Long-term evaluation of outcomes and costs of urolithiasis re-interventions after ureteroscopy, extracorporeal shockwave lithotripsy and percutaneous nephrolithotomy based on German health insurance claims data

Konnopka, Claudia; Becker, Benedikt; Netsch, Christopher; Herrmann, Thomas; Gross, Andreas J.; Lusuardi, Lukas; Knoll, Thomas; König, Hans‐Helmut

doi:10.1007/s00345-022-04180-3

Cited by 2 publications

(1 citation statement)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Urolithiasis, particularly when relapsing and/or complicated by obstructive nephropathy or infection, can induce a renal damage which can evolve into chronic kidney disease (CKD) and, eventually, though in a minority of patients, end stage kidney disease (ESKD) [ 5 , 6 , 7 , 8 , 9 ]. Moreover, UL episodes have a significant impact on the quality of life of patients and are associated with a significant increase in health care costs, both direct (related to interventions) and indirect (loss of working days) [ 2 , 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Vitamin D and Calcium Supplementation and Urolithiasis: A Controversial and Multifaceted Relationship

et al. 2023

View full text Add to dashboard Cite

Patients with urolithiasis, and particularly those with hypercalciuria, frequently have a marked reduction of bone mineral content up to the levels of osteoporosis, with a significant increase in bone fracture risk. For these reasons, the indication to prescribe vitamin D and/or calcium supplementations is very frequent in such patients. On the other hand, both calcium supplementation, and even more vitamin D therapy, can worsen the risk of developing urolithiasis by increasing calcium, phosphate, and oxalate urinary excretion. Despite the clinical and practical relevance of this issue, the evidence on this topic is scarce and contradictory. Therefore, some concerns exist about how and whether to prescribe such supplements to a patient with a history of kidney stones. In this narrative review, we resume some pivotal pathophysiological concepts strictly related to the dealt topic, and we draw some considerations and personal opinions on the pros and cons of such prescriptions. Finally, we share with the reader our pragmatic algorithm for handling the urolithiasis risk in patients who have strong indications to be prescribed vitamin D and calcium supplementations.

show abstract

Section: Introductionmentioning

confidence: 99%

Vitamin D and Calcium Supplementation and Urolithiasis: A Controversial and Multifaceted Relationship

et al. 2023

View full text Add to dashboard Cite

show abstract

Cost-effectiveness and health economics for ureteral and kidney stone disease: a systematic review of literature

Nedbal,

Tramanzoli,

Castellani

et al. 2024

Current Opinion in Urology

View full text Add to dashboard Cite

Purpose of review To systematically review costs associated with endourological procedures (ureteroscopy, URS; shockwave lithotripsy, SWL; and percutaneous nephrolithotomy, PCNL) for kidney stone disease (KSD), providing an overview of cost-effectiveness and health economics strategies. Recent findings A systematic review of the literature was performed, retrieving 83 English-written full-text studies for inclusion. Papers were labelled according to the respective area of interest: ‘costs of different procedures: SWL, URS, PCNL’, ‘costs of endourological devices and new technologies: reusable and disposable scopes, lasers, other devices’, ‘costs of KSD treatment in the emergency setting: emergency stenting versus primary URS’. Forty-three papers reported on associated cost for different procedures, revealing URS to be the most cost-effective. PCNL follows with higher hospitalization costs, while SWL appears to be least cost effective due to high need of additional procedures. The role of disposable and reusable scope is investigated by 15 articles, while other 16 reported on the role of different lasers, devices and techniques. The last nine studies included discussed the best and more cost-effective treatment for acute stone presentation, with promising results for primary URS versus emergency stenting and delayed URS. Summary Cost-effective and cost-conscious intervention is equally imperative to consider whilst weighing in clinical efficacy for endourological procedures. When a decision-making choice of SWL, URS or PCNL is offered to a patient, the outcomes must be balanced with a deeper understanding of additional cost burden of retreatment, reimbursement, repeated interventions, and recurrence. In todays’ practice, investing in endourological devices for KSD management must consider carefully the direct and hidden costs of using reusable and disposable technology. Cost control measures should not in any way compromise the quality of life or safety of the patient.

show abstract

Long-term evaluation of outcomes and costs of urolithiasis re-interventions after ureteroscopy, extracorporeal shockwave lithotripsy and percutaneous nephrolithotomy based on German health insurance claims data

Cited by 2 publications

References 28 publications

Vitamin D and Calcium Supplementation and Urolithiasis: A Controversial and Multifaceted Relationship

Vitamin D and Calcium Supplementation and Urolithiasis: A Controversial and Multifaceted Relationship

Cost-effectiveness and health economics for ureteral and kidney stone disease: a systematic review of literature

Contact Info

Product

Resources

About