MP54-07 HEALTH-RELATED QUALITY OF LIFE DISPARITIES AMONG HISPANIC/LATINX PATIENTS WITH NEPHROLITHIASIS

Abstract

You have accessJournal of UrologyStone Disease: Epidemiology & Evaluation II (MP54)1 Sep 2021MP54-07 HEALTH-RELATED QUALITY OF LIFE DISPARITIES AMONG HISPANIC/LATINX PATIENTS WITH NEPHROLITHIASIS Alec R. Flores, Garen Abedi, Carol B. Girgiss, Kristina L. Penniston, Li Shuang, Daniella Norena, David F. Friedlander, Seth K. Bechis, and Roger L. Sur Alec R. FloresAlec R. Flores More articles by this author , Garen AbediGaren Abedi More articles by this author , Carol B. GirgissCarol B. Girgiss More articles by this author , Kristina L. PennistonKristina L. Penniston More articles by this author , Li ShuangLi Shuang More articles by this author , Daniella NorenaDaniella Norena More articles by this author , David F. FriedlanderDavid F. Friedlander More articles by this author , Seth K. BechisSeth K. Bechis More articles by this author , and Roger L. SurRoger L. Sur More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002084.07AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: It is documented that Hispanic/Latinx kidney stone formers have inferior health-related quality of life (HRQoL) compared to the general population.1-3 We hypothesized that socioeconomic factors are primary drivers of this finding. Our objective was to identify factors that explain HRQoL discrepancies among Hispanic/Latinx stone formers. METHODS: This was a prospective cohort observational study of patients with kidney stones at UC San Diego Health who were enrolled over 2 years from June 2018 to August 2020. Patients enrolled completed a validated English or Spanish copy of the Wisconsin Stone Quality of Life questionnaire (WISQoL) based on their language preference. Patient characteristics and self-reported HRQoL were compared between Hispanic/Latinx and non-Hispanic/Latinx stone formers. Matched and unmatched group comparisons were performed based on age, gender, body mass index, stone symptoms, and insurance type. RESULTS: A total of 270 patients were enrolled (Hispanic/Latinx n=88; non-Hispanic/Latinx n=182). Hispanic/Latinx stone formers had higher rates of public insurance at baseline (p<0.001) with significantly lower HRQoL [social impact (p=0.007), emotional impact (p=0.005)]. However, a matched cohort comparison demonstrated no differences.On multivariate analysis, patients with private insurance had double the likelihood of having higher HRQoL (OR 2.21, 95% CI 1.12-4.02, p <0.05). Stone symptoms (OR=0.06, 95% CI 0.03-0.14, p<0.001) and ED visits (OR=0.04, 95% CI 0.228-0.803, p=0.008) were associated with lower HRQoL. Ethnicity was not a significant factor in quality of life scores on multivariate analysis. CONCLUSIONS: Our analysis suggests that differences in HRQoL amongst Hispanic/Latinx stone formers are primarily driven by socioeconomic factors as opposed to clinical differences. Specifically, source of insurance appears to have significant effect on HRQoL in this ethnic group. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e951-e951 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Alec R. Flores More articles by this author Garen Abedi More articles by this author Carol B. Girgiss More articles by this author Kristina L. Penniston More articles by this author Li Shuang More articles by this author Daniella Norena More articles by this author David F. Friedlander More articles by this author Seth K. Bechis More articles by this author Roger L. Sur More articles by this author Expand All Advertisement Loading ...