Geographical variation in the management of urolithiasis in Australia.


BACKGROUND:To examine any geographical variation in the management of urolithiasis amongst the Australian states and territories. METHODS:Retrospective study with data obtained from the Medicare Australia database, the Royal Australasian College of Surgeons and the Urological Society of Australia and New Zealand. RESULTS:Minimally invasive stone treatment with shock wave lithotripsy (SWL) and ureteroscopy (URS) accounted for the majority of stone treatments in Australia (98%). Variation of stone treatment modalities exists amongst the Australian states and territories with an inverse relationship between the use of SWL and URS. We compared Western Australia (WA) and Queensland (QLD) which have a comparable geographical area. SWL accounts for 1% and 22% of stone treatments in WA and QLD, respectively. In WA, urologists are concentrated in two cities with no SWL available in the private sector. In QLD, urologists are distributed in 11 cities with SWL available in both the public and private sector. The three largest states or territories by geographical area - the Northern Territory, WA and QLD - have stone treatment rates of 1:1337, 1:1110 and 1:2432 per capita of privately insured patients, respectively. In comparison, smaller Australian states/territories such as Tasmania and Victoria have stone treatment rates of 1:619 and 1:765 per capita of privately insured patients, respectively. CONCLUSION:The distribution of urologists and treatment modalities available in each state or territory appear to play a contributory role in choice of treatment modality. In addition, inequality to stone treatment access exists in geographically large Australian states/territories.


ANZ J Surg


ANZ journal of surgery


Tran MA,Chak-Lee M,Bariol SV




Has Abstract


2017-06-01 00:00:00












  • Effects of early antiplatelet therapy after splenectomy with gastro-oesophageal devascularization.

    abstract:BACKGROUND:This study aimed to explore the effects of early antiplatelet therapy (APT) for portal vein thrombosis (PVT) in patients with cirrhotic portal hypertension after splenectomy with gastro-oesophageal devascularization. METHODS:We retrospectively analysed 139 patients who underwent splenectomy with gastro-oeso...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Zhou JB,Luo BY,Liu CW,Zhu F

    更新日期:2018-10-01 00:00:00

  • Treatment of subglottic hemangiomas with propranolol: initial experience in 10 infants.

    abstract:BACKGROUND:Subglottic hemangiomas (SGH) are a rare tumour, often associated with significant airway obstruction in infants. Current treatment options, while effective, often expose the infant to potential complications. Emerging evidence suggests a role for the beta blocker propranolol in the initial management of SGH....

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,多中心研究


    authors: Mahadevan M,Cheng A,Barber C

    更新日期:2011-06-01 00:00:00

  • Perioperative hypothermia in patients undergoing major colorectal surgery.

    abstract:BACKGROUND:Perioperative hypothermia occurs frequently and can have serious health-related and financial consequences. Despite multiple warming methods available, perioperative hypothermia remains prevalent. To be effective, preventative measures must be timely and target patients most at risk. The aim of this retrospe...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Mehta OH,Barclay KL

    更新日期:2014-07-01 00:00:00

  • Clinical efficacy of middle pancreatectomy contrasts distal pancreatectomy: a single-institution experience and review of literature.

    abstract:BACKGROUND:We aim to analyse the difference of clinical efficacy between middle pancreatectomy (MP) and distal pancreatectomy (DP). METHODS:A retrospective study was used to analyse 39 cases of MP and 52 cases of DP from the Department of Hepatopancreatobiliary Surgery of the Affiliated Hospital of Qingdao University ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Tan Z,Chen P,Dong Z,Zhou B,Guo WD

    更新日期:2019-05-01 00:00:00

  • Repair of mandible defect with tissue engineering bone in rabbits.

    abstract:BACKGROUND:The aim of the present study was to investigate the effect of tissue engineering bone composed of bone marrow-derived osteoblasts and demineralized bone in repairing mandible defect. METHODS:Bone marrow-derived osteoblasts of 20 rabbits were cultured and seeded into scaffold of allogeneic demineralized bone...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Li Z,Li ZB

    更新日期:2005-11-01 00:00:00

  • Blood loss and transfusion in elective abdominal aortic aneurysm surgery.

    abstract:BACKGROUND:Intraoperative blood loss and transfusion are known determinants of mortality and morbidity of elective abdominal aortic aneurysm (AAA) repair. The present study analysed the pattern of blood loss and transfusion and evaluated the risk factors of blood loss during open repair of infrarenal AAA. METHODS:Bloo...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Ho P,Ting AC,Cheng SW

    更新日期:2004-08-01 00:00:00

  • Shoulder arthroscopy heuristics.

    abstract::Technical improvements, equipment to minimize bleeding and standardizing setup positions have allowed shoulder arthroscopy to become more user friendly in diagnosis and treatment of disorders of this joint complex. ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Quain JS

    更新日期:2008-12-01 00:00:00

  • Laparoscopic radical prostatectomy: early safety and efficacy.

    abstract:BACKGROUND:To evaluate the initial results of laparoscopic radical prostatectomy at this institution. METHODS:Between January 2000 and September 2003, 30 patients underwent laparoscopic radical prostatectomy. Peri- and postoperative data were accumulated prospectively and maintained in a database. All patients have a ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Wilson LC,Kennett KM,Gilling PJ

    更新日期:2004-12-01 00:00:00

  • The importance of international consensus statements in surgery.

    abstract::The article is a summary of some of the pertinent literature on professionalism, highlighting the difference between how physicians understand professionalism and how other groups e.g. politicians, nurses and hospital managers might view the professionalism of doctors. It partly explains why surgeons have become incre...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Canter RJ

    更新日期:2009-03-01 00:00:00

  • Quad bike injuries at an Australian regional hospital: a trauma registry review.

    abstract:BACKGROUND:Quad bikes are a prominent cause of morbidity and mortality in Australia in both agriculture and recreation. This study describes the clinical and epidemiological characteristics of quad bike injuries at the Royal Darwin Hospital (RDH). METHODS:A retrospective review of the RDH Trauma Registry for all quad ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Liddle SE,McDermott KM,Ward LM,Lim HH,Read DJ

    更新日期:2020-04-01 00:00:00

  • Risk factors, treatment and impact on outcomes of bile leakage after hemihepatectomy.

    abstract:BACKGROUND:Risk factors for bile leakage after hemihepatectomy are unknown. METHODS:A prospectively maintained database review identified patients undergoing hemihepatectomy between 1 January 2009 and 30 September 2014. Patients were divided into B/C and non-B/C bile leakage groups. Risk factors for bile leakage were ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Zheng SM,Li H,Li GC,Yu DS,Ying DJ,Zhang B,Lu CD,Zhou XH

    更新日期:2017-07-01 00:00:00

  • Adenoid cystic carcinoma of the trachea: a long-term problem.

    abstract::Adenoid cystic carcinoma of the trachea, although rare, is the second most common primary tumour of the trachea. It is a slow-growing tumour found in younger patients than the more common squamous cell carcinoma and is relatively resistant to treatment, but metastasizes late in the course of disease and even in unrese...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Clough A,Clarke P

    更新日期:2006-08-01 00:00:00

  • Changes in the management of liver trauma leading to reduced mortality: 15-year experience in a major trauma centre.

    abstract:BACKGROUND:Worldwide, the evolution of management of liver injury has resulted in improved outcomes. The aim of this study was to examine the trend in the management and outcomes of patients with liver injury. Primary outcomes were defined as mortality and hospital length of stay. The secondary aim was to identify inde...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Suen K,Skandarajah AR,Knowles B,Judson R,Thomson BN

    更新日期:2016-11-01 00:00:00

  • Surgical procedures for melanoma in public and private New South Wales hospitals, 2001-2002.

    abstract:BACKGROUND:Evidence suggests that there is considerable variation in the types of procedures used to treat cancer. This variation may result in suboptimal or cost-ineffective care. The present study examined the variation in surgical treatment of melanoma before the establishment of a Melanoma Network that could promot...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Barton MB,Gabriel GS,Frommer MS,Holt PE,Thompson JF

    更新日期:2006-05-01 00:00:00

  • Impact of post-haemorrhoidectomy pain relief checklists on pain outcomes: a randomized controlled trial.

    abstract:BACKGROUND:Haemorrhoidectomy is associated with significant post-operative pain which is primarily managed pharmacologically. Whether a non-pharmacological adjunct such as a checklist can improve pain outcomes after an open haemorrhoidectomy has yet to be studied. The purpose of this study was to determine if a patient...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Huang J,Rickard MJFX,Keshava A,Suen MKL

    更新日期:2020-04-01 00:00:00

  • Safety of single-incision laparoscopic cholecystectomy for acute cholecystitis.

    abstract:BACKGROUND:Single-incision laparoscopic cholecystectomy (SILC) is a common procedure performed worldwide. In this study, we evaluated the safety and efficacy of SILC for acute cholecystitis. METHODS:Patients who underwent SILC between September 2012 and December 2016 were retrospectively enrolled and divided into acut...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Byun GY,Lee SR,Koo BH

    更新日期:2018-07-01 00:00:00

  • Towards painless colonoscopy: a randomized controlled trial on carbon dioxide-insufflating colonoscopy.

    abstract:BACKGROUND:Carbon dioxide (CO2) insufflation during colonoscopy was reported to reduce pain, but data are limited. The objective of this randomized controlled trial was to assess the effect of CO2 insufflation on pain during and after colonoscopy. METHODS:Patients were randomized into CO2 insufflation (CO2i) or air in...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,随机对照试验


    authors: Wong JC,Yau KK,Cheung HY,Wong DC,Chung CC,Li MK

    更新日期:2008-10-01 00:00:00

  • Trainee surgeons and patient outcomes in carotid endarterectomy: a retrospective cohort study.

    abstract:BACKGROUND:In Australia and New Zealand, more than 2000 carotid endarterectomies are performed annually. The major morbidities arising from this procedure are post-operative stroke, cranial nerve injury and death. Carotid endarterectomy surgery is a key component of the vascular surgical training programme. We assessed...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Johnson NW,Smoll NR,Tan C,Brooks CE

    更新日期:2020-09-01 00:00:00

  • Two-year serum metal ion levels in minimally invasive total conservative hip resurfacing: preliminary results of a prospective study.

    abstract:BACKGROUND:Metal-on-metal (MoM) hip resurfacings have been associated with the potential development of metallic debris and its associated pathology. Serum cobalt and chromium levels are a reliable surrogate marker of wear rates in MoM bearings. The aim of the study was to examine the trend in serum metal ion levels in...

    journal_title:ANZ journal of surgery

    pub_type: 临床试验,杂志文章


    authors: Tai SM,Millard N,Munir S,Jenabzadeh AR,Walter LR,Walter WL

    更新日期:2015-03-01 00:00:00

  • Blood transfusion following major orthopaedic surgery in cerebral palsy: a retrospective analysis.

    abstract:BACKGROUND:Progressive musculoskeletal pathology is ubiquitous among children with cerebral palsy (CP). Corrective surgery places them at risk of major blood loss and red blood cell (RBC) transfusion. Significant variability exists in uptake of perioperative patient blood management (PBM) strategies. This study aimed t...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Lu MZH,Reid SM,Lundine K,Crighton G

    更新日期:2020-09-06 00:00:00

  • What is the role of laparoscopic surgery in intussusception?

    abstract:BACKGROUND:Assessing the role of laparoscopy in the management of intussusception. METHODS:A retrospective review of children aged up to 17 years who had surgery for intussusception at this institution between 1 January 2004 and 31 December 2013. RESULTS:The cohort of 44 individuals (18 females) presented at a median...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Houben CH,Feng XN,Tang SH,Chan EK,Lee KH

    更新日期:2016-06-01 00:00:00

  • Baseline comparisons in surgical trials.

    abstract:INTRODUCTION:Baseline measurements are an essential component of clinical trials. They should establish that the groups involved are clinically equivalent so that any observed differences can be attributed to the intervention under evaluation. The objective of this study was to review the use of baseline comparisons in...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审


    authors: Hall JC,Hall JL

    更新日期:2002-08-01 00:00:00

  • Second primary colorectal cancer in the era of prevalent screening and imaging.

    abstract:BACKGROUND:Oncology literature is increasingly recognizing prevalence of second primary cancers including several longitudinal studies showing an increased risk of colorectal cancer following a prostate cancer diagnosis. A retrospective study was conducted to examine the relationship between prior prostate cancer diagn...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Bae S,Asadi M,Jones I,McLaughlin S,Bui A,Steele M,Tie J,Gibbs P

    更新日期:2013-12-01 00:00:00

  • Familial colorectal cancer type X: polyp burden and cancer risk stratification via a family history score.

    abstract:BACKGROUND:Patients fulfilling Amsterdam-1 criteria without mismatch repair deficiency (termed familial colorectal cancer type X (FCC type X)) were reported to have lower cancer risks than classic Lynch syndrome. This study investigates the polyp and cancer burden of this population and demonstrates relationships with ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Koh PK,Kalady M,Skacel M,Fay S,McGannon E,Shenal J,Arroyo L,Toderick K,Church J

    更新日期:2011-07-01 00:00:00

  • Comparison between video-assisted retroperitoneal debridement and small incision pancreatic necrosectomy in infected pancreatic necrosis.

    abstract:BACKGROUND:Debridement and drainage have always been mainstream treatment for infected pancreatic necrosis (IPN), and the application of minimally invasive necrosectomy is becoming increasingly widespread. However, few studies have compared video-assisted retroperitoneal debridement (VARD) and small incision pancreatic...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Zhang JB,Sun B

    更新日期:2020-08-11 00:00:00

  • Impact of splenectomy on circulating T-lymphocyte subsets in stage III gastric cancer.

    abstract:BACKGROUND:The role of splenectomy remains unclear in patients with gastric cancer who undergo total gastrectomy. The aim of this study was to prospectively evaluate the impact of splenectomy on circulating T-lymphocyte subsets and survival in advanced gastric cancer. METHODS:Analysis of lymphocyte subsets was perform...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Cho MY,Kroh MD,Joh YG,Suh SO

    更新日期:2002-06-01 00:00:00

  • Caseload distribution of general surgeons in regional Australia: is there a role for a rural surgery sub-specialization?

    abstract:BACKGROUND:Rural and regional Australia presents a unique challenge in the delivery of surgical services by virtue of its geographical vastness and low population density. While up to 33% of Australians live in rural or regional areas, only 14.8% of surgeons work in a rural or regional area. Data regarding the caseload...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Bappayya S,Chen F,Alderuccio M,Schwalb H

    更新日期:2019-06-01 00:00:00

  • Paediatric appendicitis: increased disease severity and complication rates in rural children.

    abstract:BACKGROUND:Appendicitis is the most common surgical emergency affecting children. Rurality has been shown to be a predictor of worse surgical outcomes in patients with acute appendicitis compared to urban residents. There are no previously published studies investigating this in Australasia. METHODS:A 10-year retrospe...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Elliott BM,Witcomb Cahill H,Harmston C

    更新日期:2019-09-01 00:00:00

  • Carotid endarterectomy in octogenarians.

    abstract:BACKGROUND:The role of carotid endarterectomy in octogenarians is unclear as this age group was not included in the major trials of carotid surgery. The aim of the present study was to determine the trends and early outcome of carotid endarterectomy performed in octogenarians at a single institution. METHODS:A retrosp...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Varghese R,Norman P

    更新日期:2004-04-01 00:00:00

  • Validation of data submitted by the treating surgeon in the Victorian Audit of Surgical Mortality.

    abstract:BACKGROUND:The Victorian Audit of Surgical Mortality (VASM) seeks to peer review all deaths associated with surgical care in Victoria, Australia. The effectiveness of the VASM as an educational and quality improvement tool is dependent on the accuracy of source data it receives. We aimed to examine the accuracy and qua...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章


    authors: Hansen D,Hansen E,Retegan C,Morphet J,Beiles CB

    更新日期:2019-01-01 00:00:00