MP89-19 WISCONSIN STONE QUALITY OF LIFE QUESTIONNAIRE: IS STONE REMOVAL SURGERY ASSOCIATED WITH BETTER QUALITY OF LIFE?

You have accessJournal of UrologyStone Disease: Surgical Therapy VI1 Apr 2018MP89-19 WISCONSIN STONE QUALITY OF LIFE QUESTIONNAIRE: IS STONE REMOVAL SURGERY ASSOCIATED WITH BETTER QUALITY OF LIFE? Igor Sorokin, Benjamin Chew, Timothy Averch, Vincent Bird, Necole Streeper, Stephen Nakada, Kristina Penniston, and Jodi Antonelli Igor SorokinIgor Sorokin More articles by this author , Benjamin ChewBenjamin Chew More articles by this author , Timothy AverchTimothy Averch More articles by this author , Vincent BirdVincent Bird More articles by this author , Necole StreeperNecole Streeper More articles by this author , Stephen NakadaStephen Nakada More articles by this author , Kristina PennistonKristina Penniston More articles by this author , and Jodi AntonelliJodi Antonelli More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2018.02.2959AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The WISQOL (Wisconsin Stone Quality of Life) questionnaire is a validated instrument for kidney stone patients. We sought to determine if stone formers who had surgery differ in stone related quality of life (SR-QOL) compared to those who have not had surgery. METHODS After IRB approval, adult stone formers at 6 centers completed a WISQOL questionnaire; medical and surgical data were compiled. We divided patients into 2 groups: those who had kidney stone surgery within 1 year (surgery) and those that never had stone surgery (no surgery). We calculated WISQOL total and domain scores, standardized to 0-100 (domains: D1 social functioning; D2 emotional functioning; D3 stone-related impact; and D4 vitality). For the surgery group, we identified patients that had shockwave lithotripsy (SWL), ureteroscopy (URS) or percutaneous nephrolithotomy (PCNL) within 0-3.0 months or within 3.1-12 months. Scores between and among groups were compared. RESULTS Except for higher BMI in the surgery group (32.1 ± 9.2 vs. 28.9 ± 6.9 kg/m2, p<0.001), demographics did not differ. Within 3 months of surgery (n=103; 71 URS, 15 SWL, 15 PCNL) SR-QOL was significantly lower (60.3 ± 25.7) than for no surgery (n=175) (74.6 ± 23.7) (p<0.001), specifically for those who underwent SWL (58.4 ± 24.1) and URS (58.6 ± 25.8) but not for those who underwent PCNL (67.9 ± 26.5). The only domain score that differed by surgery type within 0-3.0 months was D3. In this time frame, patients who had SWL (47.3 ± 29.3) scored lower than those who had PCNL (69.8 ± 27.7) (p=0.02). For each WISQOL item, the percent difference in score between patiens who had surgery within 0-3 months and those who did not is shown (figure). For 3.1-12 months from surgery (n=95; 69 URS, 12 SWL, 14 PCNL), SR-QOL was higher (81.1 ± 74.7) compared to no surgery (74.6 ± 23.7) but this was not statistically significant (p=0.122). The only domain score that differed in this time frame was D1 for URS (89.5 ± 19.1) compared to no surgery (81.1 ± 26.2) (p=0.016). CONCLUSIONS SWL and URS were associated with lower SR-QOL within 3 months of surgery, while PCNL was not in this cohort. Post-operative SR-QOL within 1 year is comparable to those with no surgical stone history. Thus, while SWL and URS are considered less invasive surgical options perhaps efforts should be made to reduce their short-term morbidity. © 2018FiguresReferencesRelatedDetails Volume 199Issue 4SApril 2018Page: e1213 Advertisement Copyright & Permissions© 2018MetricsAuthor Information Igor Sorokin More articles by this author Benjamin Chew More articles by this author Timothy Averch More articles by this author Vincent Bird More articles by this author Necole Streeper More articles by this author Stephen Nakada More articles by this author Kristina Penniston More articles by this author Jodi Antonelli More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...