ArticleWorld journal of urology2022
Contemporary treatment trends for upper urinary tract stones in a total population analysis in Germany from 2006 to 2019: will shock wave lithotripsy become extinct?
Article in World journal of urology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 34 citations in OpenAlex.
- [Management of recurrent urolithiasis: indications for therapy escalation and discontinuation].Urologie (Heidelberg, Germany) · 2026Review
- Can We Avoid Radiation Exposure in Retrograde Intrarenal Surgery?Medicina (Kaunas, Lithuania) · 2026Article
- Emergency computed tomography in acute renal colic is essential for correct diagnosis and shortens time to treatment and stone-free status.Central European journal of urology · 2026Article
- Green endoscopy: Economic and ecological evaluation of single-use versus reusable ureterorenoscopes.BJUI compass · 2025Article
- Ultrasound-mediated nanomaterials for the treatment of inflammatory diseases.Ultrasonics sonochemistry · 2025Review
- Overview of Therapeutic Ultrasound Applications and Safety Considerations: 2024 Update.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2025Review
- Focus on the Blind Spot of Stone Disease: Analysis of Lower Urinary Tract Stone Interventions from 2006 to 2020 Using German Nationwide Inpatient Data.Urologia internationalis · 2025Article
- Endourological society fellowship program: a real contribution to improve surgical outcomes of stone patients treated with ureteroscopy.World journal of urology · 2024Article
- Treatment trends for undescended testis and impact of guideline changes a medical health care analysis of orchidopexy and cryptorchidism in Germany between 2006 und 2020.World journal of urology · 2024Article
- Current Status and Prospects of Pediatric Stone Disease: A Bibliometric and Visualization Study.Cureus · 2024Review
- Finding the optimal candidate for shock wave lithotripsy: external validation and comparison of five prediction models.Urolithiasis · 2023Article
- Personalized Prediction of Patient Radiation Exposure for Therapy of Urolithiasis: An Application and Comparison of Six Machine Learning Algorithms.Journal of personalized medicine · 2023Article
- A Good Craftsperson Knows Their Tools: Understanding of Laser and Ureter Mechanics in Training Urologists.Journal of lasers in medical sciences · 2023Article
- Renal stone density on native CT-scan as a predictor of treatment outcomes in shock wave lithotripsy.Journal of medicine and life · 2022Article
- [Outpatient before inpatient treatment?-Reality of care and economic analysis for minor urological interventions in Germany between 2013 and 2018].Urologie (Heidelberg, Germany) · 2022Article
- Neural Networks Modeling for Prediction of Required Resources for Personalized Endourologic Treatment of Urolithiasis.Journal of personalized medicine · 2022Article
- The art of shockwave lithotripsy is an endangered species and is worth saving: the perspective of the European Association of Urology (EAU) Young Academic Urology (YAU) Urolithiasis group.World journal of urology · 2022Article
- Safety and efficacy of extracorporeal shock wave lithotripsy vs. flexible ureteroscopy in the treatment of urinary calculi: A systematic review and meta-analysis.Frontiers in surgery · 2022Review
- Efficacy of Flexible Ureteroscopic Lithotripsy and Percutaneous Nephrolithotomy in the Treatment of Complex Upper Urinary Tract Nephrolithiasis.Computational and mathematical methods in medicine · 2022Article
- [Successful health services research improves the treatment of our patients].Der Urologe. Ausg. A · 2021Article
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Authors and funding
11 authors at 3 institutions in 1 country.
Funding
Abstract
purposeTo describe the change in upper urinary tract stone management in Germany over a 14-year period.
methodsUsing remote data processing we analyzed the nationwide German billing data from 2006 to 2019. To analyze the clinics' case numbers and regional trends, we used the reimbursement.INFO tool based on standardized quality reports of all German hospitals. To also cover shock wave lithotripsy (SWL) as an outpatient procedure, we analyzed the research database of the Institute for Applied Health Research with a representative anonymous sample of 4 million insured persons.
resultsThe number of inpatient interventional therapies for upper tract urolithiasis in Germany increased from 70,099 cases in 2006 to 94,815 cases in 2019 (trend p < 0.0001). In-hospital SWL declined from 41,687 cases in 2006 to 10,724 cases in 2019 (decline of 74%; trend p < 0.0001). The percentage of SWL as an outpatient procedure increased between 2013 and 2018 from 36 to 46% of all performed SWL, while total SWL case numbers declined. Contrarily, the number of ureteroscopies increased from 32,203 cases in 2006 to 78,125 cases in 2019 (increase of 143%; trend p < 0.0001). The number of percutaneous nephrolithotomy also increased from 1673 cases in 2006 to 8937 in 2019 (increase of 434%; trend p < 0.0001).
conclusionWe observed an increase in interventional therapy for upper tract urolithiasis in Germany with a dramatic shift from SWL to endoscopic/percutaneous treatment. These changes may be attributed to enormous technological advances of the endoscopic armamentarium and to reimbursement issues.
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