Access to Care and Health Care Utilization Among Patients With Nephrolithiasis

To characterize the impact of nephrolithiasis diagnosis and treatment on health care utilization and identify predictors of barriers to care in the patient population. We conducted a retrospective cohort study using the All of Us Database, a National Institutes of Health database targeting recruitme...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2024-05, Vol.187, p.8-14
Main Authors: Wymer, Kevin M., Boddu, Sayi P., Choudry, Mouneeb, Narang, Gopal, Heidenberg, Daniel J., Payne, Nicolette G., Girardo, Marlene, Humphreys, Mitchell R., Stern, Karen L.
Format: Article
Language:English
Subjects:
Adult
Aged
Cohort Studies
Female
Health Services Accessibility - statistics & numerical data
Humans
Male
Middle Aged
Nephrolithiasis - epidemiology
Nephrolithiasis - therapy
Patient Acceptance of Health Care - statistics & numerical data
Retrospective Studies
United States
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Summary:To characterize the impact of nephrolithiasis diagnosis and treatment on health care utilization and identify predictors of barriers to care in the patient population. We conducted a retrospective cohort study using the All of Us Database, a National Institutes of Health database targeting recruitment of underrepresented populations. Patients with a diagnosis of kidney stones were included and matched to a control group. Primary outcomes were patients’ self-reported health care access and utilization. Univariable and multivariable regression analyses were performed. 9173 patients with a diagnosis of nephrolithiasis were included and matched to 9173 controls without a diagnosis of nephrolithiasis. Patients with kidney stones were less likely to have had >1 year since last provider visit (1.7% vs 3.8%, P 
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2023.11.041