Мақола

Economic Burden of Imaging and Interventions in Endourology: A Worldwide Cost Analysis from European Association of Urology Young Academic Urology Endourology and Urolithiasis Working Party

Amelia PietropaoloUrology, University Hospital Southampton, Southampton, United KingdomEtienne Xavier KellerDepartment of Urology, University Hospital Zurich, University of Zurich, Zurich, SwitzerlandTarık Emre ŞenerUrology, Marmara University School of Medicine, Istanbul, TürkiyeB. M. Zeeshan HameedUrology, Father Muller Medical College, Mangalore, IndiaArman TsaturyanUrology, Erebouni Medical Center, Erebouni, ArmeniaEugenio VentimigliaUrology, IRCCS Ospedale San Raffaele, Milan, ItalyPatrick Juliebø‐JonesDepartment of Urology, Haukeland University Hospital Bergen, Norway, and Department of Clinical Medicine, University of Bergen, Bergen, NorwayChristian BeislandDepartment of Urology, Haukeland University Hospital Bergen, Norway, and Department of Clinical Medicine, University of Bergen, Bergen, NorwayI. MikoniatisUrology, Aristotle University, Thessaloniki, GreeceLazaros TzelvesUrology, National and Kapodistrian University of Athens, Athens, GreeceVincent De ConinckUrology, AZ Klina, Brasschaat, BelgiumFrédéric PanthierUrology, GRC 20-Sorbonne University Tenon Hospital, Paris, FranceMichael ChaloupkaUrology, University Hospital LMU Munich, Munich, GermanyEwa Bres–NiewadaUrology, Faculty of Medicine Lazarski University Warsaw, Warsaw, PolandAlba SierraUrology, Hospital Clinic de Barcelona, Barcelona, SpainL. DragoşUrology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United KingdomNariman GadzhievUrology, Saint-Petersburg State University Hospital, Saint Petersburg, RussiaAnil ShresthaUrology, National Academy of Medical Sciences, Gwarko Lalitpur, NepalAzimdjon TursunkulovUrology, AkfaMedline Hospital, Tashkent, UzbekistanKhurshid R. GhaniUrology, University of Michigan, Michigan, USAChinnakhet KetsuwanAlexandre DanilovicUrology, Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo, Sao Paulo, BrazilFelipe PauchardUrology, Hospital Naval Almirante Nef, Vina del Mar, ChileHatem KamkoumUrology, Hamad Medical Corporation, Doha, QatarJohan CabreraDepartment of Urology, Javier Prado Clinic, Lima, PeruMariela CorralesUrology, Assistance-Publique Hopitaux de Paris Hopital Tenon Sorbonne Université, Paris, FranceYazeed BarghouthyHospital Européen Georges Pompidou-APHP, Urology and Transplantation Department, Paris, FranceJia‐Lun KwokDepartment of Urology, Tan Tock Seng Hospital, Singapore, SingaporeTheodoros TokasDepartment of Urology, Medical School, University General Hospital of Heraklion, University of Crete, Heraklion, GreeceCatalina SolanoUrology, Uroclin S.A.S Medellín Colombia, Medellin, ColombiaPablo Nicolas ContrerasUrology, Hospital Aleman Buenos Aires Argentina, Buenos Aires Argentina, ArgentinaSaeed Bin HamriUrology, Urology Department at Specialized Medical Center SMC2 Riyadh Saudi Arabia, Riyadh, Saudi ArabiaNaeem BhojaniUrology, Division of Urology, University of Montréal, Montreal, CanadaA. Carolien Bouma-HouwertUrology, Amsterdam UMC Location University of Amsterdam, Amsterdam, The NetherlandsThomas TaillyUniversity Hospital Ghent, Ghent, BelgiumOtaš DurutovićUrology, Clinic of Urology UCCS, Belgrade, SerbiaBhaskar SomaniUrology, University Hospital Southampton, Southampton, United Kingdom

Journal of Endourologyjournal2025en

ABI

Аннотация

Background and Objective: The cost of imaging and interventions in the surgical field varies between countries and sometimes within different regions of the same country. Procedural cost takes into account equipment, consumables, operating room, surgical, anesthetic and nursing teams, radiology, medications, and hospital stay. Health care systems therefore face an incredible burden related to investigations and surgical procedures. The aim of this study was to collect costs of imaging and interventions for kidney calculi across different hospitals and health care systems in the world. Methods: An online shared Google spreadsheet was created by the European Association of Urology Young Academic Urology urolithiasis group. The survey consisted of the cost of four radiological imaging (ultrasound of the urinary tract [USS], plain X-ray radiography of the abdomen including kidneys, ureter, and bladder [XRKUB], noncontrast-enhanced computerized tomography [CTKUB], and contrast-enhanced CT with urographic phase [CTU]) and seven interventions (endoscopic laser treatment of renal stones, ureteroscopic treatment or extraction of ureteral stones, percutaneous nephrolithotomy (PCNL), insertion of ureteral stent, diagnostic ureteroscopy, and cystolitholapaxy). A chosen representative from each country collected and collated the data, and this was converted to Euros (€). Key Findings and Limitations: Data were collected from 32 countries, which include Turkey, Armenia, Nepal, Uzbekistan, Brazil, Chile, Qatar, Peru, Israel, Singapore, Thailand, Colombia, Argentina, Saudi Arabia, Asia, North America, 15 countries from the European continent, and the United States. The mean cost of USS, XRKUB, CTKUB, and CTU was 51.3 € (range: 2–160 €), 27.1 € (range: 2.5–187 €), 105.8 € (range: 19–405 €), and 171.5 € (range: 19–674 €), respectively. Similarly, the cost of endoscopic laser treatment of renal stones, ureteroscopic treatment/extraction of ureteral stones, PCNL, insertion of ureteral stent, diagnostic ureteroscopy, and cystolitholapaxy was 1942.6 € (range: 100–7887 €), 1626.8 € (range: 80–9787 €), 2884.6 € (range: 110–12642 €), 631 € (range: 110–2787 €), 861.6 € (range: 3–2667 €), and 876 € (range: 19–3457 €), respectively. Wide differences in cost between countries were found within the study. Conclusions and Clinical Implications: This study highlights the significant economic impact of kidney stone management on health care systems worldwide. There seem to be significant disparities between costs, and this study shows the social and economic inequalities in health care access, which can differ significantly between private and public health care. These results can aid policymakers to address these disparities and perhaps to learn from other health care providers.

Ҳали таржима қилинмаган

Мавзулар

Kidney Stones and Urolithiasis Treatments Colorectal Cancer Surgical Treatments Renal and Vascular Pathologies

Идентификаторлар

DOI: 10.1089/end.2024.0673

Иқтибослар ва манбалар

1 та иқтибос 35 та фойдаланилган манба

Кўрсаткичлар — AkademScholar