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Related Concept Videos

Bone Disorders01:29

Bone Disorders

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Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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Vulnerability to Financial Toxicity From Stone Surgery.

Katharine F Michel1, Michelle Slinger2, Hanna Stambakio1

  • 1Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.

Urology Practice
|June 24, 2024
PubMed
Summary
This summary is machine-generated.

Many kidney stone patients face financial strain before surgery, with over 40% reporting financial stress. Understanding these costs is crucial for preventing financial toxicity after stone treatment.

Keywords:
financial stressfinancial toxicityhealth care costshealth insurancenephrolithiasis

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Area of Science:

  • Urology
  • Health Economics
  • Patient Financial Well-being

Background:

  • Financial toxicity is a growing concern in healthcare.
  • Limited understanding exists regarding financial strain in kidney stone formers, particularly in relation to surgical interventions.

Purpose of the Study:

  • To longitudinally assess markers of financial strain in patients undergoing kidney stone surgery.
  • To identify the prevalence and characteristics of financial strain from preoperative to postoperative periods.

Main Methods:

  • A prospective cohort study was conducted between January 2022 and April 2023.
  • 109 patients undergoing elective ureteroscopy or percutaneous nephrolithotomy were enrolled.
  • The Commonwealth Fund's Biennial Health Insurance Survey was administered preoperatively and 30 days postoperatively to capture financial strain markers.

Main Results:

  • 42% of patients reported financial strain preoperatively, despite favorable sociodemographic profiles.
  • Patients with Medicaid experienced higher financial stress (67%).
  • 46% of patients were unaware of their health insurance deductible amount, and 35% responded postoperatively, indicating potential new financial strains.

Conclusions:

  • A significant number of kidney stone patients exhibit financial strain even before surgery.
  • Poor understanding of healthcare costs increases vulnerability to postoperative financial toxicity.
  • Comprehensive assessment of financial strain factors is vital for developing effective interventions.