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
Hauptverfasser: Ordon, Michael, Powers, Andrea Lantz, Chew, Ben H, Lee, Jason Y, Kogon, Michael, Sivalingam, Sri, De, Shubha, Bhojani, Naeem, Andonian, Sero
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container_end_page 164
container_issue 6
container_start_page 158
container_title Canadian Urological Association journal
container_volume 18
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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source Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central
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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