The cost of renal c olic

1. No. 126 The cost of renal colic Dr Gideon Blecher, Lana Tutin, Mr Phillip McCahy Southern Health, Melbourne, Australia Posters Proudly Supported by: • Results • 139 patients treated • 181 elective admissions • 167 emergency admissions 96 day procedures 246 multiday admissions (1-38 days) • Average cost of ED presentations per patient: $453 • Average cost of ward care per patient: $2064 • Average cost of surgical procedures per patient: $2338 • Cystoscopy: $667 • URS: $1637 • PCNL: $1892 • Flexible cystoscopy: $153 • Average cost of outpatient appointment: $64 Introduction The financial impact of medicine is becoming ever more relevant. Renal colic is a common illness, affecting 7-13% of the population. Treating renal colic incurs large expense, but detailed assessments of the true cost, are scarce. Aim To calculate the total cost of treating patients who present with renal colic and are subsequently managed with endoscopic techniques. An average patient requires; Day procedure 0.7 Multiday admission 1.8 Rigid cystoscopy 0.5 Ureteroscopy 1.1 PCNL 0.1 Flexible cystoscopy 0.4 JJ stents 1.2 Laser fibre 0.4 Basket 0.4 Methods Retrospective analysis of all patients managed endoscopically at Southern Health for renal colic, during 2011 Cost includes ED presentations, ward admissions, diagnostics, theatre time and procedures, as well out outpatient appointments. Conclusions The total average cost to manage a patient with renal colic is $4919 Total Average Cost per Patient $4919 Acknowledgements Southern Health Finance Department References Stamatelou KK, Francis ME, Jones CA, Nyberg LM, Curhan GC. Time trends in reported prevalence of kidney stones in the United States: 1976-1994. Kidney Int. 2003 May;63(5):1817-23. .