title: [Inpatient therapy of urinary stones in Germany: development of the G-DRG system].
abstract: BACKGROUND
  The therapy of urinary stones in Germany is mostly a domain of hospitals even now. With the introduction of the German diagnosis-related groups (G-DRG) system in the years 2003/2004 an attempt was made to realize an ever-increasing fair representation and remuneration of treatment costs. Simultaneously, a declared target was to transfer all forms of treatment which did not necessitate hospital admission to the outpatient department.
  
  
  RESULTS
  Analysis of the D-DRG data on running invoicing from all German hospitals from 2004/2005 to 2012/2013 showed an increase in case numbers of around 12% with a parallel increase in the volume of revenues of around 37%. A special feature was a reduction in the proportion of extracorporeal shockwave therapy (ESWL) as inpatient treatment with a parallel increase in the proportion of ureteroscopic and percutaneous interventions.
authors.affiliation: Klinik für Urologie, Klinikum Kassel GmbH, Mönchebergstraße 41-43, 34125, Kassel, Deutschland.
authors.forename: J
authors.initials: J
authors.lastname: Bauer
authors.forename: A
authors.initials: A
authors.lastname: Kahlmeyer
authors.forename: R
authors.initials: R
authors.lastname: Stredele
authors.forename: B G
authors.initials: BG
authors.lastname: Volkmer
mesh_terms: D003953:Diagnosis-Related Groups / Q000191:economics* / Q000706:statistics & numerical data; D005858:Germany / Q000453:epidemiology; D017048:Health Care Costs / Q000706:statistics & numerical data*; D006760:Hospitalization / Q000191:economics* / Q000706:statistics & numerical data; D006801:Humans; D008096:Lithotripsy / Q000191:economics / Q000706:statistics & numerical data; D010818:Practice Patterns, Physicians' / Q000191:economics / Q000706:statistics & numerical data; D015995:Prevalence; D018666:Ureteroscopy / Q000191:economics / Q000706:statistics & numerical data; D014545:Urinary Calculi / Q000191:economics* / Q000628:therapy*; D014600:Utilization Review