The impact of urolithiasis on urology services in a high-prevalence region: A multicenter study
Objective: To assess the effect of upper urinary tract (UUT) urolithiasis on urology services in a region with a high prevalence of the condition, and analyze the trends in endourological procedures for treating UUT urolithiasis and the cost of treatments in 11 hospitals over the last 6 years. Metho...
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Elsevier
2025-01-01
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| Series: | Asian Journal of Urology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214388224000511 |
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| author | Wissam Khalid Kamal Musab M. Alghamdi Raed A. Azhar Ahmad Bugis Mohammed Abuzenada Majed Alharthi Saeed Bin Hamri Yahya Ghazwani Yasser A. Noureldin Hassan Aljifri Abdulaziz Alamri Hatem Hamed Althubiany Mansour Alnazari Badr Alharbi Abdulrahman Al Own Mohanad Jebril Bosily Mohammed Almansour Abdullah Alfakhri Ibrahim Alowidah Ali Abdel Raheem |
| author_facet | Wissam Khalid Kamal Musab M. Alghamdi Raed A. Azhar Ahmad Bugis Mohammed Abuzenada Majed Alharthi Saeed Bin Hamri Yahya Ghazwani Yasser A. Noureldin Hassan Aljifri Abdulaziz Alamri Hatem Hamed Althubiany Mansour Alnazari Badr Alharbi Abdulrahman Al Own Mohanad Jebril Bosily Mohammed Almansour Abdullah Alfakhri Ibrahim Alowidah Ali Abdel Raheem |
| author_sort | Wissam Khalid Kamal |
| collection | DOAJ |
| description | Objective: To assess the effect of upper urinary tract (UUT) urolithiasis on urology services in a region with a high prevalence of the condition, and analyze the trends in endourological procedures for treating UUT urolithiasis and the cost of treatments in 11 hospitals over the last 6 years. Methods: Using the hospital surgery statistics database, data were gathered from the urology departments of 11 hospitals in Saudi Arabia. The analysis focused on the trends, distribution, and annual cost of endourological procedures for UUT urolithiasis from January 2017 to December 2022. Results: Out of the total surgery performed (54 711), over half (31 039, 57%) were related to UUT urolithiasis. Extracorporeal shock wave lithotripsy (ESWL) was the most performed procedure among stone-related procedures, accounting for 38% of all procedures. Double-J stent insertion, flexible ureteroscopy (URS), semi-rigid URS, percutaneous nephrolithotomy, and pyelo- and uretero-lithotomy accounted for 25%, 19%, 14%, 3.8%, and 0.35%, respectively. Notably, the number of stone-related UUT procedures in 2022 increased by 35% (from 4671 to 6283) compared to 2017. In the year 2022 compared to 2017, there was a statistically significant increase in the rate of all stone-related UUT procedures (p<0.001), except for ESWL and pyelo- and uretero-lithotomy. The rates of ESWL procedures reduced from 21% in 2017 to 13% in 2022 (p<0.001). Overall, the total cost of treatments has been estimated to be about 192.1 million SAR from 2017 to 2022 with an increase by 107% (47.7 million SAR in 2022 vs. 23.0 million SAR in 2017). Conclusion: Our research findings suggest that urolithiasis poses a significant burden, accounting for over half of all urological surgery performed at the participating centers. Furthermore, there has been a 35% rise in stone-related UUT procedures over the past 6 years. Percutaneous nephrolithotomy, flexible URS, and semi-rigid URS have experienced significant increase in usage. Furthermore, in 2022 the cost of urolithiasis treatments has been more than doubled compared to 2017. |
| format | Article |
| id | doaj-art-28fa2d43a3fe4fa49b0583a4334ba5f1 |
| institution | Kabale University |
| issn | 2214-3882 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Urology |
| spelling | doaj-art-28fa2d43a3fe4fa49b0583a4334ba5f12025-01-30T05:14:15ZengElsevierAsian Journal of Urology2214-38822025-01-011215965The impact of urolithiasis on urology services in a high-prevalence region: A multicenter studyWissam Khalid Kamal0Musab M. Alghamdi1Raed A. Azhar2Ahmad Bugis3Mohammed Abuzenada4Majed Alharthi5Saeed Bin Hamri6Yahya Ghazwani7Yasser A. Noureldin8Hassan Aljifri9Abdulaziz Alamri10Hatem Hamed Althubiany11Mansour Alnazari12Badr Alharbi13Abdulrahman Al Own14Mohanad Jebril Bosily15Mohammed Almansour16Abdullah Alfakhri17Ibrahim Alowidah18Ali Abdel Raheem19Department of Urology, King Fahad General Hospital, Jeddah, Saudi Arabia; Corresponding author.Department of Urology, King Fahad General Hospital, Jeddah, Saudi ArabiaDepartment of Urology, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi ArabiaDepartment of Urology, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi ArabiaDepartment of Urology, King Fahad General Hospital, Jeddah, Saudi ArabiaDepartment of Urology, King Fahad General Hospital, Jeddah, Saudi ArabiaDepartment of Urology, Specialized Medical Center, King Abdulaziz Medical City, Riyadh, Saudi ArabiaDivision of Urology, King Abdulaziz Medical City, Riyadh, Saudi Arabia; College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; King Abdullah International Medical Research Center, Riyadh, Saudi ArabiaDepartment of Urology, Faculty of Medicine, Benha University, Egypt; Department of Clinical Sciences, Northern Ontario School of Medicine, ON, CanadaDepartment of Surgery, College of Medicine, King Abdulaziz Hospital, Jeddah, Saudi ArabiaDepartment of Surgery, College of Medicine, King Khalid University, Abha, Saudi ArabiaDepartment of Urology, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi ArabiaDepartment of Urology, College of Medicine, Taibah University, Madinah, Saudi ArabiaDepartment of Surgery, College of Medicine, Qassim University, Buraydah, Saudi ArabiaDepartment of Urology, Armed Forces Hospital Southern Region, Khamis Mushait, Saudi ArabiaDepartment of Urology, Armed Forces Hospital Southern Region, Khamis Mushait, Saudi ArabiaUrology Division, Department of Surgery, King Fahad Specialist Hospital, Buraydah, Saudi ArabiaDepartment of Urology, King Fahad Medical City, Riyadh, Saudi ArabiaDepartment of Urology, King Saud Medical City, Riyadh, Saudi ArabiaDepartment of Urology, King Saud Medical City, Riyadh, Saudi Arabia; Department of Urology, Faculty of Medicine, Tanta University, Tanta, EgyptObjective: To assess the effect of upper urinary tract (UUT) urolithiasis on urology services in a region with a high prevalence of the condition, and analyze the trends in endourological procedures for treating UUT urolithiasis and the cost of treatments in 11 hospitals over the last 6 years. Methods: Using the hospital surgery statistics database, data were gathered from the urology departments of 11 hospitals in Saudi Arabia. The analysis focused on the trends, distribution, and annual cost of endourological procedures for UUT urolithiasis from January 2017 to December 2022. Results: Out of the total surgery performed (54 711), over half (31 039, 57%) were related to UUT urolithiasis. Extracorporeal shock wave lithotripsy (ESWL) was the most performed procedure among stone-related procedures, accounting for 38% of all procedures. Double-J stent insertion, flexible ureteroscopy (URS), semi-rigid URS, percutaneous nephrolithotomy, and pyelo- and uretero-lithotomy accounted for 25%, 19%, 14%, 3.8%, and 0.35%, respectively. Notably, the number of stone-related UUT procedures in 2022 increased by 35% (from 4671 to 6283) compared to 2017. In the year 2022 compared to 2017, there was a statistically significant increase in the rate of all stone-related UUT procedures (p<0.001), except for ESWL and pyelo- and uretero-lithotomy. The rates of ESWL procedures reduced from 21% in 2017 to 13% in 2022 (p<0.001). Overall, the total cost of treatments has been estimated to be about 192.1 million SAR from 2017 to 2022 with an increase by 107% (47.7 million SAR in 2022 vs. 23.0 million SAR in 2017). Conclusion: Our research findings suggest that urolithiasis poses a significant burden, accounting for over half of all urological surgery performed at the participating centers. Furthermore, there has been a 35% rise in stone-related UUT procedures over the past 6 years. Percutaneous nephrolithotomy, flexible URS, and semi-rigid URS have experienced significant increase in usage. Furthermore, in 2022 the cost of urolithiasis treatments has been more than doubled compared to 2017.http://www.sciencedirect.com/science/article/pii/S2214388224000511Urinary stoneUreteroscopyPercutaneous nephrolithotomyExtracorporeal shock wave lithotripsySaudi Arabia |
| spellingShingle | Wissam Khalid Kamal Musab M. Alghamdi Raed A. Azhar Ahmad Bugis Mohammed Abuzenada Majed Alharthi Saeed Bin Hamri Yahya Ghazwani Yasser A. Noureldin Hassan Aljifri Abdulaziz Alamri Hatem Hamed Althubiany Mansour Alnazari Badr Alharbi Abdulrahman Al Own Mohanad Jebril Bosily Mohammed Almansour Abdullah Alfakhri Ibrahim Alowidah Ali Abdel Raheem The impact of urolithiasis on urology services in a high-prevalence region: A multicenter study Asian Journal of Urology Urinary stone Ureteroscopy Percutaneous nephrolithotomy Extracorporeal shock wave lithotripsy Saudi Arabia |
| title | The impact of urolithiasis on urology services in a high-prevalence region: A multicenter study |
| title_full | The impact of urolithiasis on urology services in a high-prevalence region: A multicenter study |
| title_fullStr | The impact of urolithiasis on urology services in a high-prevalence region: A multicenter study |
| title_full_unstemmed | The impact of urolithiasis on urology services in a high-prevalence region: A multicenter study |
| title_short | The impact of urolithiasis on urology services in a high-prevalence region: A multicenter study |
| title_sort | impact of urolithiasis on urology services in a high prevalence region a multicenter study |
| topic | Urinary stone Ureteroscopy Percutaneous nephrolithotomy Extracorporeal shock wave lithotripsy Saudi Arabia |
| url | http://www.sciencedirect.com/science/article/pii/S2214388224000511 |
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