MP65-15 DOES OBSERVATION OF ASYMPTOMATIC TREATMENT-NAIVE RENAL STONES IMPAIR HEALTH-RELATED QUALITY OF LIFE? -RESULTS FROM THE NORTH AMERICAN STONE QUALITY OF LIFE RESEARCH CONSORTIUM

Abstract

You have accessJournal of UrologyStone Disease: Surgical Therapy V (MP65)1 Sep 2021MP65-15 DOES OBSERVATION OF ASYMPTOMATIC TREATMENT-NAIVE RENAL STONES IMPAIR HEALTH-RELATED QUALITY OF LIFE? -RESULTS FROM THE NORTH AMERICAN STONE QUALITY OF LIFE RESEARCH CONSORTIUM Necole Streeper, Matthew Galida, Suzanne Boltz, Shuang Li, Stephen Nakada, Eric Raffin, David Brown, Vernon Pais, Justin Chan, Ben Chew, and Kristina Penniston Necole StreeperNecole Streeper More articles by this author , Matthew GalidaMatthew Galida More articles by this author , Suzanne BoltzSuzanne Boltz More articles by this author , Shuang LiShuang Li More articles by this author , Stephen NakadaStephen Nakada More articles by this author , Eric RaffinEric Raffin More articles by this author , David BrownDavid Brown More articles by this author , Vernon PaisVernon Pais More articles by this author , Justin ChanJustin Chan More articles by this author , Ben ChewBen Chew More articles by this author , and Kristina PennistonKristina Penniston More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002105.15AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Detection of asymptomatic non-obstructing renal stones are increasingly prevalent as an incidental finding. We are then faced with the decision to treat or not to treat, knowing there is potential for future symptomatic stone episodes. In this study we evaluated whether patients with asymptomatic, treatment naïve renal stones have impaired health-related quality of life (HRQOL) using the Wisconsin Stone Quality of Life (WISQOL) questionnaire. METHODS: With IRB approval, 259 adult patients with a history of kidney stones at 4 centers completed the WISQOL questionnaire. We retrospectively reviewed imaging to evaluate for non-obstructing renal stones, and whether these were residual fragments from surgical intervention or treatment naïve. We calculated standardized WISQOL total and domain scores (0-100), including social functioning (D1), emotional functioning (D2), stone-related impact (D3) and vitality (D4). Scores were compared between patients with treatment naïve stones to those who were stone-free and to those with residual fragments after surgical intervention. RESULTS: Demographics did not differ between groups: mean age 54.4 ± 13.2 and 53.1% female. The average stone size for the treatment naïve group was 7.23 ± 6.43 mm. There was no significant difference in total WISQOL score for patients with treatment naïve renal stones (n=116) compared to patients that were stone-free (n=104), 80.6 ± 19.8 vs 82.2 ± 18.8 respectively, (p=0.57). When patients with treatment naïve stones were compared to those with residual stone fragments after surgical intervention (n= 39), there was no significant difference in total WISQOL score (p = 0.29). In addition, there was no significant difference for individual domain scores. CONCLUSIONS: Preliminary evidence suggests that observation of asymptomatic treatment naïve renal stones offers equivalent HRQOL to patients with residual fragments and those who are stone free. These results support that in a properly counseled patient, surveillance of asymptomatic non-obstructing renal stones is an acceptable management strategy. Source of Funding: none © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e1125-e1125 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Necole Streeper More articles by this author Matthew Galida More articles by this author Suzanne Boltz More articles by this author Shuang Li More articles by this author Stephen Nakada More articles by this author Eric Raffin More articles by this author David Brown More articles by this author Vernon Pais More articles by this author Justin Chan More articles by this author Ben Chew More articles by this author Kristina Penniston More articles by this author Expand All Advertisement Loading ...