We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Recent surgical treatments for urinary stone disease in a Korean population: National population‐based study.
- Authors
Kim, Jong Keun; Cho, Young Sam; Park, Sung Yul; Joo, Kwan Joong; Min, Seung Ki; Lee, Young Goo; Han, Jun Hyun
- Abstract
Objectives: To provide surgical treatment trends for urinary stone disease in Korea. Methods: We analyzed medical service claim data of surgical treatments to urinary stone disease submitted by medical service providers from the Health Insurance Review and Assessment Service from 2009 to 2016. Results: There was a significantly increasing trend among outpatients and inpatients for urinary stone disease from 2009 to 2016 (R2 = 0.643, P = 0.017; R2 = 0.575, P = 0.029). The number of shock wave lithotripsy for treating urinary stone disease increased by 16% from 89 553 in 2009 to 104 013 in 2016 (R2 = 0.684). The number of ureteroscopic lithotripsy increased by 97% from 6106 in 2009 to 12 057 in 2016 (R2 = 0.99). The number of flexible ureteroscopic lithotripsy increased by 16‐fold from 219 in 2009 to 3712 in 2016 (R2 = 0.756). The number of percutaneous nephrolithotomy increased by 99.7% from 919 in 2009 to 1835 in 2016 (R2 = 0.987). The use of non‐contrast and contrast‐enhanced computed tomography in the diagnostic codes for urinary stone disease increased by 394.8% and 263.3% from 2009 to 2016, respectively (R2 = 0.83; R2 = 0.967). Conversely, the use of intravenous pyelography decreased 26.2% over the same period (R2 = 0.945). Conclusions: Outpatient and inpatient procedures for urinary stone disease have increased over the past 8 years in Korea. Shock wave lithotripsy is the most widely used treatment modality for urinary stone disease, and endoscopic surgical procedures are rapidly being implemented. There has been a steep increase in the use of computed tomography, whereas conventional intravenous pyelography is declining.
- Subjects
SOUTH Korea; URINARY calculi; SHOCK waves; PERCUTANEOUS nephrolithotomy; COMPUTED tomography; HEALTH insurance
- Publication
International Journal of Urology, 2019, Vol 26, Issue 5, p558
- ISSN
0919-8172
- Publication type
Article
- DOI
10.1111/iju.13928