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Demographic and Socioeconomic Factors Associated with Urinary Stone Disease Management in a Large Urban US Population

Authors :
Cameron Futral
James T. Kearns
Rupali Bose
Ornob P Roy
Sagar R. Patel
Caroline Miller
Peter E. Clark
Source :
Urology. 153:93-100
Publication Year :
2021
Publisher :
Elsevier BV, 2021.

Abstract

To determine the influence of socioeconomic parameters on urinary stone surgeries.A retrospective cohort study analyzed patients undergoing urolithiasis surgery in our community network hospital in North Carolina from 2005-2018.Of 7731 patients, 2160 (28%), 5,174 (67%), and 397 (5%) underwent SWL, URS, and PCNL, respectively. A higher proportion of Whites underwent URS (67%) and SWL (74%) than PCNL (56%); whereas a larger percentage of Blacks underwent PCNL (24%) than URS (20%) and SWL (15%) groups (P.001). Private insurance payers were greater in the SWL (95%) group than URS (80%) and PCNL (81%) (P.001). The distribution of median income was significantly different amongst the 3 surgeries with higher income classes overutilizing SWL and underutilizing PCNL compared to lower income classes (P.001). In linear regression modeling, the proportion of SWL in a postal code was positively associated with median income (ROur study suggests that socioeconomic status impacts urolithiasis surgical management, underscoring disparity recognition importance in endourologic care and ensuring appropriate surgical care regardless of socioeconomic status.

Details

ISSN :
00904295
Volume :
153
Database :
OpenAIRE
Journal :
Urology
Accession number :
edsair.doi.dedup.....b09b7d67be560e8013417981dd5ea3e2
Full Text :
https://doi.org/10.1016/j.urology.2021.01.036