Rukin Nicholas J, Siddiqui Zain A, Chedgy Edmund C P, Somani Bhaskar K
Royal Wolverhampton Hospital NHS Trust, Wolverhampton, UK.
Urol Int. 2017;98(4):391-396. doi: 10.1159/000449510. Epub 2016 Oct 1.
AIMS: The study aimed to determine the current trends in urolithiasis-related admissions and associated interventions in England between 2006/2007 and 2013/2014 utilizing Hospital Episode Statistics (HES) online data. MATERIAL AND METHODS: Data was extracted from the online HES data set for each year from 2006/2007 to 2013/2014 inclusive. Admissions and procedural interventions were identified from their corresponding OPCS-4 and ICD-10 codes. RESULTS: Finished consultant episodes (FCEs) for urolithiasis have increased by 20% over the last 7 years, with 93,039 FCEs in the year 2013/2014. Based on English population statistics, the lifetime prevalence of urolithiasis based on hospital-related admission/intervention data for 2013/2014 is 14%. The biggest increases were seen in those aged ≥75 years (up by 51%, n = 2,853). Total interventions have increased from 28,624 to 42,068, with increased rates of shock wave lithotripsy (26%), ureteroscopy (URS; 86%) and percutaneous nephrolithotomy (149%). Emergency URS procedures have increased by 38%. Day-case rates for ureteric and renal URS, in 2013/2014, were 22 and 21%, respectively. CONCLUSIONS: Over the last 7 years, there is a rising prevalence of kidney stone disease with associated increase in the number of interventions related to it. Both elective and emergency URS procedures are increasing, with a rising trend for day-case URS. Similar trends are seen worldwide and future resource planning for urolithiasis is needed to match the increase in demand.
目的:本研究旨在利用医院事件统计(HES)在线数据,确定2006/2007年至2013/2014年期间英格兰与尿石症相关的住院情况及相关干预措施的当前趋势。 材料与方法:从2006/2007年至2013/2014年(含)的每年HES在线数据集中提取数据。通过相应的OPCS - 4和ICD - 10编码识别住院情况和手术干预措施。 结果:在过去7年中,尿石症的完成顾问事件(FCEs)增加了20%,2013/2014年度为93,039例FCEs。根据英国人口统计数据,基于2013/2014年医院相关住院/干预数据的尿石症终生患病率为14%。年龄≥75岁人群的增幅最大(上升51%,n = 2,853)。总干预次数从28,624次增加到42,068次,其中冲击波碎石术(增加26%)、输尿管镜检查(URS;增加86%)和经皮肾镜取石术(增加149%)的比例上升。急诊URS手术增加了38%。2013/2014年输尿管和肾脏URS的日间手术率分别为22%和21%。 结论:在过去7年中,肾结石疾病的患病率呈上升趋势,与之相关的干预措施数量也有所增加。选择性和急诊URS手术均在增加,日间手术URS呈上升趋势。全球均出现类似趋势,未来需要进行尿石症资源规划以满足需求增长。
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