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All Journal Medical Journal of Indonesia Indonesian Journal of Urology Jurnal Ilmu Komunikasi Journal of SouthEast Asian Human Rights ETTISAL Journal of Communication Jurnal Studi Komunikasi Jurnal Pemberdayaan Masyarakat Madani (JPMM) Jurnal SOLMA ISM (Intisari Sains Medis) : Jurnal Kedokteran Best Journal (Biology Education, Sains and Technology) Jurnal Abdi Insani Aspirasi : Jurnal Masalah-masalah Sosial Jurnal Layanan Masyarakat (Journal of Public Service) Jurnal Pengabdian kepada Masyarakat Nusantara Biokultur Cermin Dunia Kedokteran Journal of Education Research Pedagogy : Jurnal Pendidikan Matematika Jurnal Ilmu Pendidikan Indonesia Makara Journal of Health Research Journal of Governance and Administrative Reform Proceedings Book of International Conference and Exhibition on The Indonesian Medical Education and Research Institute Merpsy Journal
Irfan Wahyudi
Departement Of Urology, Faculty Of Medicine Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta
Religion Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Neuroscience Physics Public Health Social Sciences Other

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Economic burden and healthcare costs of congenital anomalies of the kidney and urinary tract: a systematic review Alvarino, Akbar Muzakki; Pahlevi, Reza; Situmorang, Gerhard Renaldi; Wahyudi, Irfan; Rodjani, Arry; Raharja, Putu Angga Risky
Medical Journal of Indonesia Vol. 35 No. 1 (2026): March
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.oa.258074

Abstract

BACKGROUND Congenital anomalies of the kidney and urinary tract (CAKUT) cause significant morbidity and economic burden worldwide, highlighting the needs to understand its associated costs. This study aimed to assess the economic burden of CAKUT management. METHODS A systematic review was conducted across 5 databases, including PubMed, ScienceDirect, ProQuest, Nature, and Google Scholar, for studies published up to September 11, 2024, focusing on both direct (e.g., hospitalizations, surgeries, and treatments) and indirect (e.g., lost work time and complications management) healthcare costs related to CAKUT and published in English. Non-economic studies, reviews, editorials, abstracts, animal/in vitro studies, and duplicates were excluded. Methodological quality was assessed using the Risk Of Bias In Non-randomized Studies - of Interventions tool. Narrative synthesis and descriptive statistics were applied. Cost-effectiveness analysis followed Joanna Briggs Institute guidelines. RESULTS 8 studies met the inclusion criteria, revealing wide variations in CAKUT-related healthcare costs across countries and interventions. These studies focused on reviewing both direct and indirect costs, along with interventions that reduce overall healthcare expenditure. Key findings include: (1) In the USA, bilateral renal agenesis costs averaged USD 26,032; (2) In Australia, early whole exome sequencing reduced diagnostic costs by 20% in genetic kidney disease cases; (3) Robotic surgery demonstrated long-term cost-effectiveness despite higher inpatient costs; (4) Other cost-saving strategies include the early renal ultrasound algorithm and genomic testing for CAKUT. CONCLUSIONS CAKUT imposes a significant and variable economic burden globally. Identifying cost-effective interventions is crucial for optimizing care and reducing the financial impact. Further research on cost management strategies is needed to improve outcomes and efficiency.
The ‘green island’ imaginary: media framing of Bali’s energy policy Febriani, Nufian; Subiakto, Henri; Wahyudi, Irfan; Avicenna, Fitria
Jurnal Studi Komunikasi Vol. 10 No. 1 (2026)
Publisher : Faculty of Communications Science, Dr. Soetomo University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25139/jsk.v10i1.11380

Abstract

This study examined how the mass media depict the transition to renewable energy in Bali through the cultural imagination of the ‘green island’. Using a critical case study approach, this study combines media content analysis, interviews with journalists, policymakers, and community leaders, as well as a review of energy policies implemented between 2019 and 2024. The results show that state and corporate actors strategically adopt local cultural values, such as Tri Hita Karana, to legitimise energy policies. On the other hand, forms of community resistance rooted in customary and spiritual claims gain visibility but have limited political effectiveness because they are integrated into the dominant media narrative. The results of the study show that the ‘green island’ imagination functions as a symbolic mechanism that prioritises tourism-oriented development and political legitimacy over substantial community participation in Bali's energy governance.
HYPOSPADIA REPAIR SURGERY LEARNING CURVE IN PEDIATRIC UROLOGY FELLOWSHIP PROGRAM Nurtanto Putra, Christian; Reinaldi Situmorang, Gerhard; Wahyudi, Irfan; Rodjani , Arry; Mirza , Hendy; Immanuel Hutasoit , Yonas; Hadiansyah , Hilman; Yudha Alfanius Hutahaean, Andre; Angga Risky Raharja , Putu
Indonesian Journal of Urology Vol 33 No 3 (2026)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v33i3.1064

Abstract

Introduction: The paediatric urology fellowship program was designed to accelerate the learning curve of junior urologist in various paediatric urology procedures, including hypospadias repair. Objective: This study aimed to provide insight in the learning curve of hypospadia repair during the paediatric urology fellowship program. Material & Methods: Three paediatric urology fellows performed 176 hypospadias repairs at four Jakarta, Indonesia, centers throughout their six-month fellowship training program between January 2022 and January 2023. Secondary repair or the initial stage of staged repair were excluded from the analysis. Complications such as urethrocutaneous fistula formation and wound dehiscence requiring secondary repair were documented. The learning curve of each fellow in hypospadias repair was documented. Results: Each fellow performed a median of 58 procedures (range: 56–62) during their training period. A total of 34 (19.3%) experienced complications, including 19 cases of fistula formation and 15 cases of wound dehiscence, over a mean follow-up period of 24.1±17.1 weeks. There were no significant differences in demographics, distribution of hypospadias, or complication rates observed among the fellows. Notably, there was a significant improvement in the learning curve for each fellow after performing 30 consecutive cases, achieving a success rate of over 84%. The average success rate showed a significant increase from 74.4% to 87.2% after 30 cases (p=0.032). Conclusion: Significant improvement of hypospadia repair success rate was observed among paediatric urology fellows after performing 30 consecutive hypospadia repair during their training. This improvement suggests that the fellowship program likely played a pivotal role in accelerating their learning curve. Keywords: Fellowship, hypospadias, learning curve, urethrocutaneous.
Co-Authors Agus Rizal Ardy Hariandy Hamid, Agus Rizal Ardy Hariandy Alam, Gampo Albertus Marcelino Alfarissi, Fekhaza Alfarissi, Fekhaza Alvarino, Akbar Muzakki Andika Rendy Angga Risky Raharja , Putu Aria Kekalih ARIANTO, EKO Arry Rodjani Asy'ari, Nur Aini Shofiya Avicenna, Fitria Bagong Suyanto Bagus Baskoro Batubara, Jose Bettisari Napitupulu Bramono, Ikhlas A Chaidir A. Mochtar Chaidir Arif Mochtar CHAIDIR MOCHTAR, CHAIDIR Danurdoro, Aria Delta Bayu Murti Edhi Hapsari Eko Arianto Endang Susalit Ervita Mediana Fatan Abshari, Fatan Febriani, Nufian Fortuna, Edyna GAMPO ALAM IRDAM, GAMPO ALAM Gede Wirya Kusuma Duarsa Gerhard Reinaldi Situmorang, Gerhard Reinaldi Ginanda Putra Siregar, Ginanda Putra Hadiansyah , Hilman Happy Lumbantobing, Happy Henri Subiakto Heri Wibowo Hery Tiera Iannone, Aniello Ilham Wahyudi Ilmi, Irfan Immanuel Hutasoit , Yonas Immanuel Hutasoit, Yonas Intan Fitranisa Irdam, Gampo A Isnaini, Santi Johannes Aritonang, Johannes Kanadi Sumadipradja Kholid, Irwan Layli Hamida Lisnawati Rachmadi Mandala, Opan Maradona, Maradona Mariati Hutabarat, Ida Maruhum B.H. Marbun Mirza , Hendy Mohammad Fariz Muhamad Taufik Nadeak, Masaulina Klara Naiborhu, Rusdin Nainggolan, Ebram NICHOLAS TAMBUNAN, NICHOLAS Nur Rasyid Nuraini, Dini Rahmatun Nurtanto Putra, Christian Pangestu, Chandra Trisna Ponco Birowo Prahara Yuri Prasetyo, Dimas Tri Putra, Ida Bagus Oka Widya Putra, Prima Ciko Ade Rachmah Ida Raharja, Putu Angga Risky Rahayu, Titik Puji Rama Firmanto, Rama Ramadhiansyah, Dimas Rani Sukma Ayu Suteja Ratih Puspa Reinaldi Situmorang, Gerhard REZA PAHLEVI Rodjani , Arry Romauli Pakpahan Romdhi Fatkhur Rozi Ronaldo Kho Samosir, Ernita Saparudin Efendi Sapto Andriyono Saputra, Hijrah Sa’diyah, Kamila Sa’diyah, Kamilah Septiani, Dina Setyo Hariyanto, Didik Sholeh, Rio Nur Sihotang, Retta Catherina Soeroto, Adhitama A. Sri Endah Kinasih Tanaya Ghinorawa Taufik Rakhman Taher Toetik Koesbardiati Widi Atmoko Widia, Fina Widodo, Suko Wijaya, Gustaf Yacob Ruru Yonas Immanuel Hutasoit, Yonas Immanuel Yopie T Satyawan Yopie Tjandradiguna Satyawan Yosep, Eska Yudha Alfanius Hutahaean, Andre Yuniawan Heru Santoso