尿石症对高发地区泌尿科服务的影响：一项多中心研究

IF 2.4 3区医学 Q2 UROLOGY & NEPHROLOGY

Asian Journal of Urology Pub Date : 2025-01-01 DOI:10.1016/j.ajur.2024.04.001

Wissam Khalid Kamal , Musab M. Alghamdi , Raed A. Azhar , Ahmad Bugis , Mohammed Abuzenada , Majed Alharthi , Saeed Bin Hamri , Yahya Ghazwani , Yasser A. Noureldin , Hassan Aljifri , Abdulaziz Alamri , Hatem Hamed Althubiany , Mansour Alnazari , Badr Alharbi , Abdulrahman Al Own , Mohanad Jebril Bosily , Mohammed Almansour , Abdullah Alfakhri , Ibrahim Alowidah , Ali Abdel Raheem

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引用次数: 0

摘要

目的探讨上尿路尿石症对泌尿外科服务的影响，分析近6年来11家医院治疗上尿路尿石症的泌尿外科手术趋势及治疗费用。方法利用医院外科统计数据库，收集沙特阿拉伯11家医院泌尿外科的数据。该分析侧重于2017年1月至2022年12月期间UUT尿石症的泌尿道内手术的趋势、分布和年度成本。结果在54 711例手术中，超过一半（31 039,57%）与UUT尿石症有关。体外冲击波碎石术（ESWL）是结石相关手术中应用最多的手术，占所有手术的38%。双j型支架置入、柔性输尿管镜、半刚性输尿管镜、经皮肾镜取石术、肾盂输尿管取石术分别占25%、19%、14%、3.8%、0.35%。值得注意的是，与2017年相比，2022年与石材相关的UUT程序数量增加了35%（从4671例增加到6283例）。2022年与2017年相比，除ESWL和肾盂输尿管取石术外，所有与结石相关的UUT手术的发生率均有统计学意义上的显著增加（p<0.001）。ESWL手术的比率从2017年的21%降至2022年的13% （p<0.001）。总体而言，从2017年到2022年，治疗总费用估计约为1.921亿里亚尔，增长了107%（2022年为4770万里亚尔，2017年为2300万里亚尔）。结论我们的研究结果表明，尿石症是一个很大的负担，占所有参与中心泌尿外科手术的一半以上。此外，在过去的6年里，与结石相关的UUT手术增加了35%。经皮肾镜取石术、柔性尿路和半刚性尿路的使用显著增加。此外，与2017年相比，2022年尿石症治疗费用增加了一倍以上。

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The impact of urolithiasis on urology services in a high-prevalence region: A multicenter study

Objective

To assess the effect of upper urinary tract (UUT) urolithiasis on urology services in a region with a high prevalence of the condition, and analyze the trends in endourological procedures for treating UUT urolithiasis and the cost of treatments in 11 hospitals over the last 6 years.

Methods

Using the hospital surgery statistics database, data were gathered from the urology departments of 11 hospitals in Saudi Arabia. The analysis focused on the trends, distribution, and annual cost of endourological procedures for UUT urolithiasis from January 2017 to December 2022.

Results

Out of the total surgery performed (54 711), over half (31 039, 57%) were related to UUT urolithiasis. Extracorporeal shock wave lithotripsy (ESWL) was the most performed procedure among stone-related procedures, accounting for 38% of all procedures. Double-J stent insertion, flexible ureteroscopy (URS), semi-rigid URS, percutaneous nephrolithotomy, and pyelo- and uretero-lithotomy accounted for 25%, 19%, 14%, 3.8%, and 0.35%, respectively. Notably, the number of stone-related UUT procedures in 2022 increased by 35% (from 4671 to 6283) compared to 2017. In the year 2022 compared to 2017, there was a statistically significant increase in the rate of all stone-related UUT procedures (p<0.001), except for ESWL and pyelo- and uretero-lithotomy. The rates of ESWL procedures reduced from 21% in 2017 to 13% in 2022 (p<0.001). Overall, the total cost of treatments has been estimated to be about 192.1 million SAR from 2017 to 2022 with an increase by 107% (47.7 million SAR in 2022 vs. 23.0 million SAR in 2017).

Conclusion

Our research findings suggest that urolithiasis poses a significant burden, accounting for over half of all urological surgery performed at the participating centers. Furthermore, there has been a 35% rise in stone-related UUT procedures over the past 6 years. Percutaneous nephrolithotomy, flexible URS, and semi-rigid URS have experienced significant increase in usage. Furthermore, in 2022 the cost of urolithiasis treatments has been more than doubled compared to 2017.

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来源期刊

Asian Journal of Urology UROLOGY & NEPHROLOGY-

CiteScore

4.00

自引率

3.80%

发文量

100

审稿时长

4 weeks

期刊介绍： Asian Journal of Urology (AJUR), launched in October 2014, is an international peer-reviewed Open Access journal jointly founded by Shanghai Association for Science and Technology (SAST) and Second Military Medical University (SMMU). AJUR aims to build a communication platform for international researchers to effectively share scholarly achievements. It focuses on all specialties of urology both scientifically and clinically, with article types widely covering editorials, opinions, perspectives, reviews and mini-reviews, original articles, cases reports, rapid communications, and letters, etc. Fields of particular interest to the journal including, but not limited to: • Surgical oncology • Endourology • Calculi • Female urology • Erectile dysfunction • Infertility • Pediatric urology • Renal transplantation • Reconstructive surgery • Radiology • Pathology • Neurourology.