Economic burden of complicated ureteral stent removal in patients with kidney stone disease in the USA
Publication: Journal of Comparative Effectiveness Research
Abstract
Aim: To examine the medical costs of simple versus complicated ureteral stent removal. Materials & methods: We included adults with kidney stones undergoing simple or complicated cystoscopy-based stent removal (CBSR) post ureteroscopy from the 2014 to 2018 Merative™ MarketScan® Commercial Database. The medical costs of patients with complicated and simple CBSR were compared. Results: Among 16,682 patients, 2.8% had complicated CBSR. Medical costs for patients with complicated CBSR were higher than for simple CBSR ($2182 [USD] vs $1162; p < 0.0001). Increased stenting time, increased age, southern US geography and encrusted stent diagnoses were significantly associated with complicated CBSR. Conclusion: Complicated ureteral stent removal doubled the medical costs associated with CBSR. Ureteral stents with anti-encrustation qualities may reduce the need for complicated CBSR and associated costs.
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Pages: 1253 - 1261
PubMed: 36259761
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© 2022 The Authors. This work is licensed under the Attribution-NonCommercial-NoDerivatives 4.0 Unported License
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Received: 25 August 2022
Accepted: 30 September 2022
Published online: 19 October 2022
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Economic burden of complicated ureteral stent removal in patients with kidney stone disease in the USA. (2022) Journal of Comparative Effectiveness Research. DOI: 10.2217/cer-2022-0153
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