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• W2318723500 abstract "To evaluate the cost-effectiveness of extracorporeal lithotripsy against ureteroscopic laser in the treatment of ureteral stones in the La Fe Hospital in Valencia. A decision tree was performed to evaluate the costs and effectiveness of two treatment strategies (starting with ESWL and second line URS, versus directly start with URS). It was considered as a parameter of effectiveness, the ratio of patient with stone-free status or the presence of insignificant residual fragments (< 3 mm) at 3 month of follow up. Subsequently, to consolidate the Results of the decision tree, a sensitivity analysis of Monte Carlo with 1000 iterations was developed. Were available from a database of 162 patients treated for ureteral stones at the Hospital La Fe de Valencia. Of these, 77 were treated in lithotripsy sessions (27 % of whom had upper stones 1 cm), while 85 were referred directly to URS (the percentage of these patients with upper stones centimeter was 32.4 %). The unit cost of each treatment was calculated from data provided by the economic management Department of Hospital La Fe and were 286.06 for each session in the case of ESWL and 1409.89 for URS. The overall effectiveness after four sessions of lithotripsy plus second line URS was 99,76%, while in the case of URS was 98.81%. The average cost of ESWL plus URS alternative was 881.59 euros, while in the case of the strategy of starting with URS was 1,496 euros. Therefore, the ESWL plus URS showed dominant versus first line URS. For both group upper and less than 1 cm also ESWL plus URS was dominant. Thus, the combination of first line lithotripsy plus second line ureteroscopic laser is better than first line ureteroscopic laser for treatment of ureteral calculi in terms of in terms of cost effectiveness." @default.
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• W2318723500 date "2014-11-01" @default.
• W2318723500 modified "2023-09-28" @default.
• W2318723500 title "Cost Effectiveness Of Extracorporeal Shock Wave Lithotripsy Against Ureteroscopic Laser Lithotripsy For Treatment Of Ureteral Calculi" @default.
• W2318723500 doi "https://doi.org/10.1016/j.jval.2014.08.1327" @default.
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