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Trends in urological stone disease
Benjamin W Turney1, John M Reynard, Jeremy G Noble
1Oxford Stone Group, Department of Urology, Nuffield Department of Surgical Sciences, The Churchill Hospital, Oxford, UK. bwturney@gmail.com
Upper urinary tract stone disease in the UK has seen a significant rise in prevalence and treatment over the past decade. This trend necessitates careful consideration for future healthcare planning and urolithiasis research.
Area of Science:
- Urology
- Nephrology
- Public Health
Background:
- Upper urinary tract stone disease represents a significant health concern.
- Understanding trends in prevalence and treatment is crucial for effective healthcare management.
Purpose of the Study:
- To analyze the changes in upper urinary tract stone disease prevalence and treatment modalities in the UK over a 10-year period.
- To provide insights into the evolving landscape of urolithiasis management.
Main Methods:
- Utilized data from the Hospital Episode Statistics (HES) website for analysis.
- Extracted, summarized, and presented epidemiological and treatment data for stone disease.
Main Results:
- Hospital episodes for upper urinary tract stones increased by 63% over 10 years.
- Significant increases observed in shock wave lithotripsy (SWL) and ureteroscopic stone treatments.
- A marked decline in open surgery for upper tract stones, with a reduction of 83%.
Conclusions:
- The study confirms a substantial increase in the prevalence and treatment of stone disease in the UK.
- Continued trends have significant implications for workforce planning, training, service delivery, and research in urolithiasis.
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