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.
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U2 - 10.1016/j.ucl.2007.04.008
DO - 10.1016/j.ucl.2007.04.008
M3 - Review article
C2 - 17678993
AN - SCOPUS:34547479322
SN - 0094-0143
VL - 34
SP - 443
EP - 453
JO - Urologic Clinics of North America
JF - Urologic Clinics of North America
IS - 3
ER -