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- Title
How do the residual fragments after SWL affect the health-related quality of life? A critical analysis in a size-based manner.
- Authors
Sahin, Cahit; Kafkasli, Alper; Cetinel, Cihangir; Narter, Fehmi; Saglam, Erkin; Sarica, Kemal
- Abstract
This study aimed at evaluating the possible effects of residual fragments (RF) after shockwave lithotripsy (SWL) on the health-related quality of life (QOL) of the patients on a size-related basis. Eighty six patients with RF after SWL were divided into three groups: Group 1 ( n:30 with fragments ≤2 mm), Group 2 ( n:21 2-≤4 mm) and Group 3 ( n:35 > 4 mm). During a 3-month follow-up, spontaneous passage rates, emergency department visits, mean analgesic required, additional procedures and the QOL were all evaluated. QOL was evaluated using the Short Form-36 survey. Of the 30 patients with fragments ≤2 mm all cases passed the fragments spontaneously. Of the 21 cases with fragments 2-≤4, however, 76 % were stone free. Last, of the 35 cases with fragments >4 mm, 52 % passed them spontaneously in 3 months. While no patient with fragments ≤2 mm required emergency department visit, 19 % of the cases with fragments 2-≤4 mm and 51.4 % with fragments >4 mm did require this visit. Mean analgesic need (mg) values were higher in cases with larger fragments. Evaluation of the QOL score data in a subgroup comparison base showed that cases with larger fragments had prominently lower scores during both 1- and 3-month evaluation. RF after SWL could pose an impact on the QOL of the cases in a size-related basis. While fragments ≤2 mm had nearly no impact on this aspect larger fragments could significantly affect the QOL.
- Subjects
TREATMENT of calculi; KIDNEY stones; LITHOTRIPSY; QUALITY of life; CRITICAL analysis; FOLLOW-up studies (Medicine); PATIENTS
- Publication
Urolithiasis, 2015, Vol 43, Issue 2, p163
- ISSN
2194-7228
- Publication type
Article
- DOI
10.1007/s00240-014-0727-3