An analysis of the trends in kidney and ureter stone management over the past decade in germany, france and england

You have accessJournal of UrologyHealth Services Research: Practice Patterns, Quality of Life and Shared Decision Making III (MP23)1 Sep 2021MP23-09 AN ANALYSIS OF THE TRENDS IN KIDNEY AND URETER STONE MANAGEMENT OVER THE PAST DECADE IN GERMANY, FRANCE AND ENGLAND Benjamin Turney, Clémentine Demaire, Sofie Klöcker, Hans-Jörg Sommerfeld, and Olivier Traxer Benjamin TurneyBenjamin Turney More articles by this author , Clémentine DemaireClémentine Demaire More articles by this author , Sofie KlöckerSofie Klöcker More articles by this author , Hans-Jörg SommerfeldHans-Jörg Sommerfeld More articles by this author , and Olivier TraxerOlivier Traxer More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002014.09AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Kidney and ureter (Upper Urinary Tract - UUT) stone prevalence is rising in Europe. The resultant increase in demand on services may be challenging for hospitals to manage, increasing the burden on patients and healthcare providers (HCPs). In this analysis we investigate the evolution of UUT diagnoses and surgical procedures to treat UUT stones in Germany (DE), France (FR), and England (EN) over the past decade. METHODS: We identified International Classification of Diseases (ICD-10) codes related to UUT stones diagnosis and extracted procedure volumes for Extracorporeal Shock Wave Lithotripsy (ESWL), Ureteroscopy (URS), Percutaneous Nephrolithotomy (PCNL) and open prostatectomy (OP) using national procedure codes from the German G-DRG system, the French Technical Agency of Hospitalization Information and NHS England Hospital Episode Statistics. We analyzed the procedure volumes compared to the volume of hospital UUT stone diagnoses from 2010 to 2019. RESULTS: Between 2010-2019, the ICD-10 N20 codes for calculus of kidney and ureter increased by 8%; 26% and 15% in DE, FR, EN respectively, whereas stone procedures increased by 3%; 38% and 18%. In 2010, the dominant procedure to treat UUT stones was ESWL (49%; 53% 60%; for DE, FR and EN respectively). In 2019, URS was the dominant procedure (75%; 74%; 51%; in DE; FR and EN respectively). PCNL and OP represent only a small percentage of UUT stones procedures: <12% in DE and <5% in FR and EN. CONCLUSIONS: This analysis highlights an increase in UUT stones diagnoses and surgical procedures in DE, FR, EN over the last 10 years. There were 20-30% more reported diagnoses per 100,000 population in FR than in DE and EN. The gap between the diagnoses volume and the treatments volume was around 15% in DE, 20% in FR and 45% in EN.The surgical management of UUT stone has shifted from ESWL towards URS. The trend may be due to clinical advantages such as lower recurrence rate after URS and advances in technology, but other factors such as physician preference and costs may play a role. The continued rise of UUT stone prevalence has implications for patients, hospitals and HCPs. Solutions to optimize the service delivery and workforce planning, as well reducing length of stay could help to address this situation. Source of Funding: Boston Scientific © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e404-e404 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Benjamin Turney More articles by this author Clémentine Demaire More articles by this author Sofie Klöcker More articles by this author Hans-Jörg Sommerfeld More articles by this author Olivier Traxer More articles by this author Expand All Advertisement Loading ...