We have located links that may give you full text access.
Post-Operative Recovery of Quality-of-Life Following Ureteroscopy for Nephrolithiasis: The Impact on Pain Intensity and Interference and the Ability to Participate in Social Roles.
Urology 2024 March 19
OBJECTIVE: To prospectively capture patient-reported outcomes to assess the recovery profile of ureteroscopy.
MATERIALS AND METHODS: Adults undergoing ureteroscopy for renal/ureteral stones were eligible for inclusion (11/2020-8/2022). Patients prospectively completed PROMIS - Pain Intensity, -Pain Interference, and -Ability to participate in social roles and activities in-person pre-operatively (POD 0) and via email on POD 1, 7, 14 and 30. Scores are reported as T-scores (normalized to US pop., mean=50) with a change of 5 (0.5 SD) considered clinically significant.
RESULTS: 178 participants enrolled at POD 0 (POD 1=87, POD 7=83, POD 14=70, POD30=67). There was a worsening of quality of life from day 0 to day 1 and day 0 to 7. All dimensions then improved with an increase in scores from day 0 to day 14 and day 0 to day 30. On multivariable analysis, the presence of a pre-operative ureteral stent (OR 0.14) and use of semi-rigid ureteroscopy (OR 0.33) were associated with a reduced odds for severe pain interference at day 1. The use of semi-rigid ureteroscopy (OR 0.20) was associated with a reduced odds for severe worsening in the ability to participate in social roles at day 1.
CONCLUSIONS: Ability to participate in social roles declines immediately post-operatively, while pain intensity and interference sharply increase. There is a gradual improvement until POD 30. Findings suggest pre-operative stents may influence post-operative recovery. Results offer meaningful insight to assist in counseling and setting expectation for patients post-operatively.
MATERIALS AND METHODS: Adults undergoing ureteroscopy for renal/ureteral stones were eligible for inclusion (11/2020-8/2022). Patients prospectively completed PROMIS - Pain Intensity, -Pain Interference, and -Ability to participate in social roles and activities in-person pre-operatively (POD 0) and via email on POD 1, 7, 14 and 30. Scores are reported as T-scores (normalized to US pop., mean=50) with a change of 5 (0.5 SD) considered clinically significant.
RESULTS: 178 participants enrolled at POD 0 (POD 1=87, POD 7=83, POD 14=70, POD30=67). There was a worsening of quality of life from day 0 to day 1 and day 0 to 7. All dimensions then improved with an increase in scores from day 0 to day 14 and day 0 to day 30. On multivariable analysis, the presence of a pre-operative ureteral stent (OR 0.14) and use of semi-rigid ureteroscopy (OR 0.33) were associated with a reduced odds for severe pain interference at day 1. The use of semi-rigid ureteroscopy (OR 0.20) was associated with a reduced odds for severe worsening in the ability to participate in social roles at day 1.
CONCLUSIONS: Ability to participate in social roles declines immediately post-operatively, while pain intensity and interference sharply increase. There is a gradual improvement until POD 30. Findings suggest pre-operative stents may influence post-operative recovery. Results offer meaningful insight to assist in counseling and setting expectation for patients post-operatively.
Full text links
Related Resources
Trending Papers
A Guide to the Use of Vasopressors and Inotropes for Patients in Shock.Journal of Intensive Care Medicine 2024 April 14
British Society for Rheumatology guideline on management of adult and juvenile onset Sjögren disease.Rheumatology 2024 April 17
Albumin: a comprehensive review and practical guideline for clinical use.European Journal of Clinical Pharmacology 2024 April 13
Renin-Angiotensin-Aldosterone System: From History to Practice of a Secular Topic.International Journal of Molecular Sciences 2024 April 5
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app