Prospects for the study of medical and economic aspects of treatment of patients with urolithiasis

Abstract

The literature overview of the incidence rate on urolithiasis in the Russian Federation and, in particular, in population of some regions over the past 15 years is provided. We analyzed treatment methods for patients with calculi of kidneys, ureters and bladder, due to the current clinical possibilities. The article involves the discussion about the problems of implementation of modern minimally invasive methods as specialized medical care for patients with urolithiasis. We have compared the results of foreign investigations upon the clinical and economical effectiveness of medical technologies for that disease. While studying a database of domestic and foreign authors we have discovered the shortage of publications with the analysis of medico-economic arguments for minimally invasive technologies in urology. Given the high rate of development of urology as a clinical discipline, we find it expedient to properly estimate expenses and profitableness while using modern technologies in routine practice of medical institutions in Russian Federation. Heads of medical institutions in Russia note an insufficient amount of knowledge in the field of medical and economic analysis of the use of endoscopic techniques for kidney stones and ureters. When choosing the optimal method of intervention, specialists, mainly, turn to the questions of clinical effectiveness, rather than to the calculation of costs. Comparative analysis of the medical and economic substantiation of the methods of treatment of patients with urolithiasis in Russia has not yet been conducted. It is worthwhile to estimate not only the direct costs of performing surgical intervention and hospitalization of the patient, but also indirect costs: the costs of his outpatient treatment during rehabilitation, the lost profit of the enterprise where the patient is employed, etc. Generally, we have concluded that it is necessary to develop a system of economic evaluation of new medical technologies in treatment of urolithiasis which would help to efficiently use the foreign experience.

Keywords

urolithiasis / the prevalence of urolithiasis / medical and economic efficiency / minimally invasive techniques / cost analysis of stone disease treatment methods / differences in health systems / the system of economic evaluation of medical technologies

References

[1] Аполихин, О.И. Эпидемиология мочекаменной болезни в различных регионах Российской Федерации / О.И. Аполихин [и др.] // Бюлл. мед. интернет-конф. – 2011. – Т. 1, № 3. – С. 167–176.

[2] Каприн, А.Д. Анализ уронефрологической заболеваемости и смертности в Российской Федерации за период 2002 –

[3] 2014гг. по данным официальной статистики / А.Д. Каприн [и др.] // Эксперимент. и клин. урология. – 2016. – № 3. – С. 4–13.

[4] Клинические рекомендации Европейской ассоциации урологов, 2016. – М., 2016. – 468 с.

[5] Колпаков, И.С. Мочекаменная болезнь / И.С. Колпаков. – М.: Академия, 2006. – 224 c.

[6] Попов, С.В. Анализ экономической эффективности различных эндоскопических методов лечения больных с непротяженными стриктурами мочеточников / С.В. Попов [и др.] // Эксперимент. и клин. урология. – 2016. – № 2. – С. 52–57.

[7] Румянцев, А.А. Чрескожная пункционная цистолитотрипсия первый опыт применения / А.А. Румянцев [и др.] // Урология. – 2015. – № 1. – С. 112–115.

[8] Тиктинский, О.Л. Мочекаменная болезнь / О.Л. Тиктинский, В.П. Александров. – СПб.: Питер, 2000. – 379 с.

[9] Урология: национальное руководство / под ред. акад. Н.А. Лопаткина. – М.: ГЭОТАР-Медиа, 2009. – 1024 с.

[10] Chandhoke, P.S. When is Medical Prophylaxis Costeffectivefor Recurrent Calcium Stones? / P.S. Chandhoke // J. Urol.–2002. – № 168 (3). – P. 937–940.

[11] Clark, J.Y. Thompson IM, Optenberg SA. Economic impact of urolithiasis in the United States / J.Y. Clark, I.M. Thompson, S.A. Optenberg // J. Urol. – 1995. – № 154 (6). – P. 2020–2024.

[12] Novikov, A. Epydemiology of Stone Disease in the Russian Federation and Post-Soviet Era / A. Novikov, T. Nazarov, V. Startsev // Urolithiasis. Basic Science and Clinical Practice. – 2012. – P. 97–107.

[13] Pearle, M.S. Urologic diseases in America project: urolithiasis. / M.S. Pearle, E.A. Calhoun, G.C. Curhan // J. Urol. – 2005. – № 173 (3). – P. 848–857.

[14] Saigal, C.S. Direct and indirect costs of nephrolithiasis in an employed population: opportunity for disease management? / C.S. Saigal, G. Joyce, A.R. Timilsina // Kidney Int. – 2005. – № 68 (4). – P. 1808–1814.

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