Health Related Quality of Life for Stone Formers

Health Related Quality of Life for Stone Formers
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DOI:
10.1016/j.juro.2012.04.015
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发表时间:
2012-08-01
期刊:
影响因子:
6.6
通讯作者:
Ogan, Kenneth
Ogan, Kenneth
中科院分区:
医学1区
文献类型:
--
作者:
Bryant, Michael;Angell, Jordan;Ogan, Kenneth

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目的:尿石症是一种常见的泌尿系统疾病,导致严重的疼痛和痛苦。直到最近,很少有研究来研究结石形成者的生活质量如何受到影响。我们假设,多次复发的尿石症患者的健康相关生活质量较差。因此,我们确定了具体的因素,影响健康相关的生活质量的患者与urolithies.Materials和方法:在一个机构审查委员会批准的研究,我们招募了386例患者通过邮寄和通过门诊谁在我们的机构进行评估,在过去5年的尿石症。每个病人都被要求回答问卷调查结石病,包括SF-36(R),一个验证的36个项目的医疗保健生活quality of life surveillance.Results的386例患者招募的研究115回答了我们的询问。变量,如手术并发症,从最后一次结石发作的时间,急诊室就诊次数和手术次数与SF-36 domain.Conclusions:尿石症与严重的生理和心理影响,导致临床显着损害的生活质量。我们的研究结果证实并扩展了先前研究小组的发现,显示结石形成可以影响患者生活质量的许多方式。在急性和慢性治疗环境中对这些影响的认识可能会改变治疗疾病的方式。
Purpose: Urolithiasis is a common urological condition that causes significant pain and suffering. Until recently few studies had been done to examine how quality of life is affected in stone formers. We hypothesized that patients with multiple recurrent episodes of urolithiasis have worse health related quality of life. Thus, we identified specific factors that impact health related quality of life in patients with urolithiasis.Materials and Methods: In an institutional review board approved study we recruited 386 patients through mailings and through the outpatient clinic who were evaluated at our institution for urolithiasis in the last 5 years. Each patient was asked to answer questionnaires on stone disease, including SF-36(R), a validated 36-item health care quality of life survey.Results: Of the 386 patients recruited for study 115 responded to our inquiry. Variables such as surgical complications, time from last stone episode, number of emergency room visits and number of surgeries correlated with the SF-36 domains.Conclusions: Urolithiasis is associated with severe physical and psychological effects that lead to clinically significant impairment in quality of life. Our findings confirm and expand the findings of previous groups showing the many ways in which stone formation can affect patient quality of life. Appreciation of these effects in the acute and chronic treatment settings may change the way that the disease is approached.