ArticleWorld journal of urology2026
Surgical management of urolithiasis in france from 2016 to 2022: epidemiological data from the national PMSI database.
Article in World journal of urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe incidence of urolithiasis is rising in France, with a prevalence approaching 10% in the general population. Over the past decades, minimally invasive endourological techniques have profoundly transformed surgical management. Although current guidelines recommend extracorporeal shock wave lithotripsy (ESWL), ureteroscopy (URS), and percutaneous nephrolithotomy (PCNL) based on stone and patient characteristics, little is known about their nationwide use. This study aimed to describe recent trends in the surgical management of upper urinary tract stones in France.
methodsData from the French national hospital discharge database (Programme de Médicalisation des Systèmes d'Information, PMSI) were analyzed from 2016 to 2022. The number of ESWL, URS, and PCNL procedures, their distribution by hospital type (public, private, and university hospitals), length of stay, and patient demographics were assessed.
resultsBetween 2016 and 2022, the total number of procedures for upper urinary tract stones increased from 105,264 to 118,098 (+ 12%), including a 37% increase in URS. During the same period, ESWL and PCNL procedures decreased by 36% and 5%, respectively. Procedure volumes increased steadily, except in 2020. The male-to-female ratio was approximately 2:1, except for PCNL, where it was close to 1:1. Patients aged 51-60 years represented the largest group across all techniques. Overall, 75% of ESWL and 70% of URS procedures were performed in private hospitals, whereas 60% of PCNL procedures were carried out in public hospitals, nearly half of them in university hospitals. Mean length of stay decreased by 56% for ESWL, 32% for URS, and 22% for PCNL, with the shortest stays observed in private hospitals.
conclusionThe number of surgical procedures increased from 105,264 to 118,098 between 2016 and 2022, with a progressive replacement of ESWL by URS and shorter hospital stays. Since 2022, the widespread adoption of new endourological technologies is likely to further reinforce these trends. Future studies that integrate clinical outcomes with medico-economic data are needed to guide healthcare planning.
Indexed as
Identifiers
42700243What OpenQuestion holds
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.