PD45-01 THE QUALITY OF LIFE IMPACT OF URETEROSCOPY FOR NEPHROLITHIASIS: RESULTS FROM THE ENDOUROLOGICAL SOCIETY TOWER RESEARCH COLLABORATIVE

Abstract

You have accessJournal of UrologyCME1 Apr 2023PD45-01 THE QUALITY OF LIFE IMPACT OF URETEROSCOPY FOR NEPHROLITHIASIS: RESULTS FROM THE ENDOUROLOGICAL SOCIETY TOWER RESEARCH COLLABORATIVE Amanda Jones, Roby Daniel, Zili Zong, Jing Huang, and Justin Ziemba Amanda JonesAmanda Jones More articles by this author , Roby DanielRoby Daniel More articles by this author , Zili ZongZili Zong More articles by this author , Jing HuangJing Huang More articles by this author , and Justin ZiembaJustin Ziemba More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003358.01AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Urolithiasis is among the most common urological conditions, however, the quality-of-life impact of stone disease remains significantly understudied, particularly following surgical intervention. We prospectively captured patient-reported outcomes related to pain interference and social participation in the short term post-operative period to better understand the quality-of-life impact of ureteroscopy (URS). METHODS: Adults undergoing URS for renal/ureteral stones were eligible for inclusion (10/2020-09/2022). Two instruments were used to evaluate social participation and pain interference. Patients prospectively completed PROMIS Ability to participate in social roles and activities and Pain Interference instruments pre-operatively (POD 0) and via email on POD 1, 7, 14 and 30. Scores are reported as T-scores with a change of 5 (0.5 SD) considered clinically significant. RESULTS: 178 patients completed enrollment at POD 0 (POD 1=87, POD 7=83, POD 14=70, POD30=67). There were statistically significant differences in pain interference and social participation scores between all-time point comparisons (Figure 1 and 2, all p<0.05). Higher BMI was associated with both lower baseline social participation (OR -0.46; CI: -0.71- -0.20, p<0.01) and greater baseline pain interference (OR 0.52; CI: 0.22-0.81, p<0.01). Pre-operative stent is associated with greater baseline pain interference (OR 7.1; CI: 2.3–12; p=0.004). Having a stent post-operatively is associated with higher pain interference (OR 24; CI: 0.66-48, p<0.04) and lower social participation (OR -38; CI: -64--11; p<0.01) on POD 7. CONCLUSIONS: Ability to participate in social roles and activities declines immediately post-operatively, while pain interference sharply increases. However, patients return to baseline social participation and see resolution of pain interference by POD 14. Findings suggest both pre-operative and post-operative stents may be impacting patients’ quality of life. Source of Funding: NA © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e1162 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Amanda Jones More articles by this author Roby Daniel More articles by this author Zili Zong More articles by this author Jing Huang More articles by this author Justin Ziemba More articles by this author Expand All Advertisement PDF downloadLoading ...