Payer Type, Race/Ethnicity, and the Timing of Surgical Management of Urinary Stone Disease.

ABSTRACT:

Purpose

Surgery for upper tract urinary stone disease is often reserved for symptomatic patients and those whose stone does not spontaneously pass after a trial of passage. Our objective was to determine whether payer type or race/ethnicity is associated with the timeliness of kidney stone surgery.

Materials and methods

A population-based cohort study was conducted using the California Office of Statewide Health Planning and Development dataset from 2010 to 2012. We identified patients who were discharged from an emergency department (ED) with a stone diagnosis and who subsequently underwent a stone surgery. Primary outcome was time from ED discharge to urinary stone surgery in days. Secondary outcomes included potential harms resulting from delayed stone surgery.

Results

SUBMITTER: Brubaker WD 

PROVIDER: S-EPMC6388711 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature