ArticleRadiologia brasileira
Percutaneous nephrostomy versus antegrade double-J stent placement in the treatment of malignant obstructive uropathy: a cost-effectiveness analysis from the perspective of the Brazilian public health care system.
Article in Radiologia brasileira. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Nephrostomy tube versus double J ureteral stent in patients with malignant ureteric obstruction. A systematic review and meta-analysis of comparative studies.International braz j urol : official journal of the Brazilian Society of UrologyPooled it
- Percutaneous nephrostomy tube versus double J ureteric stent for the management of non-septic calcular anuria in adults: Prospective randomized study.Arab journal of urology · 2025Article
- Comparison of percutaneous antegrade double-J ureteral stent placement: first-hand vs. nephrostomy route approaches.The British journal of radiology · 2024Article
- Predictors of time-to-nadir serum creatinine after drainage of bilaterally obstructed kidneys due to bladder cancer.Current urology · 2023Article
- Serum creatinine trajectory after drainage of kidneys with bilateral malignant ureteral obstruction: a prospective non-randomized comparative study.BMC urology · 2023Article
- Acute kidney injury due to bilateral malignant ureteral obstruction: Is there an optimal mode of drainage?World journal of nephrology · 2022Review
- Predictors of nadir serum creatinine after drainage of bilaterally obstructed kidneys due to different etiologies.International urology and nephrology · 2022Article
- Comparison complications rate between double-J ureteral stent and percutaneous nephrostomy in obstructive uropathy due to stone disease:A randomized controlled trial.Annals of medicine and surgery (2012) · 2022Article
- Transurethral Retrograde Fishing the Double J Urethral Stent: A Tertiary Children Hospital's Experience With a New Technical Strategy.Frontiers in pediatrics · 2022Article
- Percutaneous insertion of bilateral double J in pelvic cancer patients: Indications, complications, technique of antegrade ureteral stenting.Gynecologic oncology reports · 2021Article
- Transgluteal access for computed tomography-guided percutaneous puncture of prostatic abscesses.Radiologia brasileiraArticle
- Antegrade double-J stenting as an alternative to the retrograde approach: experience of the first 150 cases at a single center in Brazil.Radiologia brasileiraArticle
- Modified technique for double J stent removal.Radiologia brasileiraArticle
- Hemorrhagic complications after percutaneous nephrolithotomy: angiographic diagnosis and management by transcatheter arterial embolization.Radiologia brasileiraArticle
- Percutaneous access for the diagnosis of urothelial neoplasms: pictorial essay with anatomopathological correlation.Radiologia brasileiraArticle
- Computed tomography-guided percutaneous neurolysis of celiac plexus: technical description.Radiologia brasileiraArticle
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo compare two percutaneous techniques used in the treatment of malignant obstructive uropathy-antegrade double-J stent placement (JJ stenting) and percutaneous nephrostomy-in terms of their cost-effectiveness, from the perspective of the Brazilian public health care system. MATERIALS AND
methodsIn this cost-effectiveness analysis, we employed decision-analytic modeling. We calculated material costs from 2017 factory prices listed by the Brazilian Pharmaceutical Market Regulatory Board (for medications) and published in the journal Revista Simpro (for medical devices). Procedure-related costs were evaluated, as were the rates of technical and clinical success. Those measures were then used as inputs for a cost-effectiveness analysis comparing the two procedures.
resultsThe sample comprised 41 patients, of whom 16 underwent antegrade JJ stenting (26 procedures) and 10 underwent percutaneous nephrostomy (15 procedures). Patient records, radiology reports, and expense reports of the interventional radiology department of the public hospital where the study was conducted were analyzed retrospectively. There were no significant complications: one patient had low back pain, and one had a transient retroperitoneal hematoma. The mean procedure time was 24 min, and clinical success (improvement in serum creatinine and resolution of hydronephrosis) was achieved in 97.5% of the cases. The average cost of JJ stenting was significantly lower than was that of percutaneous nephrostomy (US$164.10 vs. US$552.20).
conclusionIn the absence of any clinical contraindications, antegrade JJ stenting is a suitable alternative to both percutaneous nephrostomy and retrograde stenting in patients with dilated renal collecting systems secondary to malignant ureteral obstruction, providing significant cost savings and high success rates.
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