Stone size and quality of life: A critical evaluation after extracorporeal shock wave lithotripsy

Abstract

Objectives: To evaluate the quality of life (QoL) of the patients after extracorporeal shockwave lithotripsy (ESWL) on a treated stone size related basis. Methods: 90 patients undergoing ESWL for kidney stones were divided into three groups; Group 1 (n: 30, ≤ 10 mm), Group 2 (n: 28, 11 mm-≤ 20 mm) and Group 3 (n: 32, 20-25 mm). During 3-months follow-up, outcome of the procedure, number of cases with emergency department visits, analgesic required, re-tretatment rates, additional procedures and the changes in the QoL were evaluated. Results: the number of emergency department visits and mean analgesic need; re-treatment rates and additional procedures were significantly higher in Group 3. Evaluation of the QoL scores in three groups showed that cases with larger stone still had lower scores during 3-month evaluation. Conclusions: Stone size could help us to predict the possible impact of ESWL on the QoL and depending on the size of the stone treated, a well planned indication and effective management possibly by an experienced urologist could limit the changes in the QoL of the patients.

Psychological Distress in Patients With Urolithiasis: A Systematic Review and Meta-analysis

“…52 Similarly, patients with larger stones had lower MH scores at 1 month and 3 months following SWL. 53 Additionally, BDI (depression) mean scores were lower at 1 month and 3 months post-ureteroscopy (URS) for ureteral stone patients that received stenting compared to a control group that did not receive JJ stenting. 54…”

“…52 Similarly, patients with larger stones had lower MH scores at 1 month and 3 months following SWL. 53 Additionally, BDI (depression) mean scores were lower at 1 month and 3 months post-ureteroscopy (URS) for ureteral stone patients that received stenting compared to a control group that did not receive JJ stenting. 54 Looking at other procedures, Lien et al 11 found higher risks of developing anxiety following SWL (P < .001), compared to URS or percutaneous nephrolithotomy (PCNL), and higher risks of developing depression following PCNL compared to SWL treatment or URS surgical procedures.…”

Measuring quality of life in patients with kidney stone disease: is it the future in endourology?

“…Two studies showed favorable QoL with URS compared to SWL in larger stones, i.e. >10 mm and over >20 mm [51,52], while a study by Sonmez et al reported better HRQoL in URS group compared to ESWL when measured with SF-36 at 14 days after intervention [53].…”

Decision-making and improvements in health-related quality of life in patients with kidney stones: comparing surgery versus observation using a mixed methods analysis

“…Patient experiences and patient reported outcome measures have been increasingly recognized as important factors in treatment decisions [6][7][8]. Emerging data show the utility of validated quantitative instruments in demonstrating changes in health-reported quality of life (QoL) before and after treatment [9][10][11][12]. Many previous studies rely on general QoL instruments that are not specific to kidney stones, such as the Short Form 36 questionnaire (SF-36) [13].…”