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Outcomes and costs of ureteroscopy, extracorporeal shockwave lithotripsy, and percutaneous nephrolithotomy for the treatment of urolithiasis: An analysis based on health insurance claims data in Germany

World Journal of Urology Dec 21, 2021

Schulz C, Becker B, Netsch C, et al. - Comparing ureteroscopy (URS), extracorporeal shockwave lithotripsy (SWL), and percutaneous nephrolithotomy (PCNL) for urolithiasis, findings revealed fewer re-interventions, fewer sick leave days, and lower healthcare costs for URS cases. Only in terms of complications, SWL was superior. This emphasizes URS as the most frequent treatment option.

  • In this retrospective cohort study based on German health insurance claims data, a total of 164,203 urolithiasis cases were analyzed.

  • Relative to URS cases, SWL and PCNL were found to have fewer 30-day complications, time to re-intervention within 12 months was reduced for SWL and PCNL, SWL and PCNL were correlated with a higher number of sick leave days, and SWL and especially PCNL were found to be related to higher expenditures.

  • Less costs, fewer complications, and re-interventions were noted in SWL outpatients compared with inpatients.

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