{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T13:47:45Z","timestamp":1762004865862,"version":"3.37.3"},"reference-count":10,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,3,30]],"date-time":"2017-03-30T00:00:00Z","timestamp":1490832000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2017,6]]},"abstract":"Background<\/jats:title>Many surgeons use a stent after ureteroscopic lithotripsy (URSL<\/jats:styled-content>). For short\u2010term stenting purposes, a surgeon has the choice of either a tethered or a non\u2010tethered stent. Stents may be associated with complications that entail an additional cost to their use. There is a paucity of data on the direct healthcare cost of using stent type after either primary or secondary URSL<\/jats:styled-content>.<\/jats:p><\/jats:sec>Methods<\/jats:title>We retrospectively reviewed medical records for patients who underwent URSL<\/jats:styled-content> for uncomplicated urolithiasis between January 2013 and December 2013 at two tertiary referral hospitals. Costs data was sourced from the costing department with complete data available for 134 patients. The overall medical care cost was estimated by computing the cost of surgery, stent\u2010related emergency department presentations, re\u2010admissions and stent removal.<\/jats:p><\/jats:sec>Results<\/jats:title>A total of 113 patients had tethered stents and 21 had non\u2010tethered stents, with similar age and gender composition between the two groups and complications rates. The mean cost of URSL<\/jats:styled-content> and stent placement was A$3071.7\u2009\u00b1 A$906.8 versus A$3423.8\u2009\u00b1\u2009A$808.4 (P<\/jats:italic>\u2009=\u20090.049), mean cost of managing complications was A$309.4\u2009\u00b1 A$1744.8 versus A$31.3\u2009\u00b1\u2009A$98.9 (P<\/jats:italic>\u2009=\u20090.096), mean cost of out\u2010patient clinic stent removal was A$222.5\u2009\u00b1\u2009A$60 versus A$1013.6\u2009\u00b1\u2009A$75.4 (P<\/jats:italic>\u2009<\u20090.001) for endoscopic stent removal, overall mean cost of care was A$3603.6\u2009\u00b1\u2009A$1896.7 versus A$4468.1\u2009\u00b1 A$820.8 (P<\/jats:italic>\u2009=\u20090.042) for tethered and non\u2010tethered stents, respectively.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>It is cheaper to use a tethered ureteric stent compared with non\u2010tethered stents for short\u2010term stenting after uncomplicated URSL<\/jats:styled-content>, with a mean cost saving of A$864.5.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.13945","type":"journal-article","created":{"date-parts":[[2017,3,31]],"date-time":"2017-03-31T05:13:16Z","timestamp":1490937196000},"page":"505-508","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Comparison of cost of care for tethered versus non\u2010tethered ureteric stents in the management of uncomplicated upper urinary tract stones"],"prefix":"10.1111","volume":"87","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8918-7638","authenticated-orcid":false,"given":"Alfin","family":"Okullo","sequence":"first","affiliation":[{"name":"Urology Department Westmead Hospital Sydney New South Wales Australia"},{"name":"Discipline of Surgery Sydney Medical School, The University of Sydney Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuigi","family":"Yuminaga","sequence":"additional","affiliation":[{"name":"Urology Department Westmead Hospital Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William","family":"Ziaziaris","sequence":"additional","affiliation":[{"name":"Discipline of Surgery Sydney Medical School, The University of Sydney Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Ende","sequence":"additional","affiliation":[{"name":"Urology Department Westmead Hospital Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Howard","family":"Lau","sequence":"additional","affiliation":[{"name":"Urology Department Westmead Hospital Sydney New South Wales Australia"},{"name":"School of Medicine Western Sydney University Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Brooks","sequence":"additional","affiliation":[{"name":"Urology Department Westmead Hospital Sydney New South Wales Australia"},{"name":"Discipline of Surgery Sydney Medical School, The University of Sydney Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manish I.","family":"Patel","sequence":"additional","affiliation":[{"name":"Urology Department Westmead Hospital Sydney New South Wales Australia"},{"name":"Discipline of Surgery Sydney Medical School, The University of Sydney Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon","family":"Bariol","sequence":"additional","affiliation":[{"name":"Urology Department Westmead Hospital Sydney New South Wales Australia"},{"name":"Discipline of Surgery Sydney Medical School, The University of Sydney Sydney New South Wales 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