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Determinants of health-related quality of life for patients after urinary lithotripsy: ureteroscopic vs. shock wave lithotripsy

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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, n = 61; URSL, n = 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%; p < 0.001). The hospital stay was shorter in the SWL group (2.1 ± 0.07 vs. URSL, 4.1 ± 0.13 days; p < 0.001), and the analgesia requirements were also lower in the SWL group (0.3 ± 0.08 vs. URSL, 0.9 ± 0.20; p < 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.

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Abbreviations

HRQoL:

Health-related quality of life

URSL:

Ureteroscopic lithotripsy

SWL:

Shock wave lithotripsy

RCS:

Role component score

PCS:

Physical component score

MCS:

Mental component score

EAU:

European Association of Urology

AUA:

American Urological Association

SF:

Stone-free

PF:

Physical function

RP:

Role limitation because of physical health

SF:

Social function

RE:

Role limitation because of emotional problems

MH:

Mental health

POM:

Postoperative month

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Acknowledgements

We would like to thank Ms. K. Ichikawa and Ms. M. Noda for secretarial assistance, including their contribution in data input and analysis.

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Authors and Affiliations

  1. Department of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, Aichi, 467-8601, Japan

    Shuzo Hamamoto, Rei Unno, Kazumi Taguchi, Taku Naiki, Ryosuke Ando, Atsushi Okada, Mostafa AbdelRazek, Kenjiro Kohri & Takahiro Yasui

  2. Department of Urology, Toyota Kosei Hospital, Toyota, Aichi, Japan

    Shuzo Hamamoto

  3. Department of Urology, Kansai Medical University Medical Center, Osaka, Japan

    Takaaki Inoue

  4. Department of Urology, Gyotoku General Hospital, Chiba, Japan

    Shinsuke Okada

  5. Department of Urology, Qena University Hospital, Qena, Egypt

    Mostafa AbdelRazek

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  1. Shuzo Hamamoto
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  2. Rei Unno
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  3. Kazumi Taguchi
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  4. Taku Naiki
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  11. Takahiro Yasui
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On behalf of the SMART Study Group

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Correspondence to Shuzo Hamamoto.

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Hamamoto, S., Unno, R., Taguchi, K. et al. Determinants of health-related quality of life for patients after urinary lithotripsy: ureteroscopic vs. shock wave lithotripsy. Urolithiasis 46, 203–210 (2018). https://doi.org/10.1007/s00240-017-0972-3

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  • DOI: https://doi.org/10.1007/s00240-017-0972-3

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