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Quality of life and urolithiasis: the patient - reported outcomes measurement information system (PROMIS)

机译:生活质量和尿道病:患者报告的结果测量信息系统(PROMIS)

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Background: With a high rate of recurrence, urolithiasis is a chronic disease that impacts quality of life. The Patient Reported Outcomes Measurement Information System is an NIH validated questionnaire to assess patient quality of life. We evaluated the impact of urolithiasis on quality of life using the NIH-sponsored PROMIS-43 questionnaire. Materials and Methods: Patients reporting to the kidney stone clinic were interviewed to collect information on stone history and demographic information and were asked to complete the PROMIS-43 questionnaire. Quality of life scores were analyzed using gender and age matched groups for the general US population. Statistical comparisons were made based on demographic information and patient stone history. Statistical significance was P<0.05. Results: 103 patients completed the survey. 36% of respondents were male, the average age of the group was 52 years old, with 58% primary income earners, and 35% primary caregivers. 7% had never passed a stone or had a procedure while 17% passed 10 or more stones in their lifetime. Overall, pain and physical function were worse in patients with urolithiasis. Primary income earners had better quality of life while primary caregivers and those with other chronic medical conditions were worse. Patients on dietary and medical therapy had better quality of life scores. Conclusions: Urolithiasis patients subjectively have worse pain and physical function than the general population. The impact of pain on quality of life was greatest in those patients who had more stone episodes, underscoring the importance of preventive measures. Stone prevention measures improve quality of life.
机译:背景:具有高复发率,尿道病是一种影响生活质量的慢性疾病。患者报告的结果测量信息系统是NIH验证的问卷,以评估患者的生活质量。我们评估了尿道症对使用NIH-赞助的ProMIS-43问卷的生活质量的影响。材料和方法:对肾结石诊所报告的患者接受采访收集石碑和人口信息的信息,并被要求完成PROMIS-43问卷。利用美国人口的性别和年龄匹配群体分析了生活质量评分。基于人口统计信息和患者石历史进行统计比较。统计显着性为P <0.05。结果:103名患者完成了调查。 36%的受访者是男性,本集团的平均年龄为52岁,初级收入增长58%,35%的主要护理人员。 7%从未通过一块石头或有一个程序,而17%在他们的一生中通过了10个或更多石头。总体而言,尿道病患者的患者总体而言,疼痛和物理功能更差。主要收入收入者具有更好的生活质量,而主要护理人员和其他慢性医疗条件的人则更糟。饮食和医疗疗法的患者具有更好的生活成绩。结论:尿道病患者主观疼痛和物理功能比一般人群更差。在拥有更多石头集的患者中,疼痛对生活质量的影响最大,强调了预防措施的重要性。石材预防措施提高了生活质量。

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