Contemporary trends in urinary tract stone surgery, a regional perspective: <scp>A</scp>uckland, <scp>N</scp>ew <scp>Z</scp>ealand

Acland, George; Zargar‐Shoshtari, Kamran; Rice, Michael

doi:10.1111/ans.13205

Cited by 12 publications

(4 citation statements)

References 12 publications

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“…Our data demonstrate an increase in the number of [15] . It is, however, possible that the number of PCNLs performed in England will continue to rise.…”

Section: Findings Of Our Studysupporting

confidence: 62%

Trends in Upper Tract Stone Disease in England: Evidence from the Hospital Episodes Statistics Database

Rukin

Siddiqui²,

Chedgy³

et al. 2016

Urol Int

141

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Aims: The study aimed to determine the current trends in urolithiasis-related admissions and associated interventions in England between 2006/2007 and 2013/2014 utilizing Hospital Episode Statistics (HES) online data. Material and Methods: Data was extracted from the online HES data set for each year from 2006/2007 to 2013/2014 inclusive. Admissions and procedural interventions were identified from their corresponding OPCS-4 and ICD-10 codes. Results: Finished consultant episodes (FCEs) for urolithiasis have increased by 20% over the last 7 years, with 93,039 FCEs in the year 2013/2014. Based on English population statistics, the lifetime prevalence of urolithiasis based on hospital-related admission/intervention data for 2013/2014 is 14%. The biggest increases were seen in those aged ≥75 years (up by 51%, n = 2,853). Total interventions have increased from 28,624 to 42,068, with increased rates of shock wave lithotripsy (26%), ureteroscopy (URS; 86%) and percutaneous nephrolithotomy (149%). Emergency URS procedures have increased by 38%. Day-case rates for ureteric and renal URS, in 2013/2014, were 22 and 21%, respectively. Conclusions: Over the last 7 years, there is a rising prevalence of kidney stone disease with associated increase in the number of interventions related to it. Both elective and emergency URS procedures are increasing, with a rising trend for day-case URS. Similar trends are seen worldwide and future resource planning for urolithiasis is needed to match the increase in demand.

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“…Our data demonstrate an increase in the number of [15] . It is, however, possible that the number of PCNLs performed in England will continue to rise.…”

Section: Findings Of Our Studysupporting

confidence: 62%

Trends in Upper Tract Stone Disease in England: Evidence from the Hospital Episodes Statistics Database

Rukin

Siddiqui²,

Chedgy³

et al. 2016

Urol Int

141

View full text Add to dashboard Cite

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“…In this edition of the journal, Acland et al . demonstrated a 45% increase in the number of stone procedures being performed between 2007 and 2013 . A similar increase has been observed in Australia …”

supporting

confidence: 60%

“…What has driven this increase? Numerically, the increase is due to a larger number of endoscopic procedures at the expense of shock wave lithotripsy (SWL) and percutaneous nephrolithotomy, in particular . The reason for this is harder to ascertain.…”

mentioning

confidence: 99%

Evolution of urinary stone management in Australia and New Zealand

Bariol

2016

ANZ Journal of Surgery

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“…PCNL is often considered the most technically difficult of the common stone procedures and has the highest reported mortality rate [1]. Accordingly, it is often reserved for the largest stones, although there has been a reduced use in recent years largely attributed to the increased uptake of URS [22,23]. Only 6.3% (six of 95) of the deaths in the present report were related to PCNL; with half of these reporting a CMI, and two of six having significant iatrogenic injuries (which are well-recognised) that caused death.…”

mentioning

confidence: 99%

Urinary tract stone deaths: data from the Australian and New Zealand Audits of Surgical Mortality

et al. 2020

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, and identify common causes, clinical management issues (CMIs), and areas for improvement. Patients and Methods All urological-related deaths reported to the Australian and New Zealand Audit of Surgical Mortality (ANZASM) from 2009 to 2017 were analysed. The Bi-National Audit of Surgical Mortality (BAS) database was interrogated for any involvement with renal, ureteric or bladder stones and all relevant associated data analysed. Any CMIs documented by the peer reviewers were recorded and compared to those in urology and all of surgery ANZASM data. Results Of 1034 total urological deaths, 100 (9.7%) were related to stones. The mean (range) age of patients was 74.4 (21-97) years; 95% of the patients underwent at least one procedure, with 45 (47.4%) of these being elective. Urinary sepsis was responsible for 49.5% of the deaths, with 20% dying of cardiac events. In all, 39% (37/95) of deaths were associated with CMIs, the most common considerations being delays in diagnosis or treatment, perioperative management and inadequate preoperative evaluation. This is a considerably higher percentage than the 26% recorded for the general urology and all surgery national data. Ureterorenoscopy at 54% (12/22) had the highest rate of CMIs. Conclusion Death related to stone surgery represents only a small proportion of all urological surgical deaths, but generates more CMIs amongst ANZASM peer assessors. Results could be improved with more rapid diagnosis and treatment. Careful case selection and access to all treatment options are recommended.

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Contemporary trends in urinary tract stone surgery, a regional perspective: Auckland, New Zealand

Abstract: A proportional decline in PCNL and ESWL utilization with a significant increase in flexible and rigid ureteroscopic procedures has been observed over this time and this pattern has been associated with improved adherence to surgical targets despite an increasing number of cases.

Cited by 12 publications

References 12 publications

Trends in Upper Tract Stone Disease in England: Evidence from the Hospital Episodes Statistics Database

Trends in Upper Tract Stone Disease in England: Evidence from the Hospital Episodes Statistics Database

Evolution of urinary stone management in Australia and New Zealand

Urinary tract stone deaths: data from the Australian and New Zealand Audits of Surgical Mortality

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