Factors Associated with Regional Adoption of Ureteroscopy in California from 2005 to 2016.

ABSTRACT:

Purpose

To explore regional adoption of ureteroscopy (URS) over extracorporeal shockwave lithotripsy (SWL) in the state of California (CA) and to identify factors associated with this adoption over time.

Materials and methods

We used the California Office of Statewide Health Planning and Development (OSHPD) public data to identify URS and SWL procedures performed for renal and ureteral stones from 2005 to 2016. The level of analysis was the region wherein each procedure was performed, defined by the 19 CA labor market regions. OSHPD data were supplemented with the Area Health Resource File to provide information on regional characteristics. Generalized linear regression was used to determine procedural rates adjusted for age, gender and race. Choropleth time series maps were

SUBMITTER: Wiener SV 

PROVIDER: S-EPMC6352501 | biostudies-literature | 2019 Jan

REPOSITORIES: biostudies-literature