PD08-11 COMPARATIVE ANALYSIS OF LOST PRODUCTIVITY AND COSTS, BETWEEN EXTRACORPOREAL LITHOTRIPSY TREATMENT AND ENDOSCOPIC TREATMENT FOR RENO-URETERAL LITHIASIS LESS THAN 2 CM

Abstract

You have accessJournal of UrologyStone Disease: Shock Wave Lithotripsy1 Apr 2018PD08-11 COMPARATIVE ANALYSIS OF LOST PRODUCTIVITY AND COSTS, BETWEEN EXTRACORPOREAL LITHOTRIPSY TREATMENT AND ENDOSCOPIC TREATMENT FOR RENO-URETERAL LITHIASIS LESS THAN 2 CM Javier Perez-Ardavin, Laura Lorenzo, Alberto Budia, Vicent Caballer Tarazona, Pilar Bahilo, Jose Daniel López-Acón, Domingo Guzman Ordaz, Marta Trassierra, Jose Vicente Sanchez-Gonzalez, David Vivas Consuelo, and Francisco Boronat Javier Perez-ArdavinJavier Perez-Ardavin More articles by this author , Laura LorenzoLaura Lorenzo More articles by this author , Alberto BudiaAlberto Budia More articles by this author , Vicent Caballer TarazonaVicent Caballer Tarazona More articles by this author , Pilar BahiloPilar Bahilo More articles by this author , Jose Daniel López-AcónJose Daniel López-Acón More articles by this author , Domingo Guzman OrdazDomingo Guzman Ordaz More articles by this author , Marta TrassierraMarta Trassierra More articles by this author , Jose Vicente Sanchez-GonzalezJose Vicente Sanchez-Gonzalez More articles by this author , David Vivas ConsueloDavid Vivas Consuelo More articles by this author , and Francisco BoronatFrancisco Boronat More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2018.02.457AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The aim of this study was to compare the loss of productivity and the total cost between two minimally invasive techniques, shock wave lithotripsy (SWL) vs holmium ureterorenoscopy-laser (URS) for the treatment of reno-ureteral lithiasis, less than 2 cm. METHODS A prospective study was carried out between January 2016 and December 2016. A total of 84 patients with reno-ureteral lithiasis less than 2 cm were included. 38 (45.52%) were treated with SWL (18 renal and 20 ureteral) and 46 (54.76%) with URS (22 renal and 24 ureteral). The variables analyzed were the days off work due to the treatment and the subsequent recovery and the estimation of the indirect cost caused by the loss of labor productivity. To calculate the indirect cost the Salary Structure Survey 2015 (INE) was considered regarding the actual days off work. In addition, the Development of the Work Productivity and Activity Impairment (WPAI) Questionnaire was also used to determine the degree of perception of lost productivity during work and during daily activities. The direct costs (procedure and follow up costs) were analized as well. A T-student and X2 test were used for statistical analysis. RESULTS The mean of procedures was 2.57 for the SWL group and 1.04 for the URS until resolution of the stone. The average number of days off work in the URS group was 7.73 days, while in the SWL case was 3,0 days (p = 0.019). The total indirect costs resulting from the lost productivity in the URS group were 717,34 euros and 278.38 euros in the SWL group. The total direct costs in the SWL group were 1382,9 euros and 2317,71 euros for URS group. The degree of affectation in the work perceived by patients was 18.88% for URS group and 21.33% for ESWL group. The degree of affectation to perform daily activities was 24.44% in URS and 15% in SWL CONCLUSIONS According to our results, SWL is shown as a technique that may require a greater number of sessions than URS, but with a lower loss of productivity (indirect costs) and lower direct cost for the treatment of urinary stones smaller than 2 cm. © 2018FiguresReferencesRelatedDetails Volume 199Issue 4SApril 2018Page: e165-e166 Advertisement Copyright & Permissions© 2018MetricsAuthor Information Javier Perez-Ardavin More articles by this author Laura Lorenzo More articles by this author Alberto Budia More articles by this author Vicent Caballer Tarazona More articles by this author Pilar Bahilo More articles by this author Jose Daniel López-Acón More articles by this author Domingo Guzman Ordaz More articles by this author Marta Trassierra More articles by this author Jose Vicente Sanchez-Gonzalez More articles by this author David Vivas Consuelo More articles by this author Francisco Boronat More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...