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英格兰上尿路结石病的趋势:来自医院病历统计数据库的证据。

Trends in Upper Tract Stone Disease in England: Evidence from the Hospital Episodes Statistics Database.

作者信息

Rukin Nicholas J, Siddiqui Zain A, Chedgy Edmund C P, Somani Bhaskar K

机构信息

Royal Wolverhampton Hospital NHS Trust, Wolverhampton, UK.

出版信息

Urol Int. 2017;98(4):391-396. doi: 10.1159/000449510. Epub 2016 Oct 1.


DOI:10.1159/000449510
PMID:27694759
Abstract

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.

摘要

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。

相似文献

[1]
Trends in Upper Tract Stone Disease in England: Evidence from the Hospital Episodes Statistics Database.

Urol Int. 2017

[2]
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[3]
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World J Urol. 2017-6-7

[4]
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[5]
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[6]
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[7]
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Eur Urol Focus. 2017-4-24

[8]
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J Endourol. 2016-11

[9]
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[10]
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引用本文的文献

[1]
Ureteroscopy for stone disease in the elderly. is it safe and effective? A systematic review and meta-analysis.

World J Urol. 2025-8-11

[2]
Mortality from ureteroscopy for kidney stone disease: systematic review of literature from the section of EAU endourology.

World J Urol. 2025-7-12

[3]
Health Care Spending Associated With Preventative Pharmacologic Therapy for Urolithiasis.

Urol Pract. 2025-9

[4]
Increased risk of upper tract urothelial carcinoma in patients with kidney stones: a large-scale analysis of the UK biobank.

Urolithiasis. 2025-5-7

[5]
Enhancing stone expulsion: The efficacy of combined medical therapy with tamsulosin and dexamethasone in renal colic patients.

J Res Med Sci. 2025-1-30

[6]
Worldwide variations in the knowledge and use of fluoroscopy during percutaneous nephrolithotomy-should we do better? A survey by the European Association of Urology Section for Uro-Technology and the International Alliance of Urolithiasis.

Asian J Urol. 2025-1

[7]
Upper urinary tract stone characteristics and outcome of retrograde intra renal surgery with laser lithotripsy in a Nigerian tertiary hospital: a retrospective study.

Niger Med J. 2024-11-6

[8]
Development and preliminary validation of a diagnostic prediction model to optimise outpatient management of patients with urolithiasis using urinary stones and intervention quality of life (USIQoL) measure.

Qual Life Res. 2024-10

[9]
Calyceal Rupture Secondary to Nephrolithiasis: A Case Report Emphasizing Early Diagnosis and Management.

Cureus. 2024-8-31

[10]
Trajectories of body mass index and incident kidney stone disease: a prospective cohort study in Chinese young adults.

Urolithiasis. 2024-8-21

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