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The 'top 10' urological procedures: a study of hospital episodes statistics 1998-99
F Lee1, H R H Patel, M Emberton
1Institute of Urology and Nephrology, University College London, UK.
Insights
Hospital Episodes Statistics (HES) data from 1998-99 reveals common urological procedures. However, inaccuracies in HES coding may impact urological service funding.
Area of Science:
- Urology
- Health Informatics
- Public Health
Background:
- Hospital Episodes Statistics (HES) provide data on patient care episodes.
- Accurate coding is essential for healthcare management and funding.
Purpose of the Study:
- To summarize the most frequent urological procedures recorded in HES between 1998 and 1999.
- To assess the accuracy of urological procedure coding within HES data.
Main Methods:
- Data extraction from the Department of Health website (www.doh.gov.uk/hes).
- Identification and summarization of the 10 most common urological procedures based on finished consultant episodes.
Main Results:
- The 10 most common procedures included urethral catheterization, bladder and prostate endoscopy, foreskin and vas procedures, bladder instillation, extracorporeal shockwave lithotripsy, and prostatic biopsy.
- Published evidence indicates that HES data coding is not entirely accurate.
Conclusions:
- The study identified deficiencies in the 1998-99 HES data.
- These data shortfalls could directly influence the financial allocation for urological services.
Objective:
To summarize the urological procedures recorded in Hospital Episodes Statistics (HES, 1998-99) and to examine the accuracy of coding and HES.
Materials And Methods:
Data on the 10 commonest urological procedures from the Department of Health website (www.doh.gov.uk/hes) were extracted, summarized and presented.
Results:
Urethral catheterization, endoscopic procedures on the bladder, prostate, urethra and ureter (excluding ureteric stone extraction), minor open procedures on the foreskin and the vas, bladder instillation, extracorporeal shockwave lithotripsy and prostatic biopsy are the 10 commonest procedures, according to finished consultant episodes. There is published evidence that the data from coding and HES are not completely accurate.
Conclusion:
This study highlights shortfalls in the HES data (1998-99) which may directly affect the funding of urological services.