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Comparative Study
. 2010 Oct 19:8:119.
doi: 10.1186/1477-7525-8-119.

Study of quality of life and its determinants in patients after urinary stone fragmentation

Mostafa A Arafa  1 , Danny M Rabah
Affiliations
Comparative Study

Study of quality of life and its determinants in patients after urinary stone fragmentation

Mostafa A Arafa et al. Health Qual Life Outcomes. .

Abstract

Background: This study was designed to evaluate the health-related quality of life (HRQOL) of patients who had undergone lithotripsy for treatment of urinary stones and to identify factors that significantly affect the HRQOL of these patients.

Methods: A comparative cross-sectional study was performed at the main university and main Ministry of health hospitals in Riyadh, Saudi Arabia. All patients admitted to the urology service and who underwent lithotripsy for urinary stones during a 9-month period were included in the study. An observation period of 3-15 months following the last treatment was allowed before patients completed the QOL questionnaire. Information on socio-demographic, and medical characteristics, and number and type of lithotripsies were collected. The Medical Outcome Study Short-Form 36-item survey (SF-36) was used to assess HRQoL. For comparison, the HRQoL in an equal number of healthy individuals was investigated; multivariate analysis of variance was used for comparisons between groups.

Results: Compared with healthy subjects, lithotripsy patients had significantly higher mean scores in the different subscales of the SF-36 questionnaire such as physical functioning, vitality, role-physical, role-emotional and mental health, indicating a better HRQOL. Compared with patients who underwent ureteroscopic or extracorporeal shock-wave lithotripsies, those who underwent percutaneous lithotripsy had significantly worse mean scores for all the SF-36 scales, except for body pain. Factors impacting HRQOL of the patients were age, obesity, diabetes mellitus, and stone characteristics such as localization (in the kidney) and recurrence (multiple lithotripsies).

Conclusions: Post-lithotripsy, patients have a favorable HRQOL compared with healthy volunteers. Further prospective studies are warranted to confirm these results owing to the inherent limitations of the cross-sectional design and backward analysis of this study.

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References

    1. Tiselius HG. Epidemiology and medical management of stone disease. BJU Int. 2003;91(8):758–767. doi: 10.1046/j.1464-410X.2003.04208.x. - DOI - PubMed
    1. Gambaro G, Reis-Santos JM, Rao N. Nephrolithiasis: why doesn't our ''learning'' progress? Eur Urol. 2004;45(5):547–556. doi: 10.1016/j.eururo.2003.10.017. - DOI - PubMed
    1. Marchovich R, Smith AD. Renal pelvic stones: choosing shock wave lithotripsy or percutaneous nephrolithotomy. International Braz J Urol. 2003;29(3):195–207. - PubMed
    1. Sandhu C, Anson KM, Patel U. Urinary tract stones--part II: current status of treatment. Clin Radiol. 2003;58(6):422–433. doi: 10.1016/S0009-9260(03)00104-1. - DOI - PubMed
    1. Fukuhara S, Koshinski M. Psychometric and clinical tests of validity of the Japanese SF-36 health survey. J Clin Epidemiol. 1998;51(11):1045–1053. doi: 10.1016/S0895-4356(98)00096-1. - DOI - PubMed

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