Integral criterion for estimation the effectiveness of lithotripsy-treated urolithiasis

Abstract

Introduction. Various criteria are used to assess the quality of lithotripsy-treated urolithiasis, the main of which is the stone free rate (SFR). Along with this criteria, the risk of complications, the duration of lithotripsy, the amount of retropulsion, the length of hospital bed-days and others are also considered when comparing lithotripsy methods. However, each of these criteria evaluates only one side of lithotripsy-treated urolithiasis.Objective. To develop a universal integral criterion for the effectiveness of urolithiasis treatment using lithotripsy.Materials and methods. The method of expert assessments was used to determine the factors affecting the overall effectiveness of lithotripsy. Expert survey was carried out using the questionnaire method. Mathematical methods of the operations research theory and the criteria importance theory were used to construct an integral efficiency criterion.Results. It is suggested that a weighted sum of factors determined in the process of conducting expert assessments be used as an integral criterion for the effectiveness of lithotripsy-treated urolithiasis. Factors are SFR coefficient, average surgery length, complications and average hospital bed-day. The weight factors to consider the degree of influence of these factors are w1 = 0.436; w2 = 0.143; w3 = 0.240; w4 = 0.181, respectivelyConclusion. The proposed integral indicator can find wide application in urological practice, since it allows considering not only the relative proportion of patients who do not have stones after lithotripsy, but also the probability of complications, as well as the length of hospital bed-days, which affect the treatment cost and the patient's quality of life.