Abstract
The effects of treatment modalities such as retrograde intrarenal surgery (RIRS) and shock wave lithotripsy (SWL) on health-related quality of life (HRQoL) were determined in patients with renal stones between 10 and 20 mm. A total of 120 patients were included in the study and prospectively randomized to RIRS or SWL group. A total of 39 patients experienced treatment failure and finally 81 patients (45 patients in the RIRS group, 36 patients in the SWL group) were analyzed for HRQoL. SF-36 survey was used to determine HRQoL pre-operatively, post-operative day 1 and 1 month. The patient and stone characteristics such as age, gender, stone size, grade of hydronephrosis and body mass index were similar between the two groups. At post-operative day 1, the RIRS group was associated with lower scores of role functioning/physical (p = 0.008), role functioning/emotional (p = 0.047) energy/fatigue (p = 0.011), social functioning (p = 0.003) and pain (p = 0.003) when compared to the SWL group. At post-operative 1 month, only pain and emotional well-being scores (p = 0.012 and p = 0.011, respectively) in the RIRS group were statistically lower according to the SWL group. In our study, patients in the SWL group showed more favorable HRQoL scores when compared to the patients in the RIRS group in short-term follow-up.
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References
Chewcharat A, Curhan G (2020) Trends in the prevalence of kidney stones in the United States from 2007 to 2016. Urolithiasis Sep 1. Doi: https://doi.org/10.1007/s00240-020-01210-w. Online ahead of print.
Liu Y, Chen Y, Liao B et al (2018) Epidemiology of urolithiasis in Asia. Asian J Urol 5(4):205–214
Turk C, Petrik A, Sarica K, Seitz C, Skolarikos A, Straub M, Knoll T (2016) EAU guidelines on interventional treatment for urolithiasis. Eur Urol 69(3):475–482
Raja A, Wood F, Joshi HB (2020) The impact of urinary stone disease and their treatment on patients’ quality of life: a qualitative study. Urolithiasis 48(3):227–234
Sahin C, Tuncer M, Yazıcı O et al (2014) Do the residual fragments after shock wave lithotripsy affect the quality of life? Urology 84(3):549–554
Ware JE, Kosinski M, Gandek B (2000) Reliability, precision, and data quality. In: SF-36 Health Survey: Manual and Interpretation Guide. Lincoln, Rhode Island: QualityMetric Incorporated 1993, 7: 1–7:17.
New F, Somani BK (2016) A complete world literature review of quality of life in patients with kidney stone disease. Curr Urol Rep 17(12):88
Bryant M, Angell J, Tu H, Goodman M, Pattaras J, Ogan K (2012) Health related quality of life for stone formers. J Urol 188:436–440
Raja A, Hekmati Z, Joshi HB (2016) How do urinary calculi influence health-related quality of life and patient treatment preference: A systematic review. J Endourol 30(7):727–743
Penniston KL, Sninsky BC, Nakada SY (2016) Preliminary evidence of decreased disease specific health related quality of life in asymptomatic stone patients. J Endourol 30:42–45
Perez-Fentes DA, Gude F, Blanco B, Freire CG (2015) Percutaneous nephrolithotomy: short- and long-term effects on health-related quality of life. J Endourol 29(1):13–17
Staios D, Andrews HO, Shaik T, Buchholz NN (2007) Quality of life after percutaneous nephrolithotomy for calyceal diverticulum and secluded lower-pole renal stones. J Endourol 21(5):515–519
Sahin C, Kafkasli A, Cetinel C, Narter F, Saglam E, Sarica K (2015) How do the residual fragments after SWL affect the health-related quality of life? A critical analysis in a size-based manner. Urolithiasis 43:163–170
Singh BP, Prakash J, Sankhwar SN, Dhakad U, Sankhwar PL, Goel A, Kumar M (2014) Retrograde intrarenal surgery vs extracorporeal shock wave lithotripsy for intermediate size inferior pole calculi: a prospective assessment of objective and subjective outcomes. Urology 83(5):1016–1022
Bensalah K, Tuncel A, Gupta A, Raman JD, Pearle MS, Lotan Y (2008) Determinants of quality of life for patients with kidney stones. J Urol 179(6):2238–2243
Arafa MA, Rabah DM (2010) Study of quality of life and its determinants in patients after urinary stone fragmentation. Health Qual Life Outcomes 19:119
Song T, Liao B, Zheng S, Wei Q (2012) Meta-analysis of postoperatively stenting or not in patients underwent ureteroscopic lithotripsy. Urol Res 40:67–77
Joshi HB, Stainthorpe A, Keeley FX Jr, MacDonagh R, Timoney AG (2001) Indwelling ureteral stents: evaluation of quality of life to aid outcome analysis. J Endourol 15(2):151–154
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Atis G: project development, data management, manuscript editing. Culpan M: protocol development, data management, manuscript writing. Ucar T: data management and analysis. Sendogan F: data collection. Kazan HO: data collection. CYildirim A: project and protocol development.
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Atis, G., Culpan, M., Ucar, T. et al. The effect of shock wave lithotripsy and retrograde intrarenal surgery on health-related quality of life in 10–20 mm renal stones: a prospective randomized pilot study. Urolithiasis 49, 247–253 (2021). https://doi.org/10.1007/s00240-020-01219-1
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DOI: https://doi.org/10.1007/s00240-020-01219-1