MP19-05 DAILY ECOLOGICAL MOMENTARY ASSESSMENTS OF PAIN AND ABILITY TO WORK AFTER URETEROSCOPY AND STENTING

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP19-05 DAILY ECOLOGICAL MOMENTARY ASSESSMENTS OF PAIN AND ABILITY TO WORK AFTER URETEROSCOPY AND STENTING Russell E. N. Becker, John Michael Dibianco, Andrew M. Higgins, Eduardo Kleer, David Leavitt, Andre King, Naveen Kachroo, Sami E. Majdalany, David Gandham, Golena Fernandez Moncaleano, Bronson Conrado, Stephanie Daignault-Newton, Casey A. Dauw, Khurshid R. Ghani, and for the Michigan Urological Surgery Improvement Collaborative Russell E. N. BeckerRussell E. N. Becker More articles by this author , John Michael DibiancoJohn Michael Dibianco More articles by this author , Andrew M. HigginsAndrew M. Higgins More articles by this author , Eduardo KleerEduardo Kleer More articles by this author , David LeavittDavid Leavitt More articles by this author , Andre KingAndre King More articles by this author , Naveen KachrooNaveen Kachroo More articles by this author , Sami E. MajdalanySami E. Majdalany More articles by this author , David GandhamDavid Gandham More articles by this author , Golena Fernandez MoncaleanoGolena Fernandez Moncaleano More articles by this author , Bronson ConradoBronson Conrado More articles by this author , Stephanie Daignault-NewtonStephanie Daignault-Newton More articles by this author , Casey A. DauwCasey A. Dauw More articles by this author , Khurshid R. GhaniKhurshid R. Ghani More articles by this author , and for the Michigan Urological Surgery Improvement Collaborative More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003244.05AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Ureteral stents can cause significant patient discomfort, yet the temporal dynamics of symptoms and impact on social activities remain poorly characterized. We employed an automated text message tool to collect daily ecological momentary assessments (EMA) following ureteroscopy with stenting regarding pain and ability to work. Our aim was to assess the feasibility of capturing EMA data, and better characterize the postoperative patient experience. METHODS: As an exploratory endpoint within an ongoing pragmatic clinical trial (NCT05026710), patients undergoing ureteroscopy and stone intervention with stenting (without a tether) were asked to complete daily EMAs for 10 days postoperatively, or until the stent was removed, whichever was longer. Stents were removed in the office. Questionnaires were distributed via text message and included a numeric pain scale (0-10) and a single item from the validated PROMIS Ability to Participate in Social Roles and Activities instrument, as well as days missed from work or school. Responses from postoperative day (POD) 1 through the day of stent removal (up to POD10) were analyzed for the first 35 participants in EMAs. RESULTS: Median patient age was 56.1 years (IQR 46.6-62.8), 51% were female. Stones were 66% renal and 34% ureteric, with median stone diameter 8.5mm (IQR 6-10). Daily EMA response rates were >90% for all days through POD10. Median stent dwell time was 7 days (IQR 6-9). Pain scores were highest on POD1 (median score 4) and declined with each day, reaching median score 2 on POD5 (Figure 1, panel A). 65% of patients on POD1 reported they had trouble performing their usual work at least sometimes, but by POD5 this was <50% of patients (Figure 1, panel B). Patients who work or attend school reported a median of 1 day missed (IQR 0-3). CONCLUSIONS: An automated daily text message EMA system for capturing patient reported outcomes was demonstrated to be feasible with sustained excellent response rates. Patients with stents reported the worst pain and interference with work on POD1 with steady improvements thereafter, and by POD5 the majority of patients had minimal pain or trouble performing their usual work. Source of Funding: Coloplast & Blue Cross Blue Shield of Michigan © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e266 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Russell E. N. Becker More articles by this author John Michael Dibianco More articles by this author Andrew M. Higgins More articles by this author Eduardo Kleer More articles by this author David Leavitt More articles by this author Andre King More articles by this author Naveen Kachroo More articles by this author Sami E. Majdalany More articles by this author David Gandham More articles by this author Golena Fernandez Moncaleano More articles by this author Bronson Conrado More articles by this author Stephanie Daignault-Newton More articles by this author Casey A. Dauw More articles by this author Khurshid R. Ghani More articles by this author for the Michigan Urological Surgery Improvement Collaborative More articles by this author Expand All Advertisement PDF downloadLoading ...