PD51-06 THE PERCPETION OF HAVING RENAL CALCULI MAY AFFECT DISEASE-SPECIFIC HEALTH-RELATED QUALITY OF LIFE IN ASYMPTOMATIC STONE PATIENTS

Abstract

You have accessJournal of UrologyStone Disease: Evaluation III1 Apr 2015PD51-06 THE PERCPETION OF HAVING RENAL CALCULI MAY AFFECT DISEASE-SPECIFIC HEALTH-RELATED QUALITY OF LIFE IN ASYMPTOMATIC STONE PATIENTS Kristina L. Penniston, Brian C. Sninsky, and Stephen Y. Nakada Kristina L. PennistonKristina L. Penniston More articles by this author , Brian C. SninskyBrian C. Sninsky More articles by this author , and Stephen Y. NakadaStephen Y. Nakada More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.1766AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Stone formers have lower health-related quality of life (HRQOL) than non-stone formers. Moreover, among those with stones, symptomatic patients have lower HRQOL than asymptomatic patients. Whether or not patients with asymptomatic stones have decrements in HRQOL is not described. If so, and if they are stone-related, treatment for patients with asymptomatic stones may be indicated. We used the Wisconsin Stone Quality of Life (WiSQoL) questionnaire, a newly-developed disease-specific survey instrument, to characterize HRQOL in asymptomatic stone forming patients. METHODS With IRB approval, 107 stone forming patients (53±17 y; M:F, 61:46) were identified from a larger cohort (n=351) as asymptomatic (self-reported). Patients also self-assessed their stone status (y/n for current stones) at the time they completed the questionnaire, and this self-assessment was compared to imaging studies. Patients were stratified in multiple ways for assessment including perception of stones vs. no stones and stones on imaging vs. no stones on imaging. Total HRQOL scores from the WiSQoL and results of individual items on the WiSQoL were evaluated. RESULTS All patients reported no symptoms, whether they thought they did or did not have stones. More than half of patients (63%) were correct about having or not having stones at the time of the questionnaire (this was image-confirmed). However, patients who thought they had stones, regardless of whether this was true on imaging, were bothered more by urinary frequency than those who thought they were stone-free (P=0.023). Patients with stones on imaging, regardless of what they thought, were (a.) bothered more by urinary frequency than those with no stones on imaging (P=0.022), (b.) significantly more worried about the future (P=0.027), and (c.) tended to report more nausea (P=0.078). CONCLUSIONS While symptomatic stone formers have significantly lower overall HRQOL than asymptomatic stone formers, our study suggests that patients reporting “no symptoms” may in fact have HRQOL decrements. These include urinary frequency, concern about their health, and nausea. As further decrements in HRQOL would be expected in this patient cohort if/when symptoms do develop, providers should increase their suspicion for the above and be prepared to offer proactive therapy to all stone formers with known stones, regardless of patients reporting “no symptoms.” © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e1110 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Kristina L. Penniston More articles by this author Brian C. Sninsky More articles by this author Stephen Y. Nakada More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...