{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T06:41:45Z","timestamp":1757313705248,"version":"3.40.5"},"reference-count":9,"publisher":"S. Karger AG","issue":"10","license":[{"start":{"date-parts":[[2021,12,29]],"date-time":"2021-12-29T00:00:00Z","timestamp":1640736000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2021,12,29]],"date-time":"2021-12-29T00:00:00Z","timestamp":1640736000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Urol Int"],"published-print":{"date-parts":[[2022]]},"abstract":"<b><i>Introduction:<\/i><\/b> The routine use of urodynamic studies (UDS) has been questioned. Additionally, the material and personnel costs are poorly remunerated. We aimed to analyse the UDS utilization in Germany. <b><i>Methods:<\/i><\/b> We analysed UDS performed by hospitals based on quality reports from 2013 to 2019. A representative sample of 4 million insured persons was used to estimate outpatient UDS utilization from 2013 to 2018. <b><i>Results:<\/i><\/b> There was an overall decrease of 14% in UDS in Germany from 2013 to 2018 (60,980 to 52,319; <i>p<\/i> = 0.003). In the outpatient sector, there was a slight non-continuous drop of 11% from 34,551 to 30,652 from 2013 to 2018 (<i>p<\/i> = 0.06). UDS utilization in hospitals decreased by 26% from 26,429 in 2013 to 19,453 in 2019 (<i>p<\/i> = 0.004). University hospitals showed a smaller decrease (3,007 to 2,685; <i>p<\/i> = 0.02). In urology, the number of UDS (11,758 to 6,409; <i>p<\/i> &#x3c; 0.001) and the number of performing departments (328 to 263 clinics; <i>p<\/i> &#x3c; 0.001) decreased. Gynaecological departments also showed a decrease in UDS (1,861 to 866; <i>p<\/i> &#x3c; 0.001) and performing departments (159 to 68; <i>p<\/i> &#x3c; 0.001). However, in paediatrics, there was an increase in UDS (1,564 to 2,192; <i>p<\/i> = 0.02). By age, the number of children remained constant (1,371 to 1,252; <i>p<\/i> = 0.2), but there was a strong decrease seen in 60- to 79-year-olds (9,792 to 5,564; <i>p<\/i> &#x3c; 0.001). <b><i>Conclusion:<\/i><\/b> UDS appear to be less important in the indication for surgery. Despite high resource expenditure and low remuneration, the decrease in urodynamics in the outpatient sector is less pronounced, indicating a trend to perform UDS in an outpatient setting. <\/jats:p>","DOI":"10.1159\/000520934","type":"journal-article","created":{"date-parts":[[2021,12,29]],"date-time":"2021-12-29T22:00:35Z","timestamp":1640815235000},"page":"1068-1074","source":"Crossref","is-referenced-by-count":8,"title":["Decreasing Number of Urodynamics in Urological and Gynaecological Clinics Reflects Decreased Importance for Surgical Indications: German Population-Based Data from 2013 to 2019"],"prefix":"10.1159","volume":"106","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5601-7587","authenticated-orcid":false,"given":"Martin","family":"Baunacke","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabel","family":"Leuchtweis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Albert","family":"Kaufmann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcel","family":"Schmidt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1769-0402","authenticated-orcid":false,"given":"Christer","family":"Groeben","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angelika","family":"Borkowetz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Eisenmenger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Thomas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7243-8958","authenticated-orcid":false,"given":"Johannes","family":"Huber","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2021,12,29]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD011179.pub2"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1002\/pds.3895"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0133657"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000641"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22644"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2015.06.062"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1080\/13697137.2018.1543263"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-018-3648-9"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1002\/hec.3327"}],"container-title":["Urologia Internationalis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/520934","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/520934","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T15:34:36Z","timestamp":1745422476000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000520934"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12,29]]},"references-count":9,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2022,10,17]]},"published-print":{"date-parts":[[2022,10,19]]}},"URL":"https:\/\/doi.org\/10.1159\/000520934","archive":["Portico"],"relation":{},"ISSN":["0042-1138","1423-0399"],"issn-type":[{"type":"print","value":"0042-1138"},{"type":"electronic","value":"1423-0399"}],"subject":[],"published":{"date-parts":[[2021,12,29]]}}}