Comparative effectiveness of shock wave lithotripsy and ureteroscopy for treating patients with kidney stones.

ABSTRACT:

Importance

Shock wave lithotripsy (SWL) and ureteroscopy (URS) account for more than 90% of procedural interventions for kidney stones, which affect 1 in 11 persons in the United States. Efficacy data for SWL are more than 20 years old. Advances in URS, along with emerging evidence of reduced efficacy of modern lithotripters, have created uncertainty regarding the comparative effectiveness of these 2 treatment options.

Objective

To compare the effectiveness of SWL and URS to fragment or remove urinary stones in a large private payer cohort.

Design, setting, and participants

We performed a retrospective cohort study of privately insured beneficiaries who had an emergency department visit for a kidney stone and subsequently underwent SWL or URS. Using an instrumental va

SUBMITTER: Scales CD 

PROVIDER: S-EPMC9869873 | biostudies-literature | 2014 Jul

REPOSITORIES: biostudies-literature