AI Article Synopsis

  • - The study aims to identify the most effective treatment for ureteric stones during the COVID-19 pandemic, focusing on infection control and resource management, highlighting shockwave lithotripsy (SWL) over ureteroscopy (URS).
  • - It compares outcomes of patients treated with SWL versus URS in Victoria, Australia, indicating that SWL results in fewer hospital readmissions, shorter stays, and fewer procedures within a three-month period.
  • - The findings suggest that SWL is a more resource-efficient option during a pandemic, potentially reducing the risk of virus transmission while addressing patient needs effectively.

Article Abstract

Objectives: To determine the best way to intervene for ureteric stones which still require treatment during the COVID-19 pandemic, with respect to infection control. In this setting, in which resources are constrained, extracorporeal shockwave lithotripsy (SWL) has prima facie advantages over ureteroscopy (URS). It is also necessary to also consider posttreatment resource consumption in regards to complications and repeat procedures.

Subjects And Methods: The ideal ureteric stone treatment during a pandemic such as COVID-19 would involve minimum resource consumption and a minimum number of patient attendances. We compared all patients initially treated with SWL to those initially treated with URS for acute ureteral colic within the state of Victoria, Australia in 2017.

Results: A total of 2724 ureteric stones were analyzed, a cumulative "3-month exposure and burden on the healthcare system" was calculated for each patient by their initial procedure type. The readmission rate for URS was significantly higher than for SWL, 0.92 readmissions/patient for URS versus 0.54 readmissions/patient for SWL ( < .001). The cumulative hospital stay per patient for these two procedures was 2.35 days for SWL versus 3.21 days for URS ( < .001). The number of procedures per patient was 1.52 for SWL versus 1.89 for URS ( = .0213).

Conclusions: Patients with ureteric stones treated initially by SWL have shorter length of stay with fewer overall attendances and procedures at 3 months than those treated with URS. During a pandemic such as COVID-19, SWL may have benefits in preserving hospital resources and limiting opportunity for virus transmission, compared to URS.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8988776PMC
http://dx.doi.org/10.1002/bco2.55DOI Listing

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