1. Incidence and trends in the treatment of kidney stones in Canada: A population-based cohort study.
- Author
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Ordon, Michael, Powers, Andrea Lantz, Chew, Ben H., Lee, Jason Y., Kogon, Michael, Sivalingam, Sri, De, Shubha, Bhojani, Naeem, and Andonian, Sero
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KIDNEY stone risk factors , *URETEROSCOPY , *RESEARCH funding , *KIDNEY stones , *HOSPITAL care , *LITHOTRIPSY , *SEX distribution , *HOSPITAL emergency services , *RETROSPECTIVE studies , *AGE distribution , *POPULATION geography , *LONGITUDINAL method , *PHYSICIAN practice patterns , *MEDICAL appointments , *MEDICAL records , *ACQUISITION of data , *NEPHROSTOMY - Abstract
INTRODUCTION: Our objective was to assess the incidence of kidney stones requiring acute care, trends in the surgical treatment of stones, and the demographics of stone formers in Canada. METHODS: We conducted a population-based, retrospective cohort study using administrative data from the Canadian Institute for Health Information. We included Canadian residents age >18 years, outside of Quebec, who presented between January 1, 2013, and December 31, 2018, with a kidney stone episode. This was defined as a kidney stone resulting in hospital admission, emergency department visit, or stone intervention, specifically shockwave lithotripsy (SWL), ureteroscopy (URS), or percutaneous nephrolithotomy (PCNL). RESULTS: There were 471 824 kidney stone episodes, including 184 373 interventions. The number of kidney stone episode increased from 277/100 000 in 2013 to 290/100 000 in 2018. The median age was 53 (interquartile range 41-65) years and 59.9% were male. The crude rate for stone intervention was 877/100 000. The age- and gender-standardized rate for interventions was highest in Nova Scotia and Newfoundland and Labrador, and lowest in Prince Edward Island. The most common intervention in Canada was URS (73.5%), followed by SWL (19.8%) and PCNL (6.7%). The percent utilization of SWL was highest in Manitoba, whereas for URS, it was highest in Prince Edward Island and Alberta. CONCLUSIONS: Our study provides the first population-based data on the demographics of stone formers and treatment trends across Canada. There has been a 4.7% increase in kidney stone episodes over the study period. Those presenting to hospital or requiring intervention for a kidney stone are more likely to be male, aged 41-65, and undergo URS. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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