MP39-14 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
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Résumé
You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Practice Patterns, Quality of Life and Shared Decision Making II (MP39)1 Apr 2019MP39-14 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 Necole Streeper*, Matthew Galida, Stephen Nakada, Shuang Li, Vernon Pais, Eric Raffin, Ben Chew, and Kristina Penniston Necole Streeper*Necole Streeper* More articles by this author , Matthew GalidaMatthew Galida More articles by this author , Stephen NakadaStephen Nakada More articles by this author , Shuang LiShuang Li More articles by this author , Vernon PaisVernon Pais More articles by this author , Eric RaffinEric Raffin More articles by this author , Ben ChewBen Chew More articles by this author , and Kristina PennistonKristina Penniston More articles by this author View All Author Informationhttps://doi.org/10.1097/01.JU.0000556061.99621.ebAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVES: Kidney stones cause impaired health-related quality of life (HRQOL), which has become an increasingly important outcome measurement. The aim of this study was to compare the HRQOL of patients with residual stone fragments after surgical intervention for kidney stones to patients that are stone-free using the disease-specific Wisconsin Stone Quality of Life (WISQOL) questionnaire. METHODS: With IRB approval, 282 adult patients who underwent surgical intervention for kidney stones at 4 centers completed a WISQOL questionnaire. We retrospectively collected surgical data including presence of residual fragments on post-operative imaging. We calculated standardized WISQOL total and domain scores (0-100), including social functioning (D1), emotional functioning (D2), stone-related impact (D3) and vitality (D4). Scores were compared between patients with residual fragments to those who were stone-free on the laterality of the surgical intervention. RESULTS: Demographics did not differ between groups, overall mean age 55.2 ± 13.7 and 51.8% male. There was no significant difference in total WISQOL score for patients with residual stone fragments (n=148) compared to patients that were stone-free (n=134), 112.9 ± 25.8 vs 117.3 ± 22.8 respectively, (p=0.17). In addition, there was no significant difference for individual domain scores (D1: 82.8 vs 87.4, p= 0.13, D2: 72.0 vs 77.6, p= 0.11, D3: 72.9 vs 76.0, p= 0.32, D4: 70.5 vs 71.7, p= 0.75). However, compared to stone-free patients those with residual stone fragments reported significantly more frustration with their situation (4.08 ± 1.16 vs 3.73 ± 1.40, p = 0.03). Furthermore, patients with residual fragments who underwent secondary stone surgery were found to have significantly lower total WISQOL score (87.3 vs 114.2, p= 0.04). CONCLUSIONS: Preliminary evidence suggests that stone-free status after surgical intervention is not associated with better HRQOL. Further surgical intervention on residual fragments to achieve stone free-status may actually result in worse HRQOL. These results suggest that in a properly counseled patient, surveillance of non-obstructing residual stone fragments may be an acceptable management strategy. Identifying that patients with residual fragments may have more frustration with their situation may help to improve patient counseling and properly set expectations. Source of Funding: none Hershey, PA; Madison, WI; Lebanon, NH; Vancouver, Canada; Madison, WI© 2019 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 201Issue Supplement 4April 2019Page: e550-e550 Advertisement Copyright & Permissions© 2019 by American Urological Association Education and Research, Inc.MetricsAuthor Information Necole Streeper* More articles by this author Matthew Galida More articles by this author Stephen Nakada More articles by this author Shuang Li More articles by this author Vernon Pais More articles by this author Eric Raffin More articles by this author Ben Chew More articles by this author Kristina Penniston More articles by this author Expand All Advertisement PDF downloadLoading ...
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,003 | 0,010 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,001 | 0,003 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,001 | 0,002 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,007 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».