Assessing Cost-Effectiveness of New Technologies in Stone Management

Urol Clin North Am. 2019 May;46(2):303-313. doi: 10.1016/j.ucl.2018.12.011. Epub 2019 Mar 4.

Abstract

Diagnosis, treatment, and follow-up are all influential in determining the overall cost to the health care system for kidney stones. New innovations in the field of nephrolithiasis have been abundant, including disposable ureteroscopes, ultrasound-guided approaches to percutaneous nephrolithotomy, and advanced laser lithotripters. Identifying cost-effective treatment strategies encourages practitioners to be thoughtful about providing value-based high-quality care and remains on important principle in the treatment of urinary stone disease.

Keywords: Cost-effectiveness; Disposables; Kidney stone surgery; Percutaneous nephrolithotomy; Robotic surgery; Shock wave lithotripsy; Ureteroscopy.

Publication types

  • Review

MeSH terms

  • Cost of Illness
  • Cost-Benefit Analysis*
  • Delivery of Health Care / economics
  • Diagnostic Imaging / economics
  • Disposable Equipment / economics
  • Health Care Costs
  • Humans
  • Inventions / economics
  • Kidney Calculi / economics*
  • Kidney Calculi / epidemiology
  • Kidney Calculi / prevention & control
  • Kidney Calculi / surgery*
  • Laser Therapy / economics
  • Laser Therapy / instrumentation
  • Lithotripsy / economics
  • Nephrolithiasis / economics
  • Nephrolithiasis / epidemiology
  • Nephrolithiasis / prevention & control
  • Nephrolithiasis / surgery
  • Nephrolithotomy, Percutaneous / economics
  • Nephrolithotomy, Percutaneous / instrumentation
  • Nephrolithotomy, Percutaneous / methods
  • Optical Fibers / economics
  • Ureteroscopy / economics
  • Ureteroscopy / instrumentation