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Comparative analysis of direct and indirect costs of two minimally invasive techniques for the treatment of renal/ureteral calculi smaller than 2 cm.
Actas Urol Esp. 2020 Jun 24 [Online ahead of print]AU

Abstract

OBJECTIVE

To perform a comparative analysis of indirect and direct costs of two minimally invasive techniques (extracorporeal shock wave lithotripsy (ESWL) vs. ureteroscopy with holmium laser (URS/RIRS)) for the treatment of renal/ureteral calculi smaller than 2 cm.

MATERIAL AND METHODS

Prospective, comparative, non-randomized study of 84 patients treated for kidney stones smaller than 2 cm between January and December 2016. Of these, 38 (45.67%) were treated with ESWL (18 renal lithiasis and 20 ureteral lithiasis) and 46 (54.32%) with URS/RIRS (22 renal lithiasis and 24 ureteral lithiasis). A total of 19 (41.3%) patients in the URS/RIRS group and 15 (39.5%) patients in the ESWL group were actively working before treatment. The variables analyzed were sex, age, number and size of lithiasis, time (days) off from work due to treatment, estimate of indirect cost due to labor productivity loss and direct treatment costs including follow-up (total number of procedures, ancillary care, visits and diagnostic tests). The 2015 Wage Structure Survey (INE) was used to estimate the indirect cost. In addition, the «Work Productivity and Activity Impairment» (WPAI) questionnaire was also used to determine the level of perceived productivity loss.

RESULTS

The mean number of sessions until lithiasis resolution was achieved was 2.57 for the ESWL group and 1.04 for the URS. The mean number of days off from work in the URS group was 7.16 days and 3.18 (p = 0.034) in the ESWL group. The total indirect costs resulting from productivity loss were EUR 621.55 and EUR 276.05 for the URS and ESWL, respectively. Direct costs in the ESWL group were EUR 1,382.9 and EUR 2,317.71 in the URS group. The level of work impairment perceived by patients undergoing URS was 18.88% and 21.33% in the ESWL group. The degree of impairment for performing activities of daily living was 24.44% in the URS and 15% in ESWL.

CONCLUSIONS

The ESWL technique requires a higher number of sessions for the resolution of kidney stones under 2 cm, but it has a lower impact on total costs and on the perceived degree of affectation.

Authors+Show Affiliations

Hospital Universitari i Politècnic La Fe, Unidad de Litotricia y endourología, Valencia, Valenciana, España. Electronic address: ardavin.j@gmail.com.Hospital Universitari i Politècnic La Fe, Unidad de Litotricia y endourología, Valencia, Valenciana, España.Centro de Investigación en Economía y Gestión de la Salud (CIEGS), Universidad Politécnica de Valencia (UPV), Valencia, Valenciana, España.Hospital Universitari i Politècnic La Fe, Unidad de Litotricia y endourología, Valencia, Valenciana, España.Centro de Investigación en Economía y Gestión de la Salud (CIEGS), Universidad Politécnica de Valencia (UPV), Valencia, Valenciana, España.Hospital Universitari i Politècnic La Fe, Unidad de Litotricia y endourología, Valencia, Valenciana, España.Hospital Universitari i Politècnic La Fe, Unidad de Litotricia y endourología, Valencia, Valenciana, España.Hospital Universitari i Politècnic La Fe, Unidad de Litotricia y endourología, Valencia, Valenciana, España.Hospital Universitari i Politècnic La Fe, Unidad de Litotricia y endourología, Valencia, Valenciana, España.Hospital Universitari i Politècnic La Fe, Unidad de Litotricia y endourología, Valencia, Valenciana, España.

Pub Type(s)

Journal Article

Language

eng spa

PubMed ID

32593640

Citation

Perez-Ardavin, J, et al. "Comparative Analysis of Direct and Indirect Costs of Two Minimally Invasive Techniques for the Treatment of Renal/ureteral Calculi Smaller Than 2 Cm." Actas Urologicas Espanolas, 2020.
Perez-Ardavin J, Lorenzo L, Caballer-Tarazona V, et al. Comparative analysis of direct and indirect costs of two minimally invasive techniques for the treatment of renal/ureteral calculi smaller than 2 cm. Actas Urol Esp. 2020.
Perez-Ardavin, J., Lorenzo, L., Caballer-Tarazona, V., Budía-Alba, A., Vivas-Consuelo, D., Bahilo-Mateu, P., Ordaz-Jurado, G., Trassierra-Villa, M., López-Acón, J. D., & Boronat-Tormo, F. (2020). Comparative analysis of direct and indirect costs of two minimally invasive techniques for the treatment of renal/ureteral calculi smaller than 2 cm. Actas Urologicas Espanolas. https://doi.org/10.1016/j.acuro.2020.03.008
Perez-Ardavin J, et al. Comparative Analysis of Direct and Indirect Costs of Two Minimally Invasive Techniques for the Treatment of Renal/ureteral Calculi Smaller Than 2 Cm. Actas Urol Esp. 2020 Jun 24; PubMed PMID: 32593640.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparative analysis of direct and indirect costs of two minimally invasive techniques for the treatment of renal/ureteral calculi smaller than 2 cm. AU - Perez-Ardavin,J, AU - Lorenzo,L, AU - Caballer-Tarazona,V, AU - Budía-Alba,A, AU - Vivas-Consuelo,D, AU - Bahilo-Mateu,P, AU - Ordaz-Jurado,G, AU - Trassierra-Villa,M, AU - López-Acón,J D, AU - Boronat-Tormo,F, Y1 - 2020/06/24/ PY - 2019/09/19/received PY - 2020/03/10/revised PY - 2020/03/22/accepted PY - 2020/6/29/entrez KW - Extracorporeal lithotripsy KW - Litiasis renal KW - Litiasis ureteral KW - Litotricia extracorpórea KW - Renal lithiasis KW - Ureteral lithiasis KW - Ureterorrenoscopia KW - Ureteroscopy KW - Urolithiasis KW - Urolitiasis JF - Actas urologicas espanolas JO - Actas Urol Esp N2 - OBJECTIVE: To perform a comparative analysis of indirect and direct costs of two minimally invasive techniques (extracorporeal shock wave lithotripsy (ESWL) vs. ureteroscopy with holmium laser (URS/RIRS)) for the treatment of renal/ureteral calculi smaller than 2 cm. MATERIAL AND METHODS: Prospective, comparative, non-randomized study of 84 patients treated for kidney stones smaller than 2 cm between January and December 2016. Of these, 38 (45.67%) were treated with ESWL (18 renal lithiasis and 20 ureteral lithiasis) and 46 (54.32%) with URS/RIRS (22 renal lithiasis and 24 ureteral lithiasis). A total of 19 (41.3%) patients in the URS/RIRS group and 15 (39.5%) patients in the ESWL group were actively working before treatment. The variables analyzed were sex, age, number and size of lithiasis, time (days) off from work due to treatment, estimate of indirect cost due to labor productivity loss and direct treatment costs including follow-up (total number of procedures, ancillary care, visits and diagnostic tests). The 2015 Wage Structure Survey (INE) was used to estimate the indirect cost. In addition, the «Work Productivity and Activity Impairment» (WPAI) questionnaire was also used to determine the level of perceived productivity loss. RESULTS: The mean number of sessions until lithiasis resolution was achieved was 2.57 for the ESWL group and 1.04 for the URS. The mean number of days off from work in the URS group was 7.16 days and 3.18 (p = 0.034) in the ESWL group. The total indirect costs resulting from productivity loss were EUR 621.55 and EUR 276.05 for the URS and ESWL, respectively. Direct costs in the ESWL group were EUR 1,382.9 and EUR 2,317.71 in the URS group. The level of work impairment perceived by patients undergoing URS was 18.88% and 21.33% in the ESWL group. The degree of impairment for performing activities of daily living was 24.44% in the URS and 15% in ESWL. CONCLUSIONS: The ESWL technique requires a higher number of sessions for the resolution of kidney stones under 2 cm, but it has a lower impact on total costs and on the perceived degree of affectation. SN - 1699-7980 UR - https://www.unboundmedicine.com/medline/citation/32593640/Comparative_analysis_of_direct_and_indirect_costs_of_two_minimally_invasive_techniques_for_the_treatment_of_renal/ureteral_calculi_smaller_than_2_cm L2 - https://linkinghub.elsevier.com/retrieve/pii/S0210-4806(20)30080-2 DB - PRIME DP - Unbound Medicine ER -