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Okada T. et al., 2023: Quality of life after urinary stone surgery based on Japanese Wisconsin Stone Quality of Life questionnaire: multicenter analysis from SMART study group

Okada T, Hamamoto S, Taguchi K, Okada S, Inoue T, Ando R, Okada A, Yasui T; SMART study group.
Department of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, 467-8601, Japan.
Department of Nephro-urology, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, 467-8601, Japan.
Department of Urology, Gyotoku General Hospital, Chiba, Japan.
Department of Urology, Hara Genitourinary Hospital, Hyogo, Japan

Abstract

We aimed to evaluate the impact of surgical treatment for urinary stones on perioperative health-related quality of life (HRQOL) using the Japanese Wisconsin Stone Quality of Life questionnaire (J-WISQOL), an HRQOL measure designed for patients with urinary stones. This study prospectively enrolled 123 patients with urinary stones who visited three academic hospitals for stone treatment. The participants completed the J-WISQOL within 4 weeks before and after the urinary stone treatment. Treatments included shock wave lithotripsy (SWL), ureteroscopy lithotripsy, and endoscopic combined intrarenal surgery. J-WISQOL was assessed for age, stone size and location, type of treatment, stone-free status, postoperative ureteral stent placement, hospital stay, and complications in all patients. Patients with stones in the ureter had significantly greater social impact D1 and disease impact D3 than those with stones in the kidney. In a comparison of pre- and postoperative J-WISQOL, patients without postoperative ureteral stent placement scored significantly higher on social impact D1 and disease impact D3. Patients with shorter hospital stays had significantly higher social impact D1 and disease impact D3 (p < 0.001) than those with longer hospital stays. SWL significantly improved the total score, social impact D1, and disease impact D3 compared with other treatments. Perioperative HRQOL in patients with urinary stones is particularly affected by the type of treatment, ureteral stent placement, and hospital stay, which should be considered in surgical selection and patient decision-making.

Quality of life after urinary stone surgery based on Japanese Wisconsin Stone Quality of Life questionnaire: multicenter analysis from SMART study group.
Urolithiasis. 2023 Sep 14;51(1):113. doi: 10.1007/s00240-023-01486-8. PMID: 37707652 FREE ARTICLE

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Comments 1

Peter Alken on Wednesday, 13 March 2024 10:00

I am happy to see that the Wisconsin Stone Quality of Life questionnaire (1) made it to Japan. There is a strong need for papers like the present one. Involving patients and their well-being into a business that is otherwise heavily influenced by urologists’ preferences, advertising and reimbursement is an important way to the PSA (Personalized stone approach) concept of Palle Osther (2)

1 Penniston KL, et al. Validation and reliability of the Wisconsin stone Quality
of Life Questionnaire. J Urol 197 (2017) 1280–1288. https:// doi. org/ 10.
1016/j. juro. 2016. 11. 097

2 Lim EJ, Osther PJ, et al. Personalized stone approach: can endoscopic combined intrarenal surgery pave the way to tailored management of urolithiasis? Minerva Urol Nephrol. 2021 Aug;73(4):428-430. doi: 10.23736/S2724-6051.21.04443-8. Epub 2021 May 5. PMID: 33949186.

Peter Alken

I am happy to see that the Wisconsin Stone Quality of Life questionnaire (1) made it to Japan. There is a strong need for papers like the present one. Involving patients and their well-being into a business that is otherwise heavily influenced by urologists’ preferences, advertising and reimbursement is an important way to the PSA (Personalized stone approach) concept of Palle Osther (2) 1 Penniston KL, et al. Validation and reliability of the Wisconsin stone Quality of Life Questionnaire. J Urol 197 (2017) 1280–1288. https:// doi. org/ 10. 1016/j. juro. 2016. 11. 097 2 Lim EJ, Osther PJ, et al. Personalized stone approach: can endoscopic combined intrarenal surgery pave the way to tailored management of urolithiasis? Minerva Urol Nephrol. 2021 Aug;73(4):428-430. doi: 10.23736/S2724-6051.21.04443-8. Epub 2021 May 5. PMID: 33949186. Peter Alken
Monday, 20 May 2024