Is health-related quality of life of patients after single-use flexible ureteroscopy superior to extracorporeal shock wave lithotripsy? A randomised prospective study

Švihra, Ján; Sopilko, Igor; Svihrova, Viera; Študent, Vladimír; Ľupták, J.

doi:10.1007/s00240-020-01224-4

Cited by 7 publications

(4 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The evaluation of the impact of the two surgical methods on the quality of life of patients may become the next focus. Although some studies have reported the impact of the two surgical methods on the quality of life of patients in recent years ( 37 , 39 , 41 ), the forms and methods of questionnaires used by the research institutes were quite different and the conclusions they drew were also different. At present, a unified, standardized, and quantifiable method is urgently needed to evaluate the two surgical methods, and further research is needed for evaluation in the future.…”

Section: Discussionmentioning

confidence: 99%

Safety and efficacy of extracorporeal shock wave lithotripsy vs. flexible ureteroscopy in the treatment of urinary calculi: A systematic review and meta-analysis

Qi²,

Gao³

et al. 2022

Front. Surg.

View full text Add to dashboard Cite

ObjectiveThis study aims to compare the safety and efficacy of extracorporeal shock wave lithotripsy (SWL) and flexible ureteroscopy lithotripsy (f-URS) in treating urinary tract stones.MethodsWe systematically searched PubMed, Embase, and Cochrane for literature comparing SWL with f-URS. The primary outcomes we focused on were stone-free rate (SFR) and complications; the secondary outcomes were operation time, hospital stay, retreatment rate, number of sessions, and auxiliary procedures rate. We used ReviewManager version 5.4.1 and STATA version 14.2 for meta-analysis.ResultsSeventeen studies with a total of 2,265 patients were included in the meta-analysis, including 1,038 patients in the SWL group and 1,227 patients in the f-URS group. The meta-analysis indicated that patients in the f-URS group had higher SFR than those in the SWL group [odds ratio (OR): 2.00, 95% confidence interval (CI): 1.29–3.12, p = 0.002]. In addition, we found no significant difference in complications (OR: 1.08, 95% CI: 0.85–1.37) between the two treatments. Also, we found that the retreatment rate and the auxiliary procedure rate in the f-URS group were significantly lower than those in the SWL group (OR: 0.08, 95% CI: 0.02–0.24, p < 0.00001; OR: 0.30, 95% CI: 0.11–0.83, p = 0.02). Moreover, the number of sessions in the f-URS group was significantly lower than that in the SWL group [mean difference (MD): −1.96, 95% CI: −1.55 to −0.33, p = 0.003]. However, the operation time and hospital stay in the f-URS group were significantly longer than those in the SWL group (MD: 11.24, 95% CI: 3.51–18.56, p = 0.004; MD: 1.14, 95% CI: 0.85–1.42, p < 0.00001).ConclusionFor 1–2-cm urinary stones, f-URS can achieve a higher SFR than SWL while having a lower retreatment rate, number of sessions, and auxiliary procedure rate. For urinary stones <1 cm, there was no significant difference in SFR between SWL and f-URS groups. The SWL group has a shorter operative time and hospital stay than the f-URS group.

show abstract

Section: Discussionmentioning

confidence: 99%

Safety and efficacy of extracorporeal shock wave lithotripsy vs. flexible ureteroscopy in the treatment of urinary calculi: A systematic review and meta-analysis

Qi²,

Gao³

et al. 2022

Front. Surg.

View full text Add to dashboard Cite

show abstract

“…Both studies were limited by their low sample sizes and the routine use of ureteral stents. In the study by Atis et al all URS patients received ureteral stents [47], whilst both groups had high frequency of ureteral stents (50% in ESWL group) in the study by Svihra et al [48] Several observational studies have shown contrasting results as well. Some studies show results in favor of ESWL.…”

Section: Quality Of Life Among Different Interventionsmentioning

confidence: 98%

“…In the only RCT using a disease-specific PROM, Svihra et al reported contrasting results. When administering WISQoL before and 6 months after the intervention they found a significantly lower score in the SWL group [48]. Both studies were limited by their low sample sizes and the routine use of ureteral stents.…”

Section: Quality Of Life Among Different Interventionsmentioning

confidence: 98%

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

Vo,

Somani,

Ulvik

et al. 2023

Current Opinion in Urology

View full text Add to dashboard Cite

Purpose of review Kidney stone disease is recognized to negatively impact quality of life. This pertains to acute episodes, surgical interventions and even during asymptomatic periods. Over time there has been increased attention towards assessing this subjective parameter, including as a determinant of treatment success. Our aim was to evaluate the current status and emerging trends in this field. Recent findings Patient groups most affected appear to be recurrent stone formers, cystine stone formers, women, younger populations, non-Caucasians and low-income populations. Several stone specific patient reported outcome measures are now available of which, WISQol has been implemented the most in clinical research studies. More invasive interventions such as percutaneous nephrolithotomy impede quality of life to greater extent than alternatives such as shockwave lithotripsy. Summary There are certain patient groups who are more vulnerable to the negative impact of kidney stone disease on their quality of life. Urologists can improve patient care by recognizing these particular populations as well as by implemented patient reported outcome measures in their routine clinical practice and when performing research.

show abstract

“…The WISQOL has already been translated and validated in different languages, i.e., Spanish, Turkish, Korean, French,German, Chinese, Japanese and Slovak [11][12][13][14][15][16][17][18], but an Italian version has not been developed and tested yet.…”

Section: Introductionmentioning

confidence: 99%

Validation of the Italian version of wisconsin stone quality of life (WISQOL): a prospective Italian multicenter study

et al. 2022

View full text Add to dashboard Cite

Urolithiasis is a worldwide spread condition that affects patients' Health-Related Quality of Life (HRQOL), which measurement is an important tool for routine clinical and research practice. Disease-specific HRQOL measures demonstrated to perform better in assessing the effects of specific conditions. A disease-specific questionnaire for kidney stones, the WISQOL, has been validated in different languages, but an Italian version is still missing. Our aim is to produce and validate the Italian version of WISQOL (IT-WISQOL). Patients undergoing any elective treatment for upper urinary tract stones were enrolled. A multi-step process with forward-and back-translation was used to translate WISQOL into Italian. Patients were evaluated within 15 days pre-operatively and then at 30-, 90 days post-operatively and administered both IT-WISQOL and SF-36v2. Post-operative data such as 30 days postoperative complications, late stone-related events, successful status, and stone complexity were collected. Cronbach's α was used to evaluate the internal consistency of IT-WISQOL, while Spearman's rho was used for item and inter-domain correlations and IT-WISQOL with SF-36v2 correlation. We found excellent internal consistency across all domains (α ≥ 0.88), particularly when the total score is considered (α = 0.960). Test-retest reliability showed excellent results for the total questionnaire (Pearson correlation value: 0.85). The Inter-domain association ranged from 0.497 to 0.786. Convergent validity was confirmed by a good correlation with subdomains of the SF-36v2 measures. IT-WISQOL is a reliable tool to measure HRQOL in stone patients. It shows analog characteristics if compared to English WISQOL.

show abstract

Is health-related quality of life of patients after single-use flexible ureteroscopy superior to extracorporeal shock wave lithotripsy? A randomised prospective study

Cited by 7 publications

References 14 publications

Safety and efficacy of extracorporeal shock wave lithotripsy vs. flexible ureteroscopy in the treatment of urinary calculi: A systematic review and meta-analysis

Safety and efficacy of extracorporeal shock wave lithotripsy vs. flexible ureteroscopy in the treatment of urinary calculi: A systematic review and meta-analysis

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

Validation of the Italian version of wisconsin stone quality of life (WISQOL): a prospective Italian multicenter study

Contact Info

Product

Resources

About