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- Title
Determinants of health-related quality of life for patients after urinary lithotripsy: ureteroscopic vs. shock wave lithotripsy.
- Authors
Hamamoto, Shuzo; Unno, Rei; Taguchi, Kazumi; Naiki, Taku; Ando, Ryosuke; Okada, Atsushi; Inoue, Takaaki; Okada, Shinsuke; AbdelRazek, Mostafa; Kohri, Kenjiro; Yasui, Takahiro; On behalf of the SMART Study Group
- Abstract
Purpose: To compare the longitudinal health-related quality of life (HRQoL) after surgical intervention with ureteroscopic lithotripsy (URSL) and shock wave lithotripsy (SWL) and to evaluate the factors affecting HRQoL in urolithiasis patients.Methods: A total of 262 patients who underwent lithotripsy (SWL, <italic>n</italic> = 61; URSL, <italic>n</italic> = 201) for upper urinary tract calculi treatment between June 2012 and January 2015 were evaluated. All patients were administered the Short-Form 36-item survey (SF-36) to assess HRQoL at four timepoints: before surgery, on the day of discharge, and 1 and 6 months after lithotripsy. Stone-free rates, complications, and analgesic requirements were evaluated to compare the effects of the two procedures on HRQoL.Results: At the day of discharge, patients in the URSL group had significantly lower mean scores on five different subscales of the SF-36 questionnaire, namely, physical functioning, role-physical, social functioning, role-emotional, and mental health. The stone-free rate at 3 months after lithotripsy was significantly lower in the SWL group (72.1% vs. URSL, 93.0%; <italic>p</italic> < 0.001). The hospital stay was shorter in the SWL group (2.1 ± 0.07 vs. URSL, 4.1 ± 0.13 days; <italic>p</italic> < 0.001), and the analgesia requirements were also lower in the SWL group (0.3 ± 0.08 vs. URSL, 0.9 ± 0.20; <italic>p</italic> < 0.001).Conclusions: The post-lithotripsy HRQoL was superior for SWL compared to URSL on the discharge date despite the lower stone-free rate of the former. The longer hospital stay and higher postoperative pain appeared to be the determinants of the lower HRQoL in the URSL group.
- Subjects
URINARY calculi; URETEROSCOPY; EXTRACORPOREAL shock wave lithotripsy; QUALITY of life; HEALTH surveys; THERAPEUTICS
- Publication
Urolithiasis, 2018, Vol 46, Issue 2, p203
- ISSN
2194-7228
- Publication type
Article
- DOI
10.1007/s00240-017-0972-3