When is Medical Prophylaxis Cost-effective for Recurrent Calcium Stones?
| Autor: | Paramjit S. Chandhoke |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Radiographic imaging General surgery medicine.medical_treatment Urology Recurrent acute Lithotripsy medicine.disease Extracorporeal shock wave lithotripsy Surgery medicine Recurrent stone Ureteroscopy business health care economics and organizations Kidney disease Upper urinary tract |
| Zdroj: | The Journal of Urology. :937-940 |
| ISSN: | 0022-5347 |
| Popis: | Purpose: Medical management is generally recommended for recurrent calcium stones to prevent future episodes. However, in this era of extracorporeal shock wave lithotripsy and outpatient ureteroscopy it is not known whether medical prophylaxis is more cost-effective than treatment of recurrent stone episodes. The cost of medical prophylaxis was compared with the cost of clinically managing recurrent stone episodes, and the stone recurrence rate without prophylaxis (stone frequency) at which these 2 treatment approaches became cost equivalent was determined.Materials and Methods: An international cost survey was conducted in 10 countries to compare costs of medical prophylaxis and managing recurrent acute stone episodes. Costs of an acute stone episode included an emergency room visit, associated radiographic imaging to confirm diagnosis of a symptomatic stone and outpatient treatment of upper urinary tract stones that did not pass spontaneously. Costs of medical management included an initial limi... |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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