MP83-07 AFFECT ON EXPECTED AND PERCEIVED PAIN OF TRANSRECTAL ULTRASOUND GUIDED PROSTATE BIOPSY IN ARABIC MEN GIVEN ARABIC MEDICAL INFORMATION

Abstract

You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Quality Improvement & Patient Safety IV (MP83)1 Apr 2020MP83-07 AFFECT ON EXPECTED AND PERCEIVED PAIN OF TRANSRECTAL ULTRASOUND GUIDED PROSTATE BIOPSY IN ARABIC MEN GIVEN ARABIC MEDICAL INFORMATION Brittany Milliner*, Joshua Palka, Nivedita Dhar, and Brian Allen Brittany Milliner*Brittany Milliner* More articles by this author , Joshua PalkaJoshua Palka More articles by this author , Nivedita DharNivedita Dhar More articles by this author , and Brian AllenBrian Allen More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000975.07AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Healthcare providers in Metropolitan Detroit are seeing a growing number of Arabic-speaking migrants. Communication between Arabic-speaking patients and non-Arabic-speaking healthcare staff can be improved by using a professional interpreter and Arabic written medical information (AWMI). This study prospectively evaluated expected and actual pain levels before reading AWMI, after reading AWMI, and immediately after transrectal ultrasound guided (TRUS) prostate biopsy. METHODS: We prospectively analyzed records from 60 Arabic-only speaking/reading males aged 45-72 with elevated PSAwho underwent ambulatory TRUS prostate biopsy from a single urologist between January 2015 to December 2018. Pain was graded on an Arabic written Likert visual analog scale (Fig. 1) where 0 = no pain and 10 = excruciating pain. Patients completed the pain grading before and after reading the AWMI and after the prostate biopsy. The pain scores were evaluated for significance with the use of the Student t test and the Pearson correlation coefficient. RESULTS: The overall mean pain score was 4.74 ± 1.51 (range 2-9) before reading AWMI, 3.24 ± 1.57 (range 2- 8) after reading AWMI, and 2.18 ± 1.53 (range 1-7) after biopsy (P<.05) (Table 1). CONCLUSIONS: Muslim men have specific challenges in seeking healthcare based on Islamic teachings or social constructs. The use of AWMI in Arabic men may lower the amount of perceived pain of a prostate biopsy. Further research is needed to identify obstacles, improve access, and provide quality care for this population. Source of Funding: None © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e1258-e1258 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Brittany Milliner* More articles by this author Joshua Palka More articles by this author Nivedita Dhar More articles by this author Brian Allen More articles by this author Expand All Advertisement PDF downloadLoading ...