頁籤選單縮合
題名 | Epidemiology and Treatment of Inpatients Urolithiasis in Taiwan= |
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作者 | Yu, Dah-shyong; Yang, Ya-ting; Lai, Ching-huang; |
期刊 | Formosan Journal of Surgery |
出版日期 | 20160800 |
卷期 | 49:4 2016.08[民105.08] |
頁次 | 頁136-141 |
分類號 | 415.842 |
語文 | eng |
關鍵詞 | Epidemiology characteristics; Inpatients with urolithiasis; Medical utilization; |
英文摘要 | Abstract Background/Introduction: Urolithiasis is a common disease with high prevalence and recurrence rates in Taiwan. A national survey in Taiwan determined that 9.6% of the population suffered stones throughout their lifetime. Purpose/Aim: This study analyzed the epidemiological characteristics and patterns of inpatient treatment for urolithiasis and thus provides a reference for the implementation of future health strategies. Methods: A cross-sectional study was conducted using data collected from the Inpatient Expenditures by Admissions and Registry for Contracted Medical Facilities files of the National Health Insurance Research Database. A total of 40,027 patients were included in the final data analysis. SPSS 22.0 statistical software was used to analyze the epidemiological characteristics and corresponding treatments for each patient group. Results: The average age of the inpatients with urolithiasis was 52 14 years, with a male-tofemale sex ratio of 2.4:1. The highest admission rate occurred between July and August (10.4 e10.6%). Ureteral stones were the most common (76.4%), followed by kidney stones (15.8%), bladder stones (7.5%), and urethral stones (0.4%). Moreover, 57.4% of the patients were treated at regional hospitals and 27.5% were treated at medical centers. Of the 4531 urolithiasis examinations conducted, 63.6% involved intravenous urography, 21.8% abdominal sonography, and 5.9% retrograde pyelography. In total, 13,610 treatments were performed in the 40,027 inpatients with urolithiasis, with a surgical treatment rate of 34%. Extracorporeal shock wave lithotripsy (ESWL) is the most commonly used treatment for patients with renal or ureteral stones with an annual medical expenditure of nearly NT $3 billion. Regional hospitals conducted the highest number of ESWL treatment for inpatients with stones, whereas medical centers conducted more percutaneous nephrostomy lithotripsy than did regional hospitals. Conclusion: This study reveals patterns in the epidemiology and utilization of medical resources for inpatients with urolithiasis and provides a basis for the implementation of stone treatment guidelines in Taiwan. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。