Abstract
There is no doubt that percutaneous nephrolithotomy (PCNL) has revolutionized the management of renal pelvis stones. In this issue of the Journal, Akman et al performed a large, retrospective, cohort study, in which they identified those patient and surgical factors associated with shorter hospital stays after PCNL. The driving force behind their study was to improve the efficiency (ie, the relative resource use needed to achieve a specified quality level) of PCNL. Although most of the factors identified were not immediately modifiable, the authors demonstrated that, compared with tubeless PCNL, leaving a nephrostomy tube in place after the procedure was associated with a more than fourfold increased risk of a prolonged (ie, >2 days) hospital stay. Tubeless Procedure is Most Important Factor in Reducing Length of Hospitalization After Percutaneous Nephrolithotomy: Results of Univariable and Multivariable ModelsUrologyVol. 77Issue 2PreviewTo evaluate the effects of kidney stones and patient-related parameters on the length of hospitalization (LOH), which is one important factor affecting the cost effectiveness of percutaneous nephrolithotomy (PCNL). Recently, increases in healthcare costs have highlighted the importance of evaluating the cost effectiveness of a treatment as much as its efficacy. Full-Text PDF
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