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Ureteropelvic junction obstruction.

John S Lam1, Alberto Breda, Peter G Schulam

  • 1Department of Urology, David Geffen School of Medicine at University of California-Los Angeles, Los Angeles, California 90095-1738, USA. jlam@mednet.ucla.edu

The Journal of Urology
|April 18, 2007
PubMed
Summary
This summary is machine-generated.

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Ureteropelvic junction obstruction (UPJO) burden in the US shows decreasing hospitalizations in children, with a trend towards conservative management. Healthcare resource use and economic impact were analyzed.

Area of Science:

  • Urology
  • Health Economics
  • Pediatric Surgery

Background:

  • Ureteropelvic junction obstruction (UPJO) is a common congenital anomaly.
  • Understanding UPJO's impact on healthcare resources is crucial for resource allocation and policy development.

Purpose of the Study:

  • To quantify the burden of ureteropelvic junction obstruction (UPJO) in the United States.
  • To identify trends in healthcare resource utilization for UPJO.
  • To estimate the economic impact of UPJO.

Main Methods:

  • Analysis of inpatient hospitalization data and physician office visits.
  • Focus on trends from 1994 to 2003.
  • Calculation of hospitalization rates, length of stay, and costs.

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Main Results:

  • Inpatient hospitalization rates for UPJO decreased from 1.1 to 0.8 per 100,000 between 1994 and 2000, primarily affecting children under 3 years.
  • Physician office visits for Medicare beneficiaries remained stable.
  • Average inpatient length of stay and cost per child were 2.9 days and $7,728 respectively (1999-2003), with total inpatient spending around $12 million annually.

Conclusions:

  • Most ureteropelvic junction obstructions are diagnosed perinatally.
  • Surgical intervention for pediatric UPJO has declined, with a rise in conservative management.
  • UPJO management trends indicate a shift towards less invasive approaches in pediatric cases.