지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 515 - 523 (9page)
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초록· 키워드
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Purpose: This study aimed to evaluate the cost-effectiveness of treatment with retrograde intrarenal surgery (RIRS) versus repeated shock wave lithotripsy (SWL) in patients with renal calculi. Materials and Methods: The non-retreatment rates (NRRs) and their respective real-world costs for RIRS and SWL were derived through retrospective analysis of health insurance claims data from 2015 to 2017. Decision tree modeling was performed to demonstrate the cost-effectiveness of RIRS. Furthermore, sensitivity analysis was performed to examine the robustness of the results. Results: Analysis of the obtained data showed that NRRs of single SWL ranged from 46% to 56%, whereas NRRs of single RIRS ranged from 75% to 93%. Introducing RIRS early in the treatment sequence was observed to be favorable for the reduction of overall failure (overall NRR, 0.997) compared to the results of repeated SWL (overall NRR, 0.928). The implementation of decision tree modeling revealed that the cost per retreatment-avoided increased with the introduction of RIRS at an earlier time (first line, second line, third line, fourth line: 18640 USD, 10376 USD, 4294 USD, 3377 USD, respectively). Probabilistic modeling also indicated that the introduction of RIRS as the first line of treatment was least likely to be cost-effective, when compared to other options of introducing RIRS as the second, third, or fourth line of treatment. Conclusion: Performing RIRS as early as possible can be recommended for eligible patients to reduce the overall failure, even if it is not as cost-effective as performing RIRS later.
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참고문헌 (26)
참고문헌 신청
Stamatelou KK / 2003 / Time trends in reported prevalence of kidney stones in the United States : 1976-1994 / Kidney Int 63:1817~1823
Scales CD Jr / 2012 / Prevalence of kidney stones in the United States / Eur Urol 62:160~165
Raheem OA / 2017 / Burden of urolithiasis : trends in prevalence, treatments, and costs / Eur Urol Focus 3:18~26
Geraghty RM / 2017 / Worldwide trends of urinary stone disease treatment over the last two decades : a systematic review / J Endourol 31:547~556
Türk C / 2016 / EAU guidelines on interventional treatment for urolithiasis / Eur Urol 69:475~482
Scales CD Jr / 2012 / Prevalence of kidney stones in the United States / Eur Urol 62:160~165
Raheem OA / 2017 / Burden of urolithiasis : trends in prevalence, treatments, and costs / Eur Urol Focus 3:18~26
Geraghty RM / 2017 / Worldwide trends of urinary stone disease treatment over the last two decades : a systematic review / J Endourol 31:547~556
Türk C / 2016 / EAU guidelines on interventional treatment for urolithiasis / Eur Urol 69:475~482
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