Financial Outcomes and Costs in Ureteric Stones Management (FOCUS)
Research type
Research Study
Full title
Understanding the Impact of Out-of-Pocket Costs for Patients Receiving Stone Treatment in Cumbria
IRAS ID
354045
Contact name
Kathie Wong
Contact email
Sponsor organisation
North Cumbria Integrated Care Trust
Duration of Study in the UK
1 years, 6 months, 31 days
Research summary
This research focuses on understanding the financial and practical challenges faced by patients living in rural areas when accessing treatment for kidney stones. Kidney stones can cause severe pain and often require hospital-based procedures to remove them. These treatments, however, can involve significant costs for patients, such as travel expenses and time off work, especially for those living far from healthcare facilities.
The study examined two common treatments for kidney stones: ureteroscopy and extracorporeal shockwave lithotripsy (ESWL). Data was collected from patients who underwent these treatments, including how far they traveled, how much it cost them personally, and the costs to the NHS. The results showed that ureteroscopy was less expensive for patients (£415 on average) compared to ESWL (£883 on average). However, ESWL often required additional follow-up procedures for complete stone removal, further increasing the burden on patients. Travel distances were also significant, with some patients traveling over 90 km to access care.
This study highlights the barriers patients in rural areas face in accessing timely and affordable treatment. It emphasises the need to tailor healthcare planning and treatment options to the unique challenges faced by individuals in remote and underserved communities. By considering patient circumstances, the healthcare system can improve access to effective and affordable care for those living in rural areas.
REC name
North West - Greater Manchester West Research Ethics Committee
REC reference
25/NW/0188
Date of REC Opinion
1 Sep 2025
REC opinion
Further Information Favourable Opinion