Journal of Patient Safety & Quality Improvement

Journal of Patient Safety & Quality Improvement

Investigating the Effect of Socio-Demographic Characteristics on the Quality of Life Among Patients with Kidney Stones

Document Type : Original Article

Authors
Susan Mohammadi-Kebar 1
Farhad Pourfarzi 2
Saber Nasiri 3
1 Department of Internal Medicine, School of Medicine, Ardabil University of Medical Science, Ardabil, Iran.
2 Department of Community Medicine, School of Medicine, Ardabil University of Medical Science, Ardabil, Iran.
3 School of Medicine, Ardabil University of Medical Science, Ardabil, Iran.
10.22038/psj.2024.81544.1438
Abstract
Introduction:
Kidney stones represent a prevalent urological condition, impacting approximately 12% of the global population. While the quality of life has been examined in various urological disorders, research focusing specifically on patients with kidney stones has been limited. This study aims to assess the influence of socio-demographic factors on the quality of life among individuals suffering from kidney stones.
Materials and Methods:
This cross-sectional analysis involved 142 patients diagnosed with kidney stones. The quality of life was measured using the 36-Item Short Form Health Survey. The data collected were analyzed using SPSS version 25, with results presented as means and standard deviations for quantitative data and frequencies and percentages for qualitative data. The U-Mann-Whitney test was employed to compare quantitative variables between two groups, while the Kruskal-Wallis test was used to compare three or more groups. A sign test evaluated patients' quality of life pre- and post-treatment changes.
Results:
Patients’ scores varied, with the lowest recorded in the physical role limitations subscale (39.1±37.4) and the highest in the mental health subscale (62.7±15.1). A significant association was found between patients' gender and the subscales of social functioning (P=0.038), bodily pain (P=0.004), and general health (P=0.001). Treatment for kidney stones was shown to impact a patient’s quality of life significantly.
Conclusion:
Individuals with kidney stones experience a diminished quality of life. Factors such as female gender, age exceeding 50, and obesity were notably linked to a decline in quality of life, whereas no significant correlations were identified with other factors. The treatment of kidney stones significantly contributed to an improvement in the quality of life.
Keywords
Kidney stones
quality of life
SF-36 questionnaire
Subjects
  1. Lotan Y. Economics and cost of care of stone disease. Adv Chronic Kidney Dis. 2009;16(1):5-10. doi: 10.1053/j.ackd.2008.10.002. PMID: 19 095200.
  2. Romero V, Akpinar H, Assimos DG. Kidney stones: a global picture of prevalence, incidence, and associated risk factors. Rev Urol. 2010; 12(2-3): e86-96. PMID: 20811557; PMCID: PMC29 31286.
  3. Sorokin I, Mamoulakis C, Miyazawa K, Rodgers A, Talati J, Lotan Y. Epidemiology of stone disease across the world. World J Urol. 2017;35(9):1301-1320. doi: 10.1007/ s00345-017-2008-6. Epub 2017 Feb 17.PMID:28213860.
  4. Sakhaee K, Maalouf NM, Sinnott B. Clinical review. Kidney stones 2012: pathogenesis, diagnosis, and management. J Clin Endocrinol Metab. 2012;97(6):1847-60. doi: 10.1210/jc. 2011-3492. Epub 2012 Mar 30. PMID: 22466339; PMCID: PMC3387413.
  5. Penniston KL, Antonelli JA, Viprakasit DP, Averch TD, Sivalingam S, Sur RL, et al. Validation and Reliability of the Wisconsin Stone Quality of Life Questionnaire. J Urol. 2017;197(5):1280-1288. doi: 10.1016/j.juro.2016.11.097. Epub 2016 Nov 23. PMID: 27889419.
  6. New F, Somani BK. A Complete World Literature Review of Quality of Life (QOL) in Patients with Kidney Stone Disease (KSD). Curr Urol Rep. 2016;17(12):88. doi: 10.1007/ s11934-016-0647-6. PMID: 27771854; PMCID: PMC5075340.
  7. Asadollahi A, Ismaeli A, Fani Saberi L. Validity and Reliability of Quality-of-Life Test Among Ahwaz Older Adults In 2016. Journal of sociology studies. 2016;8(32):7-15.
  8. Theofilou P. Quality of life: definition and measurement. Europe's journal of psychology. 2013; 9(1):1-10.
  9. Karimi M, Brazier J. Health, Health-Related Quality of Life, and Quality of Life: What is the Difference? Pharmacoeconomics. 2016; 34(7): 645-9. doi: 10.1007/s40273-016-0389-9. PMID: 26892973.
  10. Ahmad TR, Tzou DT, Usawachintachit M, Reliford-Titus S, Wu C, Goodman J, et al. Low Income and Nonwhite Race are Strongly Associated with Worse Quality of Life in Patients with Nephrolithiasis. J Urol. 2019;202(1):119-124. doi: 10. 1097/ JU.0000000000000233. Epub 2019 Jun 7. PMID: 30865567.
  11. Streeper NM, Wertheim ML, Nakada SY, Penniston KL. Cystine Stone Formers Have Impaired Health-Related Quality of Life Compared with Noncystine Stone Formers: A Case-Referent Study Piloting the Wisconsin Stone Quality of Life Questionnaire Among Patients with Cystine Stones. J Endourol. 2017;31(S1):S48-S53. doi: 10. 1089/ end. 2016. 0564. Epub 2016 Nov 8. PMID: 27717296.
  12. Bensalah K, Tuncel A, Gupta A, Raman JD, Pearle MS, Lotan Y. Determinants of quality of life for patients with kidney stones. J Urol. 2008;179(6):2238-43; discussion 2243. doi: 10.1016/j.juro.2008.01.116. Epub 2008 Apr 18. PMID: 18423704.
  13. Gvozdić B, Milenković-Petronić D, Lađević N, Vuksanović A, Durutović O. The examination of the quality of life changes of patients with urolithiasis regarding different methods of treatment. Vojnosanitetski pregled. 2020; 77(2): 158-64.ttps:// doi.org/10. 2298/ VSP18030906 0G
  14. Abbagani S, Gundimeda SD, Varre S, Ponnala D, Mundluru HP. Kidney stone disease: Etiology and evaluation. 2010;1(1):175-182.
  15. Lins L, Carvalho FM. SF-36 total score as a single measure of health-related quality of life: Scoping review. SAGE Open Med. 2016;4: 2050312116671725. doi: 10.1177/205031211 6671725.PMID:27757230;PMCID:PMC5052926.
  16. Salman MY, Tandogdu Z, Fazlioglu A, Cek MJM. Patient’s quality of life following open surgery and percutaneous nephrolithotomy for renal calculi: Short form-36 study. Asian Pacific Journal of Health Sciences.2017;.2:61-4.
  17. Penniston KL, Nakada SY. Health related quality of life differs between male and female stone formers. J Urol. 2007;178(6):2435-40; discussion 2440. doi: 10.1016/j. juro.2007. 08.009. Epub 2007 Oct 15. PMID: 17937947.
  18. Bryant M, Angell J, Tu H, Goodman M, Pattaras J, Ogan K. Health related quality of life for stone formers. J Urol. 2012;188(2):436-40. doi: 10.1016/j.juro.2012.04.015. Epub 2012 Jun 14. PMID: 22704108.
  19. Diniz DH, Blay SL, Schor N. Quality of life of patients with nephrolithiasis and recurrent painful renal colic. Nephron Clin Pract. 2007; 106(3):c91-7. doi: 10.1159/000102995. PMID: 17522476.
  20. Patel N, Brown RD, Sarkissian C, De S, Monga M. Quality of life and urolithiasis: the patient - reported outcomes measurement information system (PROMIS). Int Braz J Urol. 2017;43(5):880-886. doi: 10.1590/ S1677-5538.IBJU.2016.0649. PMID: 28792186; PMCID: PMC5678519.
  21. Arafa MA, Rabah DM. Study of quality of life and its determinants in patients after urinary stone fragmentation. Health Qual Life Outcomes. 2010;8:119. doi: 10.1186/1477-7525-8-119. PMID: 20959005; PMCID: PMC2974666.
  22. Scales CD Jr, Smith AC, Hanley JM, Saigal CS. Urologic Diseases in America Project. Prevalence of kidney stones in the United States. Eur Urol. 2012;62(1):160-5. doi: 10.1016/j. eururo. 2012.03.052. Epub 2012 Mar 31. PMID: 22498635; PMCID: PMC3362665.
  23. Vallis M. Quality of life and psychological well-being in obesity management: improving the odds of success by managing distress. Int J Clin Pract. 2016;70(3):196-205. doi: 10.1111/ ijcp.12765. Epub 2016 Feb 4. PMID: 26842304; PMCID: PMC5067635.
  24. Rabah DM, Alomar M, Binsaleh S, Arafa MA. Health related quality of life in ureteral stone patients: post-ureterolithiasis. Urol Res. 2011; 39(5):385-8. doi: 10.1007/s00240-011-0375-9. Epub 2011 Apr 3. PMID: 21461963.

 

Journal of Patient Safety & Quality Improvement
Volume 12, Issue 3
Summer 2024
Pages 127-134