A population-based, retrospective cohort study analyzing contemporary trends in the surgical management of urinary stone disease in adults

Publication
date

Authors: Dor Golomb, Sumit Dave, Fernanda Gabrigna Berto, J Andrew McClure, Blayne Welk, Peter Wang, Jennifer Bjazevic, Hassan Razvi

Publication date: 2022/4

Journal: Canadian Urological Association Journal

Volume: 16

Issue: 4

Pages: 112

Publisher: Canadian Urological Association

:Description

  •  methods
    We carried out a retrospective, population-based cohort study using administrative databases held at the Institute of Clinical Evaluative Sciences (ICES) to identify all adults (≥ 18 years) who underwent surgical treatment for urolithiasis, defined by records using a combination of both hospital and physician billing from 2002–2019. Descriptive statistics were used to summarize baseline patient demographics, and surgical trends were analyzed using the Cochrane-Armitage test for trend.
  • Results
    From 2002–2019, 140 263 patients were treated surgically for urolithiasis. During this time period, the total number of surgically treated stone disease increased by 80.5%. By type of procedure, percutaneous nephrolithotomy (PCNL) increased by 187% and ureteroscopy (URS) increased by 158%, while the number of shockwave lithotripsy (SWL) declined by 31.4%. The adult population in Ontario in the years …

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