Features of the prevalence and incidence of urolithiasis among the adult population of Ukraine in their relationship with the effectiveness of specialized care and social consequences

Анотація

The work is based on official reporting data covering 2013–2020, depending on the availability of certain information, given the abolition of certain forms of reporting. The conducted comparative, analytical-synthetic analyzes, statistical processing of results allowed to prove directly, partially logically indirectly causal connections between the nature of the dynamics of prevalence, incidence of urolithiasis of the adult population in Ukraine, changes in the effectiveness of key indicators of specialized care and their consequences of the medical and social aspect (disability, mortality). Against the background of the general tendency to decrease the different intensity of registered and newly detected cases of the disease among all segments of the population, the ratio indicates the continued accumulation of patients in need of specialized care and the issue of prevention, early detection of urolithiasis. Everywhere people of working age, females, and locals predominated. This nature of the changes affected hospitalization, their duration with a simultaneous increase in surgery, mortality. The decline in nephrectomies has led to a decrease in the number of people recognized as disabled for the first time due to pathology. Of the socially significant indicators, the negative is the increase in mortality from 2016 by 11.3% to 0.697 per 100 thousand in 2019, which is twice as high among urban (14% vs. 6.7% rural to 0.762 vs. 0.572) with obvious predominance among the former – women (by 29.0% to 0.813), while among the latter – men (by 39.0% to 0.539).