MP65-17 IS PRIMARY URETEROSCOPY MORE COST-EFFECTIVE THAN URETERAL STENTING FOR OBSTRUCTING URETERAL CALCULI?

You have accessJournal of UrologyStone Disease: Surgical Therapy V (MP65)1 Sep 2021MP65-17 IS PRIMARY URETEROSCOPY MORE COST-EFFECTIVE THAN URETERAL STENTING FOR OBSTRUCTING CALCULI? Radha Sehgal, Yasmin Abu-Ghanem, Christina Fontaine, Luke Forster, Rajesh Kucheria, Darrell Allen, Anuj Goyal, Gidon Ellis, Paras Singh, and Leye Ajayi SehgalRadha Sehgal More articles by this author , Abu-GhanemYasmin Abu-Ghanem FontaineChristina Fontaine ForsterLuke Forster KucheriaRajesh Kucheria AllenDarrell Allen GoyalAnuj Goyal EllisGidon Ellis SinghParas Singh AjayiLeye View All Author Informationhttps://doi.org/10.1097/JU.0000000000002105.17AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The increasing prevalence nephrolithiasis represents a significant economic burden worldwide making cost-reduction essential. Given that 20% patients with ureteral colic require acute surgical intervention, there is lack data reviewing the cost-effectiveness current treatment modalities. We present analysis between primary stenting in stones emergency setting. METHODS: performed retrospective requiring intervention for calculus at single institution January December 2019. underwent stenting, ureteroscopy (URS) or shock wave lithotripsy (SWL). overall secondary care cost was calculated include procedure, inpatient hospital bed days, room (ER) attendances, additional procedures such as nephrostomy insertion definitive procedure. RESULTS: A total 244 were included. Ureteral 152 (62.3%) 92 (37.7%), those, 83 (34.0%) URS 9 (3.6%) had SWL. Those undergoing significantly higher ER reattendance rate (25.7% vs 10.9%, p=0.02). greater group (£4485.42 £3536.83; p = 0.65). average per patient related reattendances compared (£61.05 £20.87; < 0.001). CONCLUSIONS: study highlights potential when performing presenting colic, predominantly reduced attendances. This particularly relevant COVID-19 pandemic where it crucial avoid unnecessary attendances reduce backlog delayed procedures. Both SWL setting should be considered, concordance clinical judgement factors preference, equipment availability operator experience. Source Funding: N/A © 2021 American Urological Association Education Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e1126-e1126 Advertisement Copyright & Permissions© Inc.MetricsAuthor Information Expand Loading ...