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Effect of core preventative screening on kidney stone surgical patterns

  • Urology - Original Paper
  • Published:
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Abstract

Purpose

In the surgical treatment of kidney stones, decreased access to healthcare has been shown to exacerbate stone burden, often requiring more invasive and extensive procedures. The objective of this study is to evaluate the effects of preventative health screening on kidney stone surgical treatment patterns.

Methods

We performed a retrospective analysis of data from the Healthcare Cost and Utilization Project (HCUP) Florida state-wide dataset and the PLACES Local Data for Better Health dataset from the Centers of Disease Control and Prevention (CDC). ZIP Code Tabulation Areas (ZCTAs) identified from the PLACES data were merged with the HCUP dataset to create a single dataset of community-level stone outcomes and community health measures. We included adult patients 18 years or older who underwent at least one urologic stone procedure from 2016 to 2020.

Results

128,038 patients from 885 communities were included in the study. Patients underwent an average of 1.42 surgeries (Median = 1.39, SD = 0.16). Increased core preventative screening was associated with increased surgical frequency (Estimate: 0.51, P < 0.001). The low core preventative screening group had a higher prevalence of PNL than SWL while the high core preventative screening group had a low PNL prevalence compared to SWL.

Conclusion

Increased core preventative screenings are associated with less invasive kidney stone surgeries, suggesting that preventative screenings detect stones at an earlier stage.

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Data availability

Raw data used in the study are not publicly available because the Healthcare Cost and Utilization Project (HCUP) remains the primary distributor of the data. Request for specific analysis performed and all summaries of the data are available upon request from the authors.

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Funding

The authors did not receive support from any organization for the submitted work or in preparation of this manuscript.

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Authors and Affiliations

  1. University of Central Florida, College of Medicine, Orlando, FL, USA

    Sudarshan Srirangapatanam, Linda Guan, Caroline Baughn & Hubert S. Swana

  2. Department of Urology, Orlando Health, Orlando, FL, USA

    Hubert S. Swana

  3. University of California, San Francisco, San Francisco, CA, USA

    David B. Bayne

Authors
  1. Sudarshan Srirangapatanam
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  2. Linda Guan
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  4. Hubert S. Swana
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  5. David B. Bayne
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Contributions

The authors confirm contribution to the paper as follows: Study conception and design (SS, HS, DB); Data curation, and formal analysis (SS, LG, DB); Investigation and interpretation of results (SS, LG, CB, HS, DB); Draft manuscript preparation (SS, LG, CB); Critical review of the manuscript (HS, DB); Funding acquisition (HS). All authors reviewed the results and approved the final version of the manuscript.

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Correspondence to Sudarshan Srirangapatanam.

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Srirangapatanam, S., Guan, L., Baughn, C. et al. Effect of core preventative screening on kidney stone surgical patterns. Int Urol Nephrol (2024). https://doi.org/10.1007/s11255-023-03930-5

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