Incidence and trends in the treatment of kidney stones in Canada: A population-based cohort study
Our objective was to assess the incidence of kidney stones requiring acute care, trends in the surgical treatment of stones, and the demographics of stone formers in Canada. We conducted a population-based, retrospective cohort study using administrative data from the Canadian Institute for Health I...
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Veröffentlicht in: | Canadian Urological Association journal 2024-06, Vol.18 (6), p.158-164 |
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creator | Ordon, Michael Powers, Andrea Lantz Chew, Ben H Lee, Jason Y Kogon, Michael Sivalingam, Sri De, Shubha Bhojani, Naeem Andonian, Sero |
description | Our objective was to assess the incidence of kidney stones requiring acute care, trends in the surgical treatment of stones, and the demographics of stone formers in Canada.
We conducted a population-based, retrospective cohort study using administrative data from the Canadian Institute for Health Information. We included Canadian residents age >18, outside of Quebec, who presented between January 1, 2013, and December 31, 2018, with a kidney stone episode. This was defined as a kidney stone resulting in hospital admission, emergency department visit, or stone intervention, specifically shockwave lithotripsy (SWL), ureteroscopy (URS), or percutaneous nephrolithotomy (PCNL).
There were 471 824 kidney stone episodes, including 184 373 interventions. The number of kidney stone episode increased from 277/100 000 in 2013 to 290/100 000 in 2018. The median age was 53 (interquartile range 41-65) and 59.9% were male. The crude rate for stone intervention was 877/100 000. The age- and gender-standardized rate for interventions was highest in Nova Scotia and Newfoundland and Labrador and lowest in Prince Edward Island. The most common intervention in Canada was URS (73.5%), followed by SWL (19.8%) and PCNL (6.7%). The percent utilization of SWL was highest in Manitoba, whereas for URS, it was highest in Prince Edward Island and Alberta.
Our study provides the first population-based data on the demographics of stone formers and treatment trends across Canada. There has been a 4.7% increase in kidney stone episodes over the study period. Those presenting to hospital or requiring intervention for a kidney stone are more likely to be male, age 41-65, and undergo URS. |
doi_str_mv | 10.5489/cuaj.8596 |
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We conducted a population-based, retrospective cohort study using administrative data from the Canadian Institute for Health Information. We included Canadian residents age >18, outside of Quebec, who presented between January 1, 2013, and December 31, 2018, with a kidney stone episode. This was defined as a kidney stone resulting in hospital admission, emergency department visit, or stone intervention, specifically shockwave lithotripsy (SWL), ureteroscopy (URS), or percutaneous nephrolithotomy (PCNL).
There were 471 824 kidney stone episodes, including 184 373 interventions. The number of kidney stone episode increased from 277/100 000 in 2013 to 290/100 000 in 2018. The median age was 53 (interquartile range 41-65) and 59.9% were male. The crude rate for stone intervention was 877/100 000. The age- and gender-standardized rate for interventions was highest in Nova Scotia and Newfoundland and Labrador and lowest in Prince Edward Island. The most common intervention in Canada was URS (73.5%), followed by SWL (19.8%) and PCNL (6.7%). The percent utilization of SWL was highest in Manitoba, whereas for URS, it was highest in Prince Edward Island and Alberta.
Our study provides the first population-based data on the demographics of stone formers and treatment trends across Canada. There has been a 4.7% increase in kidney stone episodes over the study period. Those presenting to hospital or requiring intervention for a kidney stone are more likely to be male, age 41-65, and undergo URS.</description><identifier>ISSN: 1911-6470</identifier><identifier>EISSN: 1920-1214</identifier><identifier>DOI: 10.5489/cuaj.8596</identifier><identifier>PMID: 38381927</identifier><language>eng</language><publisher>Canada: Canadian Urological Association</publisher><subject>Care and treatment ; Demographic aspects ; Kidney stones ; Lithotripsy ; Original Research ; Statistics</subject><ispartof>Canadian Urological Association journal, 2024-06, Vol.18 (6), p.158-164</ispartof><rights>COPYRIGHT 2024 Canadian Urological Association</rights><rights>Copyright: © 2024 Canadian Urological Association or its licensors 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11230698/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11230698/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38381927$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ordon, Michael</creatorcontrib><creatorcontrib>Powers, Andrea Lantz</creatorcontrib><creatorcontrib>Chew, Ben H</creatorcontrib><creatorcontrib>Lee, Jason Y</creatorcontrib><creatorcontrib>Kogon, Michael</creatorcontrib><creatorcontrib>Sivalingam, Sri</creatorcontrib><creatorcontrib>De, Shubha</creatorcontrib><creatorcontrib>Bhojani, Naeem</creatorcontrib><creatorcontrib>Andonian, Sero</creatorcontrib><title>Incidence and trends in the treatment of kidney stones in Canada: A population-based cohort study</title><title>Canadian Urological Association journal</title><addtitle>Can Urol Assoc J</addtitle><description>Our objective was to assess the incidence of kidney stones requiring acute care, trends in the surgical treatment of stones, and the demographics of stone formers in Canada.
We conducted a population-based, retrospective cohort study using administrative data from the Canadian Institute for Health Information. We included Canadian residents age >18, outside of Quebec, who presented between January 1, 2013, and December 31, 2018, with a kidney stone episode. This was defined as a kidney stone resulting in hospital admission, emergency department visit, or stone intervention, specifically shockwave lithotripsy (SWL), ureteroscopy (URS), or percutaneous nephrolithotomy (PCNL).
There were 471 824 kidney stone episodes, including 184 373 interventions. The number of kidney stone episode increased from 277/100 000 in 2013 to 290/100 000 in 2018. The median age was 53 (interquartile range 41-65) and 59.9% were male. The crude rate for stone intervention was 877/100 000. The age- and gender-standardized rate for interventions was highest in Nova Scotia and Newfoundland and Labrador and lowest in Prince Edward Island. The most common intervention in Canada was URS (73.5%), followed by SWL (19.8%) and PCNL (6.7%). The percent utilization of SWL was highest in Manitoba, whereas for URS, it was highest in Prince Edward Island and Alberta.
Our study provides the first population-based data on the demographics of stone formers and treatment trends across Canada. There has been a 4.7% increase in kidney stone episodes over the study period. Those presenting to hospital or requiring intervention for a kidney stone are more likely to be male, age 41-65, and undergo URS.</description><subject>Care and treatment</subject><subject>Demographic aspects</subject><subject>Kidney stones</subject><subject>Lithotripsy</subject><subject>Original Research</subject><subject>Statistics</subject><issn>1911-6470</issn><issn>1920-1214</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNptkl2P1CAUhhujcdfVC_-AIZoYvejIR5eCN2Yy8WOSjV6o14TC6ZS1hW6hxvn3UnfdzCQTLoDDwxNyeIviOcGry0rId2bW1ytxKfmD4pxIiktCSfVwWRNS8qrGZ8WTGK8x5rlSPy7OmGAig_V5obfeOAveANLeojSBtxE5j1IHy06nAXxCoUW_nPWwRzEFD_-Ijfba6vdojcYwzr1OLviy0REsMqELU8rsbPdPi0et7iM8u5svip-fPv7YfCmvvn3ebtZXpak4TiU3jTEVUA2cM04NxRVtGSMaqBSNJjVtJLasNZKKirQVYCJrToA1tpGiFeyi-HDrHedmAGvysyfdq3Fyg572Kminjk-869Qu_FaEUIa5XAxv7gxTuJkhJjW4aKDvtYcwR0Ulw1XNhKwz-uoW3ekelPNtyEqz4GpdZxURtF6olycoM7obdQitTkB5WBicyc1uXa4fWd8eXchMgj9pp-cY1fb712P29QHbge5TF0M_L38VT0rNFGKcoL1vHMFqCZlaQqaWkGX2xWGn78n_qWJ_AS0MyoU</recordid><startdate>20240601</startdate><enddate>20240601</enddate><creator>Ordon, Michael</creator><creator>Powers, Andrea Lantz</creator><creator>Chew, Ben H</creator><creator>Lee, Jason Y</creator><creator>Kogon, Michael</creator><creator>Sivalingam, Sri</creator><creator>De, Shubha</creator><creator>Bhojani, Naeem</creator><creator>Andonian, Sero</creator><general>Canadian Urological Association</general><general>Canadian Medical Association</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ISN</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20240601</creationdate><title>Incidence and trends in the treatment of kidney stones in Canada: A population-based cohort study</title><author>Ordon, Michael ; Powers, Andrea Lantz ; Chew, Ben H ; Lee, Jason Y ; Kogon, Michael ; Sivalingam, Sri ; De, Shubha ; Bhojani, Naeem ; Andonian, Sero</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c460t-6cbcc4e2ae66362c2042f331ae298ba172b90d3fc92841f4e019761e3bdb98f83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Care and treatment</topic><topic>Demographic aspects</topic><topic>Kidney stones</topic><topic>Lithotripsy</topic><topic>Original Research</topic><topic>Statistics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ordon, Michael</creatorcontrib><creatorcontrib>Powers, Andrea Lantz</creatorcontrib><creatorcontrib>Chew, Ben H</creatorcontrib><creatorcontrib>Lee, Jason Y</creatorcontrib><creatorcontrib>Kogon, Michael</creatorcontrib><creatorcontrib>Sivalingam, Sri</creatorcontrib><creatorcontrib>De, Shubha</creatorcontrib><creatorcontrib>Bhojani, Naeem</creatorcontrib><creatorcontrib>Andonian, Sero</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Canada</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Canadian Urological Association journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ordon, Michael</au><au>Powers, Andrea Lantz</au><au>Chew, Ben H</au><au>Lee, Jason Y</au><au>Kogon, Michael</au><au>Sivalingam, Sri</au><au>De, Shubha</au><au>Bhojani, Naeem</au><au>Andonian, Sero</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Incidence and trends in the treatment of kidney stones in Canada: A population-based cohort study</atitle><jtitle>Canadian Urological Association journal</jtitle><addtitle>Can Urol Assoc J</addtitle><date>2024-06-01</date><risdate>2024</risdate><volume>18</volume><issue>6</issue><spage>158</spage><epage>164</epage><pages>158-164</pages><issn>1911-6470</issn><eissn>1920-1214</eissn><abstract>Our objective was to assess the incidence of kidney stones requiring acute care, trends in the surgical treatment of stones, and the demographics of stone formers in Canada.
We conducted a population-based, retrospective cohort study using administrative data from the Canadian Institute for Health Information. We included Canadian residents age >18, outside of Quebec, who presented between January 1, 2013, and December 31, 2018, with a kidney stone episode. This was defined as a kidney stone resulting in hospital admission, emergency department visit, or stone intervention, specifically shockwave lithotripsy (SWL), ureteroscopy (URS), or percutaneous nephrolithotomy (PCNL).
There were 471 824 kidney stone episodes, including 184 373 interventions. The number of kidney stone episode increased from 277/100 000 in 2013 to 290/100 000 in 2018. The median age was 53 (interquartile range 41-65) and 59.9% were male. The crude rate for stone intervention was 877/100 000. The age- and gender-standardized rate for interventions was highest in Nova Scotia and Newfoundland and Labrador and lowest in Prince Edward Island. The most common intervention in Canada was URS (73.5%), followed by SWL (19.8%) and PCNL (6.7%). The percent utilization of SWL was highest in Manitoba, whereas for URS, it was highest in Prince Edward Island and Alberta.
Our study provides the first population-based data on the demographics of stone formers and treatment trends across Canada. There has been a 4.7% increase in kidney stone episodes over the study period. Those presenting to hospital or requiring intervention for a kidney stone are more likely to be male, age 41-65, and undergo URS.</abstract><cop>Canada</cop><pub>Canadian Urological Association</pub><pmid>38381927</pmid><doi>10.5489/cuaj.8596</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Care and treatment Demographic aspects Kidney stones Lithotripsy Original Research Statistics |
title | Incidence and trends in the treatment of kidney stones in Canada: A population-based cohort study |
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