Affiliations 

  • 1 Public Health Physician, Pejabat Kesihatan Daerah Kota Bharu, Kelantan
  • 2 Department of Community Health, Universiti Kebangsaan Malaysia Medical Centre, 56000 Cheras, Kuala Lumpur
  • 3 United Nations University - International Institute of Global Health (UNU-IIGH) UKM, 56000 Cheras, Kuala Lumpur
Med J Malaysia, 2009 Mar;64(1):12-21.
PMID: 19852314

Abstract

Extracorporeal shockwave lithotripsy (ESWL) and ureteroscopy (URS) are two main methods of treating proximal ureteric stones. Success rates and cost-effectiveness of the two methods were compared. A total of 67 patients who underwent treatment between January 2007 and July 2007 at a state general hospital were included in the study. The success rate for ESWL group was 81.8% and for URS group was 84.6%. ESWL technique produced a significant higher overall cost per patient than URS (RM930.02 versus RM621.95 respectively). There was no significant difference in quality of patient's life. Cost-effectiveness ratio was lower for URS. The analysis suggested that URS was more cost-effective than ESWL.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.