Economics of Stone Management

Research output: Contribution to journalArticle

61 Citations (Scopus)

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 2007

Fingerprint

Lithotripsy
Economics
Costs and Cost Analysis
Ureteroscopy
Observation
Morbidity
Recurrence
Drug Therapy
Therapeutics
Pharmaceutical Preparations

ASJC Scopus subject areas

  • Urology

Cite this

Economics of Stone Management. / Lotan, Yair; Pearle, Margaret S.

In: Urologic Clinics of North America, Vol. 34, No. 3, 08.2007, p. 443-453.

Research output: Contribution to journalArticle

@article{cd08d33da58247faa48f5abb2f16b4a2,
title = "Economics of Stone Management",
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.",
author = "Yair Lotan and Pearle, {Margaret S}",
year = "2007",
month = "8",
doi = "10.1016/j.ucl.2007.04.008",
language = "English (US)",
volume = "34",
pages = "443--453",
journal = "Urologic Clinics of North America",
issn = "0094-0143",
publisher = "W.B. Saunders Ltd",
number = "3",

}

TY - JOUR

T1 - Economics of Stone Management

AU - Lotan, Yair

AU - Pearle, Margaret S

PY - 2007/8

Y1 - 2007/8

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=34547479322&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34547479322&partnerID=8YFLogxK

U2 - 10.1016/j.ucl.2007.04.008

DO - 10.1016/j.ucl.2007.04.008

M3 - Article

C2 - 17678993

AN - SCOPUS:34547479322

VL - 34

SP - 443

EP - 453

JO - Urologic Clinics of North America

JF - Urologic Clinics of North America

SN - 0094-0143

IS - 3

ER -