Current Trends in Urolithiasis Treatment in Various European Health Systems.

Abstract:

OBJECTIVE:In spite of readily available evidence-based guidelines on urolithiasis treatment, practical applications of treatments vary from country to country, or even within countries. The choice of treatment depends not only on the evidence, but often on general non-medical decision factors such as infrastructure, expertise, trends, patient demands, industry drive and reimbursement levels. In turn, many of these factors are interdependent and a result of the individual National Health System. METHOD:In an attempt to get a crude picture of trends and practices in stone treatment across Europe, a group of well-renowned international experts in the field were asked to reply to a set of standard questions relating to stone treatments, health systems and adherence to guidelines (level of evidence D = expert opinion). RESULTS:The above-mentioned interdependencies showed a varying picture in different countries. Overall, there is a trend away from lithotripsy and toward ureterorenoscopy. However, the choice of treatment is largely dependent on the affordability of infrastructure. Urologists may make choices based on the national reimbursement system, too. CONCLUSION:Without claiming to represent a scientifically sound study, this survey represents an interesting insight into a representative cross-section of European urological current practices and trends in urolithiasis treatment.

journal_name

Urol Int

journal_title

Urologia internationalis

authors

Durner L,Bach C,El Howairis Mel F,Hakenberg OW,Buchholz N

doi

10.1159/000441041

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

125-31

issue

2

eissn

0042-1138

issn

1423-0399

pii

000441041

journal_volume

96

pub_type

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