management strategies for nephrolithiasis. J Urol 172(6 Pt 1):2275–2281
Lotan Y, Pearle MS (2011) Cost-effectiveness of primary prevention strategies for nephrolithiasis. J Urol 186(2):550–555
Lotan Y, Buendia Jimenez I, Lenoir-Wijnkoop I, Daudon M, Molinier L, Tack I, Nuijten MJ (2013) Increased water intake as a prevention strategy for recurrent urolithiasis: major impact of compliance on cost-effectiveness. J Urol 189(3):935–939
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Canvasser, N.E., Alken, P., Lipkin, M. et al. The economics of stone disease. World J Urol 35, 1321–1329 (2017). https://doi.org/10.1007/s00345-017-2003-y
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DOI: https://doi.org/10.1007/s00345-017-2003-y