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

Health and Quality of Life Outcomes

Research

Mostafa A Arafa¹  Danny M Rabah¹ 

[1] King Saud University, King Khalid University Hospital, Princess Al Johara Al Ibrahim for Cancer Research, Prostate Cancer Research Unit, KSA, Riyadh, Saudi, Arabia;

关键词: Body Pain;    Response Shift;    Urinary Stone;    HRQOL Score;    Recurrent Stone;   

DOI  :  10.1186/1477-7525-8-119

 received in 2010-02-23, accepted in 2010-10-19,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundThis 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.MethodsA 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.ResultsCompared 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).ConclusionsPost-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.

【 授权许可】

CC BY   
© Arafa and Rabah; licensee BioMed Central Ltd. 2010