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445 WOMEN STONE FORMERS HAVE REDUCED QUALITY OF LIFE COMPARED TO MEN DUE TO LOWER ENERGY, MORE SLEEP DISTURBANCES, AND ANXIETY

2013; Lippincott Williams & Wilkins; Volume: 189; Issue: 4S Linguagem: Inglês

10.1016/j.juro.2013.02.1835

1527-3792

Kristina L. Penniston, Stephen Y. Nakada,

Therapeutic Uses of Natural Elements

You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Quality of Life1 Apr 2013445 WOMEN STONE FORMERS HAVE REDUCED QUALITY OF LIFE COMPARED TO MEN DUE TO LOWER ENERGY, MORE SLEEP DISTURBANCES, AND ANXIETY Kristina L Penniston and Stephen Y Nakada Kristina L PennistonKristina L Penniston Madison, WI More articles by this author and Stephen Y NakadaStephen Y Nakada Madison, WI More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.1835AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Stone formers (SFs) have reduced health-related quality of life (QOL) compared to non-SFs. Moreover, recent data show that, among SFs, women have lower QOL than men. As data on health-related QOL in SFs has been obtained with generic QOL surveys, specific stone-related reasons for the lower scores of women have not been characterized. We compared the scores of male and female SFs on the Wisconsin Stone-QOL, a new disease-specific QOL survey. METHODS With an-IRB approved protocol, 107 female (48±15 y) and 141 male (57±13 y) SFs from our clinics fully completed the Wisconsin Stone-QOL, a validated 28-question survey with items, generated by patient focus groups, of specific relevance to urolithiasis. Patients were largely calcium stone formers and were variable with respect to their stone histories. Total scores and scores by question were compared. RESULTS Female and male SFs were similar for stone burden at the time of the survey (66 and 75%, respectively). Women were more likely than men to report symptoms from their stones (83 vs. 46%). Total survey scores were lower for women (p=0.00001) as were scores for 50% of individual items (p<0.01 as test for significance). After raising the level of significance (p<0.002), 10 items were identified as particularly bothersome for women: reduced energy level, feeling very tired, trouble getting to sleep, poor quality sleep, difficulty returning to sleep, general health concern, nausea, frustration, worry, and anxiety about what might happen in the future with respect to recurrence. Items with the least differences between genders had to do with nocturia, urinary frequency/urgency during waking hours, feelings about travel and participation in social events, ability to complete daily life activities, missed work or family time, problems adhering to prevention recommendations, and issues related to intimacy and the desire to socialize with others. CONCLUSIONS It is known that SFs have reduced QOL compared to the general population. However, the reasons for lower scores in SFs of women vs. men have not been elucidated. The Wisconsin Stone-QOL provides details about why women SFs have lower health-related QOL than male SFs. Knowledge of differential effects of urolithiasis on women SFs may lead to strategies to improve medical and surgical management. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e182 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Kristina L Penniston Madison, WI More articles by this author Stephen Y Nakada Madison, WI More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...