alexa Comparing extracorporeal shock wave lithotripsy and ureteroscopy for treatment of proximal ureteric calculi: a cost-effectiveness study.


Medical & Surgical Urology

Author(s): Izamin I, Aniza I, Rizal AM, Aljunid SM, Izamin I, Aniza I, Rizal AM, Aljunid SM

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Abstract Extracorporeal shockwave lithotripsy (ESWL) and ureteroscopy (URS) are two main methods of treating proximal ureteric stones. Success rates and cost-effectiveness of the two methods were compared. A total of 67 patients who underwent treatment between January 2007 and July 2007 at a state general hospital were included in the study. The success rate for ESWL group was 81.8\% and for URS group was 84.6\%. ESWL technique produced a significant higher overall cost per patient than URS (RM930.02 versus RM621.95 respectively). There was no significant difference in quality of patient's life. Cost-effectiveness ratio was lower for URS. The analysis suggested that URS was more cost-effective than ESWL.
This article was published in Med J Malaysia and referenced in Medical & Surgical Urology

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