Economic impact of urinary stones.
Economic impact of urinary stones.
复制标题
尿石的经济影响。
DOI：
10.3978/j.issn.2223-4683.2014.07.02
复制
发表时间：
2014-09
影响因子：
2
通讯作者：
Matlaga BR
中科院分区：
文献类型：
--
作者：
Hyams ES;Matlaga BR
肾结石在美国和世界范围内的患病率一直在上升，并且代表着显著的成本负担。这一领域的成本效益研究可以提高治疗效率，使患者、医疗服务提供者和医疗保健系统受益。尽管有各种各样的治疗方法，但对结石病手术干预的成本效益的研究有限。药物排石疗法（MET）已被证明可以提高输尿管结石的结石通过率，有证据表明，从临床和成本效益的角度来看，这种做法应该放开。虽然原发性结石事件后的保守治疗似乎具有成本效益，但药物治疗对复发性结石形成者的经济影响需要澄清，尽管其临床疗效。未来关于结石病预防和干预的成本效益的研究可能会提高护理的质量和效率。
Kidney stones have been rising in prevalence in the United States and worldwide, and represent a significant cost burden. Cost effectiveness research in this area may enable improvements in treatment efficiency that can benefit patients, providers and the healthcare system. There has been limited research in the cost effectiveness of surgical interventions for stone disease, despite the diverse treatment approaches that are available. Medical expulsive therapy (MET) has been shown to improve rates of stone passage for ureteral stones, and there is evidence that this practice should be liberalized from the standpoint of both clinical and cost effectiveness. While conservative treatment following a primary stone event appears to be cost effective, the economic impact of medical therapy for recurrent stone formers requires clarification despite its clinical efficacy. Future study regarding the cost effectiveness of prevention and interventions for stone disease are likely to improve both the quality and efficiency of care.