tailieunhanh - báo cáo khoa học:" Study of quality of life and its determinants in patients after urinary stone fragmentation"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Study of quality of life and its determinants in patients after urinary stone fragmentation | Arafa and Rabah Health and Quality of Life Outcomes 2010 8 119 http content 8 1 119 HEALTH AND QUALITY of life outcomes RESEARCH Open Access Study of quality of life and its determinants in patients after urinary stone fragmentation Mostafa A Arafa Danny M Rabah Abstract Background This study was designed to evaluate the health-related quality of life HRQOL of patients who had undergone lithotripsy for treatment of urinary stones and to identify factors that significantly affect the HRQOL of these patients. Methods A comparative cross-sectional study was performed at the main university and main Ministry of health hospitals in Riyadh Saudi Arabia. All patients admitted to the urology service and who underwent lithotripsy for urinary stones during a 9-month period were included in the study. An observation period of 3-15 months following the last treatment was allowed before patients completed the QOL questionnaire. Information on sociodemographic and medical characteristics and number and type of lithotripsies were collected. The Medical Outcome Study Short-Form 36-item survey SF-36 was used to assess HRQoL. For comparison the HRQoL in an equal number of healthy individuals was investigated multivariate analysis of variance was used for comparisons between groups. Results Compared with healthy subjects lithotripsy patients had significantly higher mean scores in the different subscales of the SF-36 questionnaire such as physical functioning vitality role-physical role-emotional and mental health indicating a better HRQOL. Compared with patients who underwent ureteroscopic or extracorporeal shockwave lithotripsies those who underwent percutaneous lithotripsy had significantly worse mean scores for all the SF-36 scales except for body pain. Factors impacting HRQOL of the patients were age obesity diabetes mellitus and stone characteristics such as localization in the kidney and recurrence multiple lithotripsies . Conclusions Post-lithotripsy patients .