Pain is Independent of Stone Burden and Predicts Surgical Intervention in Patients with Ureteral Stones
Pain is Independent of Stone Burden and Predicts Surgical Intervention in Patients with Ureteral Stones
复制标题
DOI：
10.1016/j.juro.2018.04.075
复制
发表时间：
2018-09-01
影响因子：
6.6
通讯作者：
Portis, Andrew J.
中科院分区：
文献类型：
--
作者：
Portis, Jennifer L.;Neises, Suzanne M.;Portis, Andrew J.
目的：梗阻性输尿管结石患者通常会突然发作，剧烈疼痛。我们研究了使用NIH（国立卫生研究院）PROMIS（R）（患者报告的结果测量信息系统）疼痛仪器在急性输尿管结石patients with acute ureteral stones.Materials and Methods：PROMIS疼痛措施是从一个完整的队列中获得的，这些患者在急诊科出院后到专科肾结石诊所就诊。在整个护理过程中对患者进行纵向随访。原始评分被转化为人群标准化T评分，T评分为50表示美国的平均疼痛人群。客观和以患者为中心的因素进行了评估，参照T评分阈值疼痛强度与60等于1 SD以上的平均值和疼痛干扰与70等于2 SD。结果：650例患者的多变量Logistic回归显示疼痛评分和结石大小或位置之间没有相关性。疼痛评分与患者年龄、性别和急诊科疼痛评分相关（p
Purpose: Patients with obstructing ureteral stones typically experience sudden onset, severe pain. We examined the use of the NIH (National Institutes of Health) PROMIS (R) (Patient-Reported Outcome Measurement Information System) pain instruments in patients with acute ureteral stones.Materials and Methods: PROMIS pain measures were obtained from a complete cohort of patients who presented to a subspecialty kidney stone clinic after emergency department discharge. Patients were followed longitudinally through the course of care. Raw scores were translated into population normed T-scores with a T-score of 50 indicating the mean pain population in the United States. Objective and patient centered factors were evaluated with reference to T-score thresholds for pain intensity with 60 equal to 1 SD above the mean and pain interference with 70 equal to 2 SD.Results: Multivariable logistic regression in 650 patients demonstrated an absent association between pain scores and stone size or location. Pain scores were associated with patient age, gender and emergency department pain scores (p