Changing Trends in the Treatment of Nephrolithiasis in the Real World
Changing Trends in the Treatment of Nephrolithiasis in the Real World
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DOI：
10.1089/end.2018.0667
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发表时间：
2019-03-01
影响因子：
2.7
通讯作者：
Chung, Benjamin I.
中科院分区：
文献类型：
--
作者：
Chung, Kyung Jin;Kim, Jae Heon;Chung, Benjamin I.
简介：由于最近的技术进步和创新，肾结石的外科治疗发生了变化，使治疗更有效，侵入性更小。在这项回顾性、观察性队列研究中，我们确定了肾结石治疗的变化趋势。材料与方法：我们纳入了2007年1月至2014年12月在美国接受任何治疗的新诊断肾结石患者，包括体外冲击波碎石术（SWL）、逆行肾内手术（RIRS）、经皮肾镜取石术（PCNL）和开放手术。分析人口统计学因素，如年龄、性别、地区、手术治疗类型和费用数据。结果：接受治疗的患者的中位年龄为52岁，男性和女性的比例相似。所有治疗方式的趋势都有明确的变化（p
Introduction: Changes in the surgical treatment of nephrolithiasis, owing to recent technical advances and innovations, have made treatments more effective and less invasive. In this retrospective, observational cohort study, we identified the changing trends in the treatment of nephrolithiasis. Materials and Methods: We included patients with newly diagnosed nephrolithiasis who received any treatment in the United States, including extracorporeal shockwave lithotripsy (SWL), retrograde intrarenal surgery (RIRS), percutaneous nephrolithotomy (PCNL), and open surgery, from January 2007 to December 2014. Demographic factors, such as age, sex, region, surgical treatment type, and cost data, were analyzed. Results: The median age of patients at treatment was 52 years, and the ratio of men and women was similar. There were definite changes in the trends of all treatment modalities (p