MP18-19 QUALITY OF LIFE AND UROLITHIASIS: THE PATIENT-REPORTED OUTCOMES MEASUREMENT INFORMATION SYSTEM (PROMIS)

Abstract

You have accessJournal of UrologyStone Disease: Therapy II1 Apr 2014MP18-19 QUALITY OF LIFE AND UROLITHIASIS: THE PATIENT-REPORTED OUTCOMES MEASUREMENT INFORMATION SYSTEM (PROMIS) Robert Brown, Carl Sarkissian, and Manoj Monga Robert BrownRobert Brown More articles by this author , Carl SarkissianCarl Sarkissian More articles by this author , and Manoj MongaManoj Monga More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.781AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES To compare self-reported anxiety, depression, fatigue, pain interference, physical function, satisfaction in social roles, and sleep disturbance in patients with urolithiasis compared to age and gender-matched U.S. population norms using an NIH-sponsored online data system and validated questionnaires. METHODS Patients reporting to the kidney stone clinic were interviewed to collect information on stone history (procedures, stone passage, pain, dietary and medical treatments) and demographic information (age, gender, whether primary income earner or caregiver, and presence of other chronic illnesses), and were asked to complete the PROMIS-43 questionnaire. The PROMIS-43 is an NIH-sponsored online data system that utilizes validated questionnaires for each domain. Results were analyzed using gender and age matched groups for the general US population. Scores are reported as a percent. The general population mean is set at 50% with a standard deviation of 10%. RESULTS 100 patients completed the survey. 36% of respondents were male, the average age of the group was 52 ± 13.2 years old, with 58% primary income earners, and 35% primary caregivers for children. 38% had never passed a stone while 17% passed 10 or more stones in their lifetime. 67% of patients had at least one ureteral stent, and 87% had at least one stone removal procedure. Overall, 45% had shockwave lithotripsy, 51% ureteroscopy, and 30% percutaneous nephrolithotomy, with an average of 2.4 procedures per subject. Urolithiasis patients had greater pain interference (53%, p<0.001), lower physical function (47%, P<0.005), and lower depression (47.5%, p<0.005) than matched controls. No differences existed in anxiety, fatigue, or sleep disturbance. Patients who had passed 10 or more stones in a lifetime had significantly worse pain interference and depression (Figure 1). CONCLUSIONS Urolithiasis patients subjectively have worse pain and physical function than the general population, however they have less depression. The impact of pain on quality of life was greatest in those patients who had passed more than 10 stones in their lifetime; underscoring the importance of preventive measures. © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e210-e211 Advertisement Copyright & Permissions© 2014MetricsAuthor Information Robert Brown More articles by this author Carl Sarkissian More articles by this author Manoj Monga More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...