ArticleJournal of endourology2019
Payer Type, Race/Ethnicity, and the Timing of Surgical Management of Urinary Stone Disease.
Article in Journal of endourology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
19 citing papers in PubMed, 31 citations in OpenAlex.
- Influence of primary language on follow-up after emergency department visits for acute renal colic: evidence from an ethnically diverse urban cohort.World journal of urology · 2026Article
- Outcomes of Nephrolithiasis Care by Patients' Race: From a Statewide Quality Improvement Collaborative.Cureus · 2026Article
- Role of ureteral wall thickness and computed tomography imaging in predicting spontaneous passage of ureteral stones.Diagnostic and interventional radiology (Ankara, Turkey) · 2026Article
- Article
- Effect of core preventative screening on kidney stone surgical patterns.International urology and nephrology · 2024Article
- Impact of Socioeconomic Factors on Time to Surgery for Distal Radius Fractures.Plastic and reconstructive surgery. Global open · 2024Article
- Effects of Delayed Surgical Intervention Following Emergency Department Presentation on Stone Surgery Complexity.Journal of endourology · 2023Article
- Article
- Article
- Social Determinants of Kidney Stone Disease: The Impact of Race, Income and Access on Urolithiasis Treatment and Outcomes.Urology · 2022Review
- Review
- Barriers in Managing Acute Ureteric Colic Clinical Review and Commentary.Research and reports in urology · 2022Review
- Trends in the Incidence and DALYs of Urolithiasis From 1990 to 2019: Results From the Global Burden of Disease Study 2019.Frontiers in public health · 2022Article
- Disparities in Kidney Stone Disease: A Scoping Review.The Journal of urology · 2021Article
- The impact of delaying acute kidney stone surgery on outcomes.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2021Article
- Low Urologist Density Predicts High-Cost Surgical Treatment of Stone Disease.Journal of endourology · 2021Article
- The SCQ-SCORE: initial validation of a new scoring system for elective stone surgery prioritization in the COVID-19 era.Central European journal of urology · 2021Article
- Can serum procalcitonin levels be useful in predicting spontaneous ureteral stone passage?BMC urology · 2020Observational
- Contemporary Trends in Percutaneous Nephrolithomy Across New York State: A Review of the Statewide Planning and Research Cooperative System.Journal of endourology · 2019Article
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
purposeSurgery for upper tract urinary stone disease is often reserved for symptomatic patients and those whose stone does not spontaneously pass after a trial of passage. Our objective was to determine whether payer type or race/ethnicity is associated with the timeliness of kidney stone surgery. MATERIALS AND
methodsA population-based cohort study was conducted using the California Office of Statewide Health Planning and Development dataset from 2010 to 2012. We identified patients who were discharged from an emergency department (ED) with a stone diagnosis and who subsequently underwent a stone surgery. Primary outcome was time from ED discharge to urinary stone surgery in days. Secondary outcomes included potential harms resulting from delayed stone surgery.
resultsOver the study period, 15,193 patients met the inclusion criteria. Median time from ED discharge to stone surgery was 28 days. On multivariable analysis patients with Medicaid, Medicare, and self-pay coverage experienced adjusted mean increases of 46%, 42%, and 60% in time to surgery, respectively, when compared with those with private insurance. In addition, patients of Black and Hispanic race/ethnicity, respectively, experienced adjusted mean increases of 36% and 20% in time to surgery relative to their White counterparts. Before a stone surgery, underinsured patients were more likely to revisit an ED three or more times, undergo two or more CT imaging studies, and receive upper urinary tract decompression.
conclusionsUnderinsured and minority patients are more likely to experience a longer time to stone surgery after presenting to an ED and experience potential harm from this delay.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.