Economics of Stone Management

Research output: Contribution to journalReview article

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Abstract

Cost, in addition to efficacy and morbidity, has become an important factor in determining the best therapeutic modality for a variety of disease states. A comprehensive literature search finds that, in general, for staghorn calculi, percutaneous nephrostolithotomy is more cost-effective than shock wave lithotripsy (SWL) for stones greater than 2 cm in any dimension, while SWL may be cost-effective for smaller stones. For ureteral stones, observation is the least costly treatment strategy. Among surgical options, ureteroscopy is less costly than SWL. For single and recurrent stone formers, medical prophylactic strategies involving drug therapy are more costly than conservative therapy involving dietary measures alone. However, drug strategies yield fewer stone recurrences.

Original languageEnglish (US)
Pages (from-to)443-453
Number of pages11
JournalUrologic Clinics of North America
Volume34
Issue number3
DOIs
StatePublished - Aug 1 2007

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ASJC Scopus subject areas

  • Urology

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