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Impact of Extracorporeal Lithotripsy on Patient Management

Intermediate Results from the Swedish Assessment Study

Published online by Cambridge University Press:  10 March 2009

Per Carlsson ,
Bengt Jönsson  and
Hans-Göran Tiselius
Per Carlsson
Affiliation:
Linköping University
Bengt Jönsson
Affiliation:
Linköping University
Hans-Göran Tiselius
Affiliation:
Linköping University
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Abstract

Sweden's first, and so far only, ESWL unit for kidney stone treatment became operational on April 1, 1985. This paper presents some intermediate results from an integrated medical, economic, and technical evaluation of the new technology. Seventy-eight percent of 477 patients were defined as successfully treated, totally stone free or fragments less than 4 mm in size, after a follow-up of four weeks. After six months, the share of successfully treated patients had increased to 82%. Successes were closely related to the stone situation; the smaller the stone, the greater success of treatment. Patients' experiences with treatment were also studied and showed that less than 5% of the patients perceived the treatment as unpleasant, frightening, and/or time consuming. Epidemiological data reveal that one unit can replace all open surgical operations on the kidney.

Type
Special Section: The Organization and Use of Technology in the Hospital Part II: Case Studies
Information
International Journal of Technology Assessment in Health Care , Volume 3 , Issue 3 , July 1987 , pp. 405 - 417
Copyright
Copyright © Cambridge University Press 1987

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References

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