Trends in Upper Tract Stone Disease in England: Evidence from the Hospital Episodes Statistics Database.
OBJECTIVE
The study aimed to determine the current trends in urolithiasis-related admissions and associated interventions in England between 2006/2007 and 2013/2014 utilizing Hospital Episode Statistics (HES) online data.


METHODS
Data was extracted from the online HES data set for each year from 2006/2007 to 2013/2014 inclusive. Admissions and procedural interventions were identified from their corresponding OPCS-4 and ICD-10 codes.


RESULTS
Finished consultant episodes (FCEs) for urolithiasis have increased by 20% over the last 7 years, with 93,039 FCEs in the year 2013/2014. Based on English population statistics, the lifetime prevalence of urolithiasis based on hospital-related admission/intervention data for 2013/2014 is 14%. The biggest increases were seen in those aged ≥75 years (up by 51%, n = 2,853). Total interventions have increased from 28,624 to 42,068, with increased rates of shock wave lithotripsy (26%), ureteroscopy (URS; 86%) and percutaneous nephrolithotomy (149%). Emergency URS procedures have increased by 38%. Day-case rates for ureteric and renal URS, in 2013/2014, were 22 and 21%, respectively.


CONCLUSIONS
Over the last 7 years, there is a rising prevalence of kidney stone disease with associated increase in the number of interventions related to it. Both elective and emergency URS procedures are increasing, with a rising trend for day-case URS. Similar trends are seen worldwide and future resource planning for urolithiasis is needed to match the increase in demand.
Royal Wolverhampton Hospital NHS Trust, Wolverhampton, UK.
Nicholas J
NJ
Rukin
Zain A
ZA
Siddiqui
Edmund C P
ECP
Chedgy
Bhaskar K
BK
Somani
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D016208:Databases, Factual; D004739:England; D006760:Hospitalization; D006801:Humans; D038801:International Classification of Diseases; D007669:Kidney Calculi / Q000453:epidemiology* / Q000628:therapy*; D007902:Length of Stay; D008096:Lithotripsy / Q000639:trends*; D008875:Middle Aged; D015995:Prevalence; D018666:Ureteroscopy / Q000639:trends*; D052878:Urolithiasis / Q000453:epidemiology* / Q000628:therapy*; D014572:Urology / Q000639:trends; D055815:Young Adult
Lithotripsy; PCNL; Trend; Ureteroscopy; Urolithiasis