Mp78-01 Stone (Stent or Nephrostomy) Study: Patient-Reported Outcome Measures

You have accessJournal of UrologyStone Disease: Surgical Therapy (Including ESWL) V (MP78)1 May 2024MP78-01 STONE (STENT OR NEPHROSTOMY) STUDY: PATIENT-REPORTED OUTCOME MEASURES Hugo W. Schuil, Nora Hendriks, Guido M. Kamphuis, Bart C. H. Oskam, Tom J. H. Arends, Diederick Duijvesz, Bart van der Heij, Irene Tjiam, Wout A. Scheepens, Frank C. H. d'Ancona, Janneke I. M. van Uhm, Herman van Roijen, Saskia Weltings, Rutger W. van der Meer, Judith E. Bosmans, Rob C. M. Pelger, Harrie P. Beerlage, Ruben G. Duijnhoven, and Barbara M. A. Schout Hugo W. SchuilHugo W. Schuil , Nora HendriksNora Hendriks , Guido M. KamphuisGuido M. Kamphuis , Bart C. H. OskamBart C. H. Oskam , Tom J. H. ArendsTom J. H. Arends , Diederick DuijveszDiederick Duijvesz , Bart van der HeijBart van der Heij , Irene TjiamIrene Tjiam , Wout A. ScheepensWout A. Scheepens , Frank C. H. d'AnconaFrank C. H. d'Ancona , Janneke I. M. van UhmJanneke I. M. van Uhm , Herman van RoijenHerman van Roijen , Saskia WeltingsSaskia Weltings , Rutger W. van der MeerRutger W. van der Meer , Judith E. BosmansJudith E. Bosmans , Rob C. M. PelgerRob C. M. Pelger , Harrie P. BeerlageHarrie P. Beerlage , Ruben G. DuijnhovenRuben G. Duijnhoven , and Barbara M. A. SchoutBarbara M. A. Schout View All Author Informationhttps://doi.org/10.1097/01.JU.0001008856.05210.73.01AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Obstructive urolithiasis can necessitate drainage of the urinary tract in case of infection, impairment of renal function and/or debilitating pain. Decompression can be achieved through either retrograde insertion of a double J ureteral stent (JJ) or a percutaneously placed nephrostomy (PCN). The STONE study was designed to study differences between JJ and PCN on time to recovery, costs and patient-related outcome measures (PROMs). In this paper we present the results of these PROMs. METHODS: In 11 Dutch hospitals 203 patients with obstructive urolithiasis were randomized between JJ and PCN placement. Patients were asked to report on health-related quality of life (HRQoL) using the EQ-5D-5L questionnaire, satisfaction, catheter-related symptoms and pain scores until 3 months after intervention or until the obstructive stone passed or was removed. RESULTS: HRQoL was reported by 132 patients and the index values did not differ significantly between the two treatment arms at presentation or at any point during follow-up. Scores on the self-care dimension did favor JJ at 14 (p=0.040) and 30 days (p=0.030) after intervention (Figure 1). Average patient satisfaction on a 10-point scale at 30 days was 6.9 for JJ and 6.5 for PCN (p=0.539). Pain scores did not differ significantly at presentation or during follow-up. At 14 days patients with a JJ reported more catheter-related symptoms (Table 1). Majority of JJ patients (60.9%) would again opt for the same intervention, compared to only 35.5% of patients with a PCN (p=0.004). CONCLUSIONS: Compared to PCN, patients with a JJ reported more catheter-related symptoms, however they reported higher scores on the ability to self-care and were more likely to opt for the same intervention again. Based on these results, patient characteristics such as ability for self-care, daily activity and urinary frequency, should be used in the process of shared-decision making for placement of either PCN or JJ. Download PPT Source of Funding: Leading the change © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e1262 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Hugo W. Schuil More articles by this author Nora Hendriks More articles by this author Guido M. Kamphuis More articles by this author Bart C. H. Oskam More articles by this author Tom J. H. Arends More articles by this author Diederick Duijvesz More articles by this author Bart van der Heij More articles by this author Irene Tjiam More articles by this author Wout A. Scheepens More articles by this author Frank C. H. d'Ancona More articles by this author Janneke I. M. van Uhm More articles by this author Herman van Roijen More articles by this author Saskia Weltings More articles by this author Rutger W. van der Meer More articles by this author Judith E. Bosmans More articles by this author Rob C. M. Pelger More articles by this author Harrie P. Beerlage More articles by this author Ruben G. Duijnhoven More articles by this author Barbara M. A. Schout More articles by this author Expand All Advertisement PDF downloadLoading ...