Evidence map›Paper›PMID 33290774›Full record

ArticleUrology2021

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 M Streeper, Matthew Galida, Suzanne Boltz, Shuang Li, Stephen Y Nakada, Eric P Raffin, David R Brown, Vernon M Pais, Justin Y H Chan, Kymora B Scotland and 2 more

Abstract readComparative StudyMulticenter Study
PubMed Publisher
In one paragraph

Article in Urology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Necole M StreeperDivision of Urology, Penn State Milton S. Hershey Medical Center, Hershey, PA. Electronic address: nstreeper@pennstatehealth.psu.edu.
Matthew GalidaDivision of Urology, Penn State Milton S. Hershey Medical Center, Hershey, PA.
Suzanne BoltzDivision of Urology, Penn State Milton S. Hershey Medical Center, Hershey, PA.
Shuang LiDepartment of Urology, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Stephen Y NakadaDepartment of Urology, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Eric P RaffinDepartment of Urology, Dartmouth Hitchcock Medical Center, Lebanon, NH.
David R BrownDepartment of Urology, Dartmouth Hitchcock Medical Center, Lebanon, NH.
Vernon M PaisDepartment of Urology, Dartmouth Hitchcock Medical Center, Lebanon, NH.
Justin Y H ChanDepartment of Urologic Sciences, University of British Columbia, Vancouver, BC, Canada.
Kymora B ScotlandDepartment of Urologic Sciences, University of British Columbia, Vancouver, BC, Canada.
Ben H ChewDepartment of Urologic Sciences, University of British Columbia, Vancouver, BC, Canada.
Kristina L PennistonDepartment of Urology, University of Wisconsin School of Medicine and Public Health, Madison, WI.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the health-related quality of life (HRQOL) of patients with residual fragments after surgical intervention for kidney stones to patients that are stone-free using the disease-specific Wisconsin stone quality of life (WISQOL) questionnaire. Kidney stones contribute to impaired HRQOL, which is increasingly recognized as an important healthcare outcome measurement. MATERIALS AND

methodsWith institutional review board approval, 313 adult patients who underwent surgical intervention for kidney stones at 4 sites 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), which included items related to 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 after surgical intervention.

resultsDemographics did not differ between groups, overall mean age 54.6 ± 13.5 and 55.4% female. There was no significant difference in total WISQOL score for patients with residual fragments (n = 124) compared to patients that were stone-free (n = 189), 110.5 ± 27.8 vs 115.4 ± 23.6 respectively, (P = .12). Interestingly, patients with residual fragments who underwent secondary surgery were found to have significantly lower total WISQOL score (88.4 ± 30.1 vs 116.6 ± 25.0, P <.0001).

conclusionStone-free status after surgical intervention is not associated with better HRQOL when compared with patients whose surgeries left residual fragments. Indeed, further surgical intervention on residual fragments to achieve stone-free status may actually result in worse HRQOL.

Indexed as

Quality of LifeAdultAgedAged, 80 and overCross-Sectional StudiesFemaleHumansKidney CalculiLongitudinal StudiesMaleMiddle AgedNorth AmericaPostoperative PeriodProspective StudiesRetrospective StudiesSurveys and Questionnaires

Identifiers

PMID33290774

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.