Abstract：
UNASSIGNED: To investigate the gender gap in the context of stone-related surgery within an Israeli population.
UNASSIGNED: We conducted a retrospective cohort study using administrative databases from Clalit Health Services to identify adults aged 18 and above who had their initial surgical treatment for upper tract urolithiasis. We employed descriptive statistics to outline the baseline patient characteristics, and the Cochran-Armitage test for trend was utilized to analyze surgical trends.
UNASSIGNED: Between 2003 and 2020, a total of 36,624 adult patients underwent surgical treatment for upper tract urinary stones. The mean age of patients was 55.01 years (standard deviation (SD) 16.6) for ureteroscopy (URS), 55.05 years (SD 15.1) for percutaneous nephrolithotripsy (PCNL), and 51.07 years (SD 15.1) for shockwave lithotripsy (SWL). When considering the distribution of procedures by gender, males accounted for 69.5% of URS cases, 58.3% of PCNL cases, and 70.6% of SWL cases, whereas females represented 30.5%, 41.7%, and 29.4% of URS, PCNL, and SWL cases, respectively. Across all surgical modalities, the male-to-female ratio exhibited fluctuations without a consistent trend, with both increases and decreases observed. In URS, the ratio saw a modest increase from 1.967 in 2003 to 2.173 in 2020. For PCNL, the ratio initially increased from 2.361 in 2003 to 2.549 in 2014, followed by subsequent fluctuations, but an overarching trend was not apparent. In contrast, for SWL, the ratio decreased from 2.15 in 2003 to 1.32 in 2020, with varying changes in between.
UNASSIGNED: This study highlights the dynamic nature of gender gap in stone-related surgery outcomes. While the male-to-female ratio exhibited fluctuations over a 17-year period, no consistent trend emerged. The absence of a clear trend underscores the complex and multifaceted factors influencing the gender gap in urolithiasis.
UNASSIGNED: We conducted a retrospective cohort study using administrative databases from Clalit Health Services to identify adults aged 18 and above who had their initial surgical treatment for upper tract urolithiasis. We employed descriptive statistics to outline the baseline patient characteristics, and the Cochran-Armitage test for trend was utilized to analyze surgical trends.
UNASSIGNED: Between 2003 and 2020, a total of 36,624 adult patients underwent surgical treatment for upper tract urinary stones. The mean age of patients was 55.01 years (standard deviation (SD) 16.6) for ureteroscopy (URS), 55.05 years (SD 15.1) for percutaneous nephrolithotripsy (PCNL), and 51.07 years (SD 15.1) for shockwave lithotripsy (SWL). When considering the distribution of procedures by gender, males accounted for 69.5% of URS cases, 58.3% of PCNL cases, and 70.6% of SWL cases, whereas females represented 30.5%, 41.7%, and 29.4% of URS, PCNL, and SWL cases, respectively. Across all surgical modalities, the male-to-female ratio exhibited fluctuations without a consistent trend, with both increases and decreases observed. In URS, the ratio saw a modest increase from 1.967 in 2003 to 2.173 in 2020. For PCNL, the ratio initially increased from 2.361 in 2003 to 2.549 in 2014, followed by subsequent fluctuations, but an overarching trend was not apparent. In contrast, for SWL, the ratio decreased from 2.15 in 2003 to 1.32 in 2020, with varying changes in between.
UNASSIGNED: This study highlights the dynamic nature of gender gap in stone-related surgery outcomes. While the male-to-female ratio exhibited fluctuations over a 17-year period, no consistent trend emerged. The absence of a clear trend underscores the complex and multifaceted factors influencing the gender gap in urolithiasis.
摘要：
■调查以色列人口中与结石有关的手术的性别差距。
■我们使用ClalitHealthServices的管理数据库进行了一项回顾性队列研究，以确定18岁及以上的上尿路结石初始手术治疗的成年人。我们采用描述性统计来概述基线患者特征，采用Cochran-Armitage趋势检验分析手术趋势.
■在2003年至2020年之间，共有36,624名成年患者接受了上尿路结石的手术治疗。输尿管镜检查（URS）的患者平均年龄为55.01岁（标准差（SD）16.6），55.05年（SD15.1）用于经皮肾镜碎石术（PCNL），冲击波碎石术（SWL）为51.07年（SD15.1）。在考虑按性别分配程序时，男性占URS病例的69.5%，58.3%的PCNL病例，和70.6%的SWL病例，而女性占30.5%，41.7%,和29.4%的URS，PCNL,和SWL案例，分别。在所有手术方式中，男女比例表现出波动，没有一致的趋势，同时观察到增加和减少。在URS中，该比率从2003年的1.967适度增加到2020年的2.173。对于PCNL,该比率最初从2003年的2.361上升至2014年的2.549，随后出现波动，但总体趋势并不明显。相比之下,对于SWL,该比率从2003年的2.15下降到2020年的1.32，两者之间有不同的变化。
■本研究强调了结石相关手术结局中性别差距的动态性。虽然男女比例在17年期间表现出波动，没有一致的趋势出现。没有明确的趋势强调了影响尿石症性别差距的复杂和多方面因素。
■我们使用ClalitHealthServices的管理数据库进行了一项回顾性队列研究，以确定18岁及以上的上尿路结石初始手术治疗的成年人。我们采用描述性统计来概述基线患者特征，采用Cochran-Armitage趋势检验分析手术趋势.
■在2003年至2020年之间，共有36,624名成年患者接受了上尿路结石的手术治疗。输尿管镜检查（URS）的患者平均年龄为55.01岁（标准差（SD）16.6），55.05年（SD15.1）用于经皮肾镜碎石术（PCNL），冲击波碎石术（SWL）为51.07年（SD15.1）。在考虑按性别分配程序时，男性占URS病例的69.5%，58.3%的PCNL病例，和70.6%的SWL病例，而女性占30.5%，41.7%,和29.4%的URS，PCNL,和SWL案例，分别。在所有手术方式中，男女比例表现出波动，没有一致的趋势，同时观察到增加和减少。在URS中，该比率从2003年的1.967适度增加到2020年的2.173。对于PCNL,该比率最初从2003年的2.361上升至2014年的2.549，随后出现波动，但总体趋势并不明显。相比之下,对于SWL,该比率从2003年的2.15下降到2020年的1.32，两者之间有不同的变化。
■本研究强调了结石相关手术结局中性别差距的动态性。虽然男女比例在17年期间表现出波动，没有一致的趋势出现。没有明确的趋势强调了影响尿石症性别差距的复杂和多方面因素。
