Effect of Residual Stone Fragments on Patient-Reported Quality of Life after Endoscopic Kidney Stone Surgery
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: This study examined the effects of residual fragments (RF) on the patient-reported quality of life (QOL) after kidney stone surgery, such as retrograde intrarenal surgery (RIRS) and percutaneous nephrolithotomy (PCNL), using the Korean version of the Wisconsin Stone Quality of Life Questionnaire (K-WISQOL). Materials and Methods: The medical records of 156 patients who underwent RIRS or PCNL and completed the preoperative and postoperative K-WISQOL from January 2021 to September 2023 were analyzed retrospectively. The patients were divided into RIRS and PCNL groups by the surgical method. The participants completed the K-WISQOL within four weeks before and after treatment. The patients’ baseline characteristics, surgical outcomes, and K-WISQOL scores were compared according to the presence of RF in each surgical group. Results: Of the 156 patients, 95 underwent RIRS, and 61 underwent PCNL. In the RIRS group, the patients’ baseline characteristics and surgical outcomes were similar in the stone-free (SF) and RF subgroups. The changes in all K-WISQOL domain scores and total scores were similar in the two subgroups. In the PCNL group, the RF subgroup had a significantly higher proportion of staghorn stones, a significantly larger mean stone diameter and significantly longer operation time than those of the SF subgroup. But, the changes in all K-WISQOL domain scores and total scores were not significantly different between the two subgroups, as observed in the RIRS group. Conclusions: This study showed that the presence of RFs after endoscopic kidney surgery did not affect the short-term patient-reported QOL regardless of the surgical methods.
Abstract
Purpose: This study examined the effects of residual fragments (RF) on the patient-reported quality of life (QOL) after kidney stone surgery, such as retrograde intrarenal surgery (RIRS) and percutaneous nephrolithotomy (PCNL), using the Korean version of the Wisconsin Stone Quality of Life Questionnaire (K-WISQOL). Materials and Methods: The medical records of 156 patients who underwent RIRS or PCNL and completed the preoperative and postoperative K-WISQOL from January 2021 to September 2023 were analyzed retrospectively. The patients were divided into RIRS and PCNL groups by the surgical method. The participants completed the K-WISQOL within four weeks before and after treatment. The patients’ baseline characteristics, surgical outcomes, and K-WISQOL scores were compared according to the presence of RF in each surgical group. Results: Of the 156 patients, 95 underwent RIRS, and 61 underwent PCNL. In the RIRS group, the patients’ baseline characteristics and surgical outcomes were similar in the stone-free (SF) and RF subgroups. The changes in all K-WISQOL domain scores and total scores were similar in the two subgroups. In the PCNL group, the RF subgroup had a significantly higher proportion of staghorn stones, a significantly larger mean stone diameter and significantly longer operation time than those of the SF subgroup. But, the changes in all K-WISQOL domain scores and total scores were not significantly different between the two subgroups, as observed in the RIRS group. Conclusions: This study showed that the presence of RFs after endoscopic kidney surgery did not affect the short-term patient-reported QOL regardless of the surgical methods.
참고문헌 (26)
- Romero V, "Kidney stones : a global picture of prevalence, incidence, and associated risk factors", Rev Urol, 12, pp.e86~e96 (2010)
- Sorokin I, "Epidemiology of stone disease across the world", World J Urol, 35, pp.1301~1320 (2017)
- Lee SH, "Lasers for the treatment of urinary stone disease", Investig Clin Urol, 62, pp.241~242 (2021)
- Jung HD, "Korean Society of Endourology and Robotics(KSER)recommendation on the diagnosis, treatment, and prevention of urolithiasis", Investig Clin Urol, 64, pp.325~337 (2023)
- Bensalah K, "Determinants of quality of life for patients with kidney stones", J Urol, 179, pp.2238~2243 (2008)
- Mehmi A, "Current status and role of patient-reported outcome measures(PROMs)in endourology", Urology, 148, pp.26~31 (2021)
- Penniston KL, "Validation and reliability of the Wisconsin Stone Quality of Life questionnaire", J Urol, 197, pp.1280~1288 (2017)
- Danilovic A, "Assessment of residual stone fragments after retrograde intrarenal surgery", J Endourol, 32, pp.1108~1113 (2018)
- York NE, "Stone-free outcomes of flexible ureteroscopy for renal calculi utilizing computed tomography imaging", Urology, 124, pp.52~56 (2019)
- Ozdedeli K, "Residual fragments after percutaneous nephrolithotomy", Balkan Med J, 29, pp.230~235 (2012)
- Kang HW, "Natural history of asymptomatic renal stones and prediction of stone related events", J Urol, 189, pp.1740~1746 (2013)
- Dropkin BM, "The natural history of nonobstructing asymptomatic renal stones managed with active surveillance", J Urol, 193, pp.1265~1269 (2015)
- Streeper NM, "Asymptomatic renal stones-to treat or not to treat", Curr Urol Rep, 19, pp.29~ (2018)
- Sahin C, "How do the residual fragments after SWL affect the health-related quality of life? A critical analysis in a size-based manner", Urolithiasis, 43, pp.163~170 (2015)
- Sahin C, "Do the residual fragments after shock wave lithotripsy affect the quality of life?", Urology, 84, pp.549~554 (2014)
- Streeper NM, "Is stone-free status after surgical intervention for kidney stones associated with better health-related quality of life?-a multicenter study from the North American Stone Quality of Life Consortium", Urology, 148, pp.77~82 (2021)
- Okada T, "Quality of life after urinary stone surgery based on Japanese Wisconsin Stone Quality of Life questionnaire: multicenter analysis from SMART study group", Urolithiasis, 51, pp.113~ (2023)
- Yoon YE, "Translation and linguistic validation of the Korean version of the Wisconsin Stone Quality of Life Questionnaire", Int Neurourol J, 24, pp.77~83 (2020)
- New F, "A complete world literature review of quality of life(QOL)in patients with kidney stone disease(KSD)", Curr Urol Rep, 17, pp.88~ (2016)
- Lundeen C, "What is the relationship of stress to patients’kidney stone-related quality of life?", Can Urol Assoc J, 15, pp.E256~E260 (2021)
- Penniston KL, "Health related quality of life differs between male and female stone formers", J Urol, 178, pp.2435~2440 (2007)
- Atis G, "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, pp.247~253 (2021)
- Di Mauro D, "Clinical and psychological outcomes of patients undergoing retrograde intrarenal surgery and miniaturised percutaneous nephrolithotomy for kidney stones. A preliminary study", Arch Ital Urol Androl, 91, pp.256~260 (2020)
- Goyal NK, "Outcomes of long-term follow-up of patients with conservative management of asymptomatic renal calculi", BJU Int, 110, pp.E5~E6 (2012)
- Rebuck DA, "The natural history of renal stone fragments following ureteroscopy", Urology, 77, pp.564~568 (2011)
- Choi T, "Analysis of factors affecting spontaneous expulsion of ureteral stones that may predict unfavorable outcomes during watchful waiting periods : what is the influence of diabetes mellitus on the ureter?", Korean J Urol, 56, pp.455~460 (2015)