Skip to main content

Advertisement

SpringerLink
Log in

Validated Methods of Assessing Quality of Life in Stone Disease

  • ENDOUROLOGY (P MUCKSAVAGE, SECTION EDITOR)
  • Published:
Current Urology Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

With the emphasis on quality standards when determining reimbursements rates, patient reported outcomes are now of particular interest to clinicians. This review addresses health-related quality of life (HRQOL) detriments that have been studied in patients with stone disease.

Recent Findings

Several instruments been validated for use in stone formers. Previously, generic instruments revealed decreased HRQOL in urolithiasis patients. Recently, a disease-specific tool has been developed and has provided more insight into the specific symptoms that negatively affect the patient experience.

Summary

Evidence now reveals lower HRQOL in both symptomatic and asymptomatic patients with calculi, as well as varying determinants after certain interventions. Disease-specific tools have been shown to be more sensitive to urologic-related complaints. These findings should be considered in management decisions to allow for patient-centered care. Further application and standardization of these assessment tools into prospective studies may have value in refining current treatment guidelines.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

Papers of particular interest, published recently, have been highlighted as: • Of importance, •• Of major importance

  1. Scales CD Jr, Smith AC, Hanley JM, Saigal CS. Prevalence of kidney stones in the United States. Eur Urol. 2012;62:160–5. https://doi.org/10.1016/j.eururo.2012.03.052.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Johnson CM, Wilson DM, O'Fallon WM, Malek RS, Kurland LT. Renal stone epidemiology: a 25-year study in Rochester, Minnesota. Kidney Int. 1979;16:624–31. https://doi.org/10.1038/ki.1979.173.

    Article  CAS  PubMed  Google Scholar 

  3. Rule AD, Lieske JC, Li X, Melton LJ 3rd, Krambeck AE, Bergstralh EJ. The ROKS nomogram for predicting a second symptomatic stone episode. J Am Soc Nephrol. 2014;25:2878–86. https://doi.org/10.1681/asn.2013091011.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Pearle MS, Calhoun EA, Curhan GC. Urologic diseases in America project: urolithiasis. J Urol. 2005;173:848–57. https://doi.org/10.1097/01.ju.0000152082.14384.d7.

    Article  PubMed  Google Scholar 

  5. Lavallee DC, Chenok KE, Love RM, Peterson C, Holve E, Segal CD, et al. Incorporating patient-reported outcomes into health care to engage patients and enhance care. Health Aff. 2016;35:575–82. https://doi.org/10.1377/hlthaff.2015.1362.

    Article  Google Scholar 

  6. Ferrans CE, Zerwic JJ, Wilbur JE, Larson JL. Conceptual model of health-related quality of life. J Nurs Scholarsh. 2005;37:336–42.

    Article  PubMed  Google Scholar 

  7. Penniston KL, Sninsky BC, Nakada SY. Preliminary evidence of decreased disease-specific health-related quality of life in asymptomatic stone patients. J Endourol. 2016;30:S42–5. https://doi.org/10.1089/end.2016.0074.

    Article  PubMed  Google Scholar 

  8. Preminger GM, Tiselius HG, Assimos DG, Alken P, Buck AC, Gallucci M, et al. 2007 guideline for the management of ureteral calculi. J Urol. 2007;178:2418–34.

    Article  PubMed  Google Scholar 

  9. Patrick DL, Erickson P. Assessing health-related quality of life for clinical decision making. In: Walker SR, Rosser RM, editors. Quality of life: assessment and application. Lancaster: MTP Press; 1988. p. 9.

    Google Scholar 

  10. Patrick DL, Deyo RA. Generic and Disease-specific measures in assessing health status and quality of life. Med Care. 1989;27:S217–30.

    Article  CAS  PubMed  Google Scholar 

  11. Coons SJ, Rao S, Keininger DL, Hays RD. A comparative review of generic quality-of-life instruments. PharmacoEconomics. 2000;17(1):13–35.

    Article  CAS  PubMed  Google Scholar 

  12. Devlin NJ, Brooks R. EQ-5D and the EuroQol Group: past, present and future. Appl Health Econ Health Policy. 2017;15:127–37. https://doi.org/10.1007/s40258-017-0310-5.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Cella D, Riley W, Stone A, Rothrock N, Reeve B, Yount S, et al. PROMIS Cooperative Group. The Patient-Reported Outcomes Measurement Information ystem (PROMIS) developed and tested its first wave of adult self-reported health outcome item banks: 2005–2008. J Clin Epidemiol. 2010;63:1179–94. https://doi.org/10.1016/j.jclinepi.2010.04.011.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Jones RS, Stukenborg GJ. Patient-Reported Outcomes Measurement Information System (PROMIS) use in surgical care: a scoping study. J Am Coll Surg. 2017;224:245–254.e1. https://doi.org/10.1016/j.jamcollsurg.2016.11.015.

    Article  PubMed  Google Scholar 

  15. •• Penniston KL, Antonelli JA, Viprakasit DP, Averch TD, Sivalingam S, Sur RL, et al. Validation and reliability of the Wisconsin Stone Quality of Life Questionnaire. J Urol. 2017;197:1280–8. https://doi.org/10.1016/j.juro.2016.11.097. This study validated the WISQOL survey, the first disease-specific tool , allowing future investigators to detect HRQOL detriments specific to stone disease.

    Article  PubMed  Google Scholar 

  16. Penniston KL, Nakada SY. Development of an instrument to assess the health related quality of life of kidney stone formers. J Urol. 2013;189:921–30. https://doi.org/10.1016/j.juro.2012.08.247.

    Article  PubMed  Google Scholar 

  17. Penniston KL, Nakada SY. Health related quality of life differs between male and female stone formers. J Urol. 2007;178:2435–40. https://doi.org/10.1016/j.juro.2007.08.009.

    Article  PubMed  Google Scholar 

  18. Bensalah K, Tuncel A, Gupta A, Raman JD, Pearle MS, Lotan Y. Determinants of quality of life for patients with kidney stones. J Urol. 2008;179:2238–43. https://doi.org/10.1016/j.juro.2008.01.116.

    Article  PubMed  Google Scholar 

  19. Donnally CJ 3rd, Gupta A, Bensalah K, Tuncel A, Raman J, Pearle MS, et al. Longitudinal evaluation of the SF-36 quality of life questionnaire in patients with kidney stones. Urol Res. 2011;39:141–6. https://doi.org/10.1007/s00240-010-0313-2.

    Article  PubMed  Google Scholar 

  20. Jiang H, Huang D, Yao S, Liu S. Improving drainage after percutaneous nephrolithotomy based on health-related quality of life: a prospective randomized study. J Endourol. 2017;31:1131–8. https://doi.org/10.1089/end.2017.0444.

    Article  PubMed  Google Scholar 

  21. • Borofsky MS, Lane GI, Neises SM, Portis AJ. Patient-Reported Outcomes Measurement System (PROMIS®) for patients with urolithiasis: initial report. J Urol. 2017;198(5):1091–7. https://doi.org/10.1016/j.juro.2017.05.080. This study was the first to utilize the PROMIS pain scale measures, which have the advantage to be compared with population norms, assessing HRQOL detriments at various stages of the disease process.

    Article  PubMed  Google Scholar 

  22. Bryant M, Angell J, Tu H, Goodman M, Pattaras J, Ogan K. Health related quality of life for stone formers. J Urol. 2012;188:436–40. https://doi.org/10.1016/j.juro.2012.04.015.

    Article  PubMed  Google Scholar 

  23. Joshi HB, Newns N, Stainthorpe A, MacDonagh RP, Keeley FX Jr, Timoney AG. Ureteral Stent Symptom Questionnaire: development and validation of a multidimensional quality of life measure. J Urol. 2003;169(3):1060–4. https://doi.org/10.1097/01.ju.0000049198.53424.1d.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Perelman School of Medicine, Division of Urology, University of Pennsylvania Health System, 3400 Civic Center Boulevard, 3rd Floor, West Pavilion, Philadelphia, PA, 19104, USA

    Ruchika Talwar & Justin Ziemba

  2. Perelman Center for Advanced Medicine, Division of Urology, University of Pennsylvania Health System, 3400 Civic Center Boulevard, 3rd Floor, West Pavilion, Philadelphia, PA, 19104, USA

    Ruchika Talwar

Authors
  1. Ruchika Talwar
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Justin Ziemba
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ruchika Talwar.

Ethics declarations

Conflict of Interest

Ruchika Talwar declares no potential conflicts of interest.

Justin Ziemba reports personal fees from Visible Health, outside the submitted work.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Additional information

This article is part of the Topical Collection on Endourology

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Talwar, R., Ziemba, J. Validated Methods of Assessing Quality of Life in Stone Disease. Curr Urol Rep 19, 25 (2018). https://doi.org/10.1007/s11934-018-0776-1

Download citation

  • Published:

  • DOI: https://doi.org/10.1007/s11934-018-0776-1

Keywords

Search

Navigation