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Effect of core preventative screening on kidney stone surgical patterns
Sudarshan Srirangapatanam1, Linda Guan2, Caroline Baughn2
1University of Central Florida, College of Medicine, Orlando, FL, USA. SSrirangapatanam@gmail.com.
International Urology and Nephrology
|February 3, 2024
Summary
Preventative health screenings for kidney stones are linked to fewer invasive surgeries. Early detection through screening helps manage stone burden, reducing the need for complex procedures.
Area of Science:
- Urology
- Public Health
- Health Services Research
Background:
- Decreased healthcare access can worsen kidney stone burden, necessitating more invasive surgical treatments.
- Understanding the impact of preventative screening on surgical patterns is crucial for optimizing patient care.
Purpose of the Study:
- To evaluate the effect of preventative health screening on surgical treatment patterns for kidney stones.
- To investigate the association between community-level preventative screening and urologic stone procedures.
Main Methods:
- Retrospective analysis of Florida's HCUP dataset and CDC's PLACES data (2016-2020).
- Merged community health measures with patient-level urologic stone procedure data.
- Included adult patients (18+) undergoing at least one urologic stone procedure.
Main Results:
- 128,038 patients from 885 communities were analyzed.
- Increased core preventative screening correlated with higher surgical frequency (P < 0.001).
- High screening communities showed lower prevalence of percutaneous nephrolithotomy (PNL) compared to shock wave lithotripsy (SWL).
Conclusions:
- Higher rates of preventative screenings are associated with less invasive kidney stone surgeries.
- Suggests that preventative screenings facilitate earlier detection of kidney stones.
- Highlights the potential of screening programs to reduce surgical invasiveness.
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