How has the COVID-19 pandemic changed treatment preferences of patients with proximal ureteral stones?
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View abstract on PubMed
Summary
This summary is machine-generated.The COVID-19 pandemic increased patient preference for conservative treatment of proximal ureteral stones. Patients previously treated with shock wave lithotripsy (SWL) also shifted towards conservative options during the pandemic.
Area Of Science
- Urology
- Nephrology
- Public Health
Background
- The COVID-19 pandemic's influence on patient treatment decisions is not fully understood.
- Proximal ureteral stones represent a common urological condition requiring treatment choices.
Purpose Of The Study
- To examine how the COVID-19 pandemic affected treatment preferences for proximal ureteral stones.
- To identify factors influencing these patient preferences during the pandemic.
Main Methods
- A retrospective analysis of 493 patients with proximal ureteral stones treated at a single center.
- Comparison of treatment preferences between patients diagnosed during the COVID-19 pandemic and a pre-pandemic cohort.
Main Results
- A significant increase in preference for conservative management was observed during the pandemic (p=0.009).
- Patients with prior shock wave lithotripsy (SWL) showed a decreased preference for SWL and increased preference for conservative treatment (p=0.042).
- Factors associated with conservative treatment preference during the pandemic included no prior spontaneous stone passage, no hydronephrosis, and lower pain scores (VAS ≤ 4).
Conclusions
- The COVID-19 pandemic led to a significant rise in conservative treatment preferences for proximal ureteral stones.
- Patients with a history of SWL particularly shifted their preference towards conservative management during the pandemic.
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