Trends in upper tract stone disease in England: Evidence from the hospital episodes statistics database

Nicholas J. Rukin, Zain A. Siddiqui, Edmund C.P. Chedgy, Bhaskar K. Somani

Research output: Contribution to journalOriginal Articlepeer-review

119 Scopus citations


Aims: The study aimed to determine the current trends in urolithiasis-related admissions and associated interventions in England between 2006/2007 and 2013/2014 utilizing Hospital Episode Statistics (HES) online data. Material and Methods: Data was extracted from the online HES data set for each year from 2006/2007 to 2013/2014 inclusive. Admissions and procedural interventions were identified from their corresponding OPCS-4 and ICD-10 codes. Results: Finished consultant episodes (FCEs) for urolithiasis have increased by 20% over the last 7 years, with 93,039 FCEs in the year 2013/2014. Based on English population statistics, the lifetime prevalence of urolithiasis based on hospital-related admission/intervention data for 2013/2014 is 14%. The biggest increases were seen in those aged ≥75 years (up by 51%, n = 2,853). Total interventions have increased from 28,624 to 42,068, with increased rates of shock wave lithotripsy (26%), ureteroscopy (URS; 86%) and percutaneous nephrolithotomy (149%). Emergency URS procedures have increased by 38%. Day-case rates for ureteric and renal URS, in 2013/2014, were 22 and 21%, respectively. Conclusions: Over the last 7 years, there is a rising prevalence of kidney stone disease with associated increase in the number of interventions related to it. Both elective and emergency URS procedures are increasing, with a rising trend for day-case URS. Similar trends are seen worldwide and future resource planning for urolithiasis is needed to match the increase in demand.

Original languageAmerican English
Pages (from-to)391-396
Number of pages6
JournalUrologia Internationalis
Issue number4
StateIndexed - 1 May 2017
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2016 S. Karger AG, Basel.


  • Lithotripsy
  • PCNL
  • Trend
  • Ureteroscopy
  • Urolithiasis


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