Is Stone-free Status After Surgical Intervention for Kidney Stones Associated With Better Health-related Quality of Life? - A Multicenter Study From the North American Stone Quality of Life Consortium
| Autor: | Shuang Li, Vernon M. Pais, Stephen Y. Nakada, Matthew Galida, Ben H. Chew, Kristina L. Penniston, Eric Raffin, David R. Brown, Suzanne Boltz, Kymora B. Scotland, Necole M. Streeper, Justin Y.H. Chan |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Urology Stone free 030232 urology & nephrology Emotional functioning Kidney Calculi Young Adult 03 medical and health sciences 0302 clinical medicine Quality of life Surveys and Questionnaires Intervention (counseling) Internal medicine Humans Medicine Longitudinal Studies Postoperative Period Prospective Studies Aged Retrospective Studies Aged 80 and over Health related quality of life business.industry Middle Aged medicine.disease Institutional review board Cross-Sectional Studies Treatment Outcome Multicenter study 030220 oncology & carcinogenesis North America Quality of Life Urologic Surgical Procedures Female Kidney stones business |
| Zdroj: | Urology. 148:77-82 |
| ISSN: | 0090-4295 |
| DOI: | 10.1016/j.urology.2020.09.058 |
| Popis: | OBJECTIVE To compare the health-related quality of life (HRQOL) of patients with residual fragments after surgical intervention for kidney stones to patients that are stone-free using the disease-specific Wisconsin stone quality of life (WISQOL) questionnaire. Kidney stones contribute to impaired HRQOL, which is increasingly recognized as an important healthcare outcome measurement. MATERIALS AND METHODS With institutional review board approval, 313 adult patients who underwent surgical intervention for kidney stones at 4 sites completed a WISQOL questionnaire. We retrospectively collected surgical data including presence of residual fragments on post-operative imaging. We calculated standardized WISQOL total and domain scores (0-100), which included items related to social functioning (D1), emotional functioning (D2), stone-related impact (D3), and vitality (D4). Scores were compared between patients with residual fragments to those who were stone-free after surgical intervention. RESULTS Demographics did not differ between groups, overall mean age 54.6 ± 13.5 and 55.4% female. There was no significant difference in total WISQOL score for patients with residual fragments (n = 124) compared to patients that were stone-free (n = 189), 110.5 ± 27.8 vs 115.4 ± 23.6 respectively, (P = .12). Interestingly, patients with residual fragments who underwent secondary surgery were found to have significantly lower total WISQOL score (88.4 ± 30.1 vs 116.6 ± 25.0, P CONCLUSION Stone-free status after surgical intervention is not associated with better HRQOL when compared with patients whose surgeries left residual fragments. Indeed, further surgical intervention on residual fragments to achieve stone-free status may actually result in worse HRQOL. |
| Databáze: | OpenAIRE |
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