Health-related quality of life disparities among Hispanic/Latinx patients with nephrolithiasis.

Autor: Flores AR; Department of Urology, UC San Diego Health, San Diego, USA., Abedi G; Department of Urology, UC San Diego Health, San Diego, USA., Girgiss CB; Department of Urology, UC San Diego Health, San Diego, USA., Berger JH; Department of Urology, UC San Diego Health, San Diego, USA., Penniston KL; Department of Urology, University of Wisconsin, Madison, USA., Li S; Department of Urology, University of Wisconsin, Madison, USA., Friedlander DF; Department of Urology, University of North Carolina, Chapel Hill, USA., Bechis SK; Department of Urology, UC San Diego Health, San Diego, USA., Sur RL; Department of Urology, UC San Diego Health, San Diego, USA. rlsur@health.ucsd.edu.
Jazyk: angličtina
Zdroj: Urolithiasis [Urolithiasis] 2023 Mar 15; Vol. 51 (1), pp. 48. Date of Electronic Publication: 2023 Mar 15.
DOI: 10.1007/s00240-023-01414-w
Abstrakt: It is documented that Hispanic/Latinx kidney stone formers have inferior health-related quality of life (HRQoL) compared to the general population. We hypothesized that socioeconomic factors drive HRQoL disparities. Specifically, we sought to determine if medical insurance type is associated with HRQoL disparities among Hispanic/Latinx stone formers. This was a prospective cohort observational study of patients with kidney stones across the University of San Diego Health Care System. Patients enrolled from June 2018 to August 2020 completed a validated Wisconsin Stone Quality of Life questionnaire (WISQoL). Patient characteristics and self-reported HRQoL were compared between Hispanic/Latinx and non-Hispanic/Latinx stone formers using MANCOVA and ordinal logistic regression. Matched group comparisons were performed based on age, gender, body mass index, stone symptoms, and insurance type using MACOVA. A total of 270 patients were enrolled (Hispanic/Latinx n = 88; non-Hispanic/Latinx n = 182). Hispanic/Latinx stone formers had higher rates of public insurance at baseline (p < 0.001) with significantly lower HRQoL [social impact (p = 0.007)]. However, a matched cohort comparison demonstrated no differences. On multivariate analysis, private insurance increased the likelihood of having higher HRQoL (OR 2.21, p = 0.021), while stone symptoms (OR = 0.06, p < 0.001) and emergency department visits (OR = 0.04, p = 0.008) decreased chances of higher HRQoL. Ethnicity was not a significant factor in HRQoL scores on multivariate analysis. Our analysis suggests that differences in HRQoL among Hispanic/Latinx stone formers may be primarily driven by socioeconomic factors as opposed to clinical or racial differences. Specifically, source of insurance appears to have significant effect on HRQoL in this ethnic group.
(© 2023. This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.)
Databáze: MEDLINE
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