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- Title
Primary prevention of nephrolithiasis is cost-effective for a national healthcare system.
- Authors
Lotan, Yair; Buendia Jiménez, Inmaculada; Lenoir-Wijnkoop, Irene; Daudon, Michel; Molinier, Laurent; Tack, Ivan; Nuijten, Mark J C
- Abstract
Study Type--Therapy (cost-effectiveness meeting) Level of Evidence 2b. What's known on the subject? and What does the study add? One of the major problems with nephrolithiasis is the high rate of recurrence, which can effect up to 50% of patients over a 5-year period. Patients with recurrent stones are recommended to increase fluid intake based on prospective studies that show a reduction in recurrence rates in patients who intake a high volume of water. Strategies to reduce stones in recurrent stone formers are quite effective with a >50% risk reduction with increased fluid intake alone. Unfortunately, despite a high societal cost and morbidity, there are no prospective studies evaluating the benefit of fluid intake to prevent stone disease in subjects without a prior history of stone but at risk for stones. The budget impact analyses show that prevention of nephrolithiasis can have a significant cost savings for a payer in a healthcare system and reduce the stone burden significantly. Future studies will need to assess the feasibility and effectiveness of such an approach in a population.
- Publication
BJU international, 2012, Vol 110, Issue 11 Pt C, pE1060
- ISSN
1464-410X
- Publication type
Journal Article
- DOI
10.1111/j.1464-410X.2012.11212.x