RefDoc
Haut

Faire une nouvelle recherche
Make a new search
Lancer la recherche


Titre du document / Document title

10-Year experience with extracorporeal shockwave lithotripsy in the state of Colorado

Auteur(s) / Author(s)

GRAMPSAS Sam A. (1) ; MOORE Michael (2) ; CHANDHOKE Paramjit S. (1 3) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) Department of Surgery (Urology), University of Colorado Health Sciences Center, ETATS-UNIS
(2) The Kidney Stone Center of the Rocky Mountains, Denver, Colorado, ETATS-UNIS
(3) Department of Medicine (Renal Diseases), University of Colorado Health Sciences Center, ETATS-UNIS

Résumé / Abstract

Purpose: To evaluate trends in the utilization of extracorporeal shockwave lithotripsy (SWL) and the potential need for medical prophylaxis of urolithaisis in the state of Colorado. Materials and Methods: We examined patient and stone characteristics of individuals undergoing SWL for renal or upper-ureteral stones over a 10-year period (1987-1996) at the Kidney Stone Center of the Rocky Mountains. There were no significant changes in the in-state physician referral patterns nor SWL treatment criteria over this time interval. All patients were treated on the Dornier HM3 lithotripter. From September 1999 to December 1999, 198 consecutive patients undergoing SWL filled out a 10-point questionnaire regarding their interest in medical prophylaxis of urolithiasis. Results: The number of patients from Colorado rose 32.5%: from 15.7 per 100,000 population in 1987 to 20.8 per 100,000 in 1996. Patient demographics such as sex, race, age, and history of nephrolithiasis did not change. Furthermore, there were no significant changes in the treated stone size or stone location. The overall increase in treatment numbers was attributable equally to increases in the number of upper ureteral and renal stones. Of the 198 patients questioned, 114 (58%) were recurrent stone formers, but only 52 (45%) of these had been offered a metabolic evaluation. Conclusions: Over the 10 years since the introduction of WSL in Colorado, there has been a gradual increase in its utilization. This higher utilization is probably multifactorial. Patients undergoing SWL have a strong desire to prevent future stone episodes and are very interested in medical prophylaxis of their stone disease.

Revue / Journal Title

Journal of endourology    ISSN  0892-7790 

Source / Source

2000, vol. 14, no9, pp. 711-714 (5 ref.)

Langue / Language

Anglais

Editeur / Publisher

Liebert, Larchmont, NY, ETATS-UNIS  (1987) (Revue)

Mots-clés anglais / English Keywords

Lithiasis

;

Urinary tract

;

Treatment

;

Lithotripsy

;

Epidemiology

;

Colorado

;

Human

;

United States

;

North America

;

America

;

Urinary system disease

;

Urinary tract disease

;

Urinary stone

;

Instrumentation therapy

;

Public health

;

Mots-clés français / French Keywords

Lithiase

;

Voie urinaire

;

Traitement

;

Lithotripsie

;

Epidémiologie

;

Colorado

;

Homme

;

Etats Unis

;

Amérique du Nord

;

Amérique

;

Appareil urinaire pathologie

;

Voie urinaire pathologie

;

Calcul urinaire

;

Traitement instrumental

;

Santé publique

;

Mots-clés espagnols / Spanish Keywords

Litiasis

;

Vía urinaria

;

Tratamiento

;

Litotripsia

;

Epidemiología

;

Colorado

;

Hombre

;

Estados Unidos

;

America del norte

;

America

;

Aparato urinario patología

;

Vía urinaria patología

;

Cálculo urinario

;

Tratamiento instrumental

;

Salud pública

;

Localisation / Location

INIST-CNRS, Cote INIST : 21584, 35400009354177.0020

Nº notice refdoc (ud4) : 826421



Faire une nouvelle recherche
Make a new search
Lancer la recherche
Bas