You have accessJournal of UrologyStone Disease: Shock Wave Lithotripsy1 Apr 2017MP62-12 URETEROSCOPY AND SHOCKWAVE LITHOTRIPSY UTILIZATION PATTERNS IN WISCONSIN: AN ANALYSIS OF SOCIODEMOGRAPHIC FACTORS John Roger Bell, Brett Johnson, Kristina Penniston, and Stephen Y Nakada John Roger BellJohn Roger Bell More articles by this author , Brett JohnsonBrett Johnson More articles by this author , Kristina PennistonKristina Penniston More articles by this author , and Stephen Y NakadaStephen Y Nakada More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.1943AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Recent data is showing a rise in the use of Ureteroscopy (URS) compared to Shockwave Lithotripsy (SWL), which is attributed to more widely available equipment and expertise as well as higher stone-free rates. We compared the sociodemographics of patients who underwent URS vs SWL to evaluate for URS utilization trends based on age, gender, race and location. METHODS The State Ambulatory Surgery and Service Database (SASD) for the state of Wisconsin for the years 2012 and 2013 was accessed which contains information regarding outpatient encounters and was queried for Current Procedural Terminology (CPT) codes pertaining to URS and SWL. We evaluated the data for usage of URS and SWL based on age, gender, race and Rural Urban Commuting Area (RUCA) code (indicating population of patient residence location). Univariate and Chi-Square analyses was used to compare the rate of URS vs SWL encounters based on gender, age, race, and location. RESULTS A total of 16,587 encounters were identified for URS and SWL. 10,077 (62%) encounters contained a CPT code for URS vs 6,207 (38%) for SWL. URS utilization varied based on age, specifically pediatric patients were more likely to undergo URS vs SWL when compared to adults (73% vs 62%, OR 1.8 (1.23 - 2.64), p = 0.002). Adults 80 years old and older were also more likely to undergo URS compared to other adult ages (73.4% vs 61%, OR 1.75 (1.49 - 2.06), p < 0.001). We found no difference in the rates of URS encounters according to gender (p = 0.863). Caucasian patients were more likely to have URS vs Black patients (OR 1.58, 1.32 - 1.88, p < 0.001). Hispanic patients were more likely to undergo URS compared to Caucasian patients (OR 1.32, 0.61 - 0.928, p = 0.008). Patients living in a large town (10,000 - 50,000 people) were more likely to have URS compared to those living in a metropolitan area (>50,000 people) (66% vs 61%, OR 1.25, CI 1.13 - 1.38, p < 0.001) or a rural area (<2,500 people) (66% vs 60%, OR 1.30, CI 1.14 - 1.50, p < 0.001). CONCLUSIONS URS encounters are more common than SWL (62% vs 38%). Pediatric patients and those 80 years old and older were more likely to undergo URS. No difference was seen in relation to gender. Hispanic patients had the highest percentage of URS encounters followed by White, then Black patients. Patients living in a large town had the highest percentage of URS encounters. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e831-e832 Advertisement Copyright & Permissions© 2017MetricsAuthor Information John Roger Bell More articles by this author Brett Johnson More articles by this author Kristina Penniston More articles by this author Stephen Y Nakada More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...