Ureteral Stent Symptom Questionnaire: Development and Validation of a Multidimensional Quality of Life Measure
2003; Lippincott Williams & Wilkins; Volume: 169; Issue: 3 Linguagem: Inglês
10.1097/01.ju.0000049198.53424.1d
ISSN1527-3792
AutoresHrishi B. Joshi, N. Newns, Angela Stainthorpe, R. MacDonagh, Francis X. Keeley, Anthony G. Timoney,
Tópico(s)Ureteral procedures and complications
ResumoNo AccessJournal of UrologyCLINICAL UROLOGY: Original Articles1 Mar 2003Ureteral Stent Symptom Questionnaire: Development and Validation of a Multidimensional Quality of Life Measure H.B. JOSHI, N. NEWNS, A. STAINTHORPE, R.P. MacDONAGH, F.X. KEELEY, and A.G. TIMONEY H.B. JOSHIH.B. JOSHI More articles by this author , N. NEWNSN. NEWNS More articles by this author , A. STAINTHORPEA. STAINTHORPE More articles by this author , R.P. MacDONAGHR.P. MacDONAGH More articles by this author , F.X. KEELEYF.X. KEELEY More articles by this author , and A.G. TIMONEYA.G. TIMONEY More articles by this author View All Author Informationhttps://doi.org/10.1097/01.ju.0000049198.53424.1dAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We developed the ureteral stent symptom questionnaire (USSQ), a psychometrically valid measure to evaluate symptoms and impact on quality of life of ureteral stents. Materials and Methods: A total of 309 patients were asked to participate during different phases of our study. In phase 1 a structured literature search, 9 patient interviews and studies of 90 patients using existing instruments formed the foundation for the initial draft of our new questionnaire. In phase 2 the USSQ was pilot tested, reviewed by experts and field tested in 40 patients to produce a final 38-item draft. In phase 3 formal validation studies were performed in 55 patients to assess validity, reliability and sensitivity to change. Discriminant validation was performed by administering the questionnaire to 3 groups of patients without stents. Results: The final draft addressed various domains of health (6 sections and 38 items) affected by stents covering urinary symptoms, pain, general health, work performance, sexual matters and additional problems. The validation studies showed the questionnaire to be internally consistent (Cronbach’s α >0.7) with good test-retest reliability (Pearson’s coefficient >0.84). The questionnaire demonstrated good construct validity and sensitivity to change shown by significant changes in the score with and after removal of stents. The new USSQ discriminated patients with stents from healthy controls (p <0.001) and patients with urinary calculi without stents and lower urinary tract symptoms. Conclusions: Indwelling ureteral stents have a significant impact on health related quality of life. The new USSQ is a valid and reliable instrument that is expected to become a standard outcome measure to evaluate the impact and compare different types of stents. References 1 : Ureteral stents. Indications, variations, and complications. Urol Clin North Am1988; 15: 481. Google Scholar 2 : Symptoms arising from double-J ureteral stents. J Urol1988; 139: 37. Link, Google Scholar 3 : Morbidity associated with indwelling internal ureteral stents after shock wave lithotripsy. J Urol1989; 141: 510. Link, Google Scholar 4 : Indwelling ureteral stents: impact of material and shape on patient comfort. J Endourol1993; 7: 137. Google Scholar 5 : Ureteral stents: impact of diameter and composition on patient symptoms. J Endourol1997; 11: 45. Google Scholar 6 : Symptom characteristics and the development of tolerance with time in patients with indwelling double-pigtail ureteric stents. BJU Int1999; 84: 276. Google Scholar 7 : Clinical effectiveness of new stent design: randomized single-blind comparison of tail and double-pigtail stents. J Endourol2000; 14: 195. Google Scholar 8 : Ureteral stenting during extracorporeal shock wave lithotripsy: help or hindrance?. J Urol1989; 142: 32. Link, Google Scholar 9 : Quality of Life Assessments in Clinical Trials. New York: Raven Press, Ltd.1990: 3. Google Scholar 10 : The measurement of symptoms, quality of life and sexual function. BJU Int2000; 85: 10. Google Scholar 11 : The Functional Status Questionnaire: reliability and validity when used in primary care. J Gen Intern Med1986; 1: 143. Google Scholar 12 : Assessment of function in routine clinical practiaaa description of the COOP Chart method and preliminary findings. J Chronic Dis1987; 40: 55s. Google Scholar 13 EuroQol—a new facility for the measurement of health-related quality of life. The EuroQol Group. Health Policy1990; 16: 199. Crossref, Medline, Google Scholar 14 : Validation of the self administered Danish Prostatic Symptom Score (Dan-PSS-I) system for use in benign prostatic hyperplasia. Br J Urol1995; 76: 451. Google Scholar 15 : Influence of ureteric stents on general health. Results from EuroQol and SF-36 multidimensional measure survey. J Endourol1999; 13: A113. Google Scholar 16 : Characterization of urinary symptoms in patients with ureteral stents. Urology2002; 59: 511. Google Scholar 17 : Measuring health status: what are the necessary measurement properties?. J Clin Epidemiol1992; 45: 1341. Google Scholar 18 : Measuring quality of life today: methodological aspects. Oncology1990; 4: 29. Google Scholar 19 : Standards for validating health measures: definition and content. J Chronic Dis1987; 40: 473. Google Scholar 20 : Indwelling ureteral stents: evaluation of symptoms, quality of life and utility. J Urol2003; 169: 000. Google Scholar 21 : Editorial comment. J Urol2000; 163: 1619. Google Scholar From the Bristol Urological Institute, Southmead Hospital, Bristol, and Taunton and Somerset National Health Service Trust, Taunton, United Kingdom© 2003 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byHarper J, Desai A, Maalouf N, Yang H, Antonelli J, Tasian G, Lai H, Reese P, Curatolo M, Kirkali Z, Al-Khalidi H, Wessells H, Scales C, Reese P, Tasian G, Ziemba J, Funsten E, Mussell A, McCune R, Shah S, Jain A, Selman-Fermin A, Maalouf N, Antonelli J, Johnson B, Pearle M, Baker L, Piskator B, Obiaro J, Rangel C, Hill M, Harper J, Wessells H, Curatolo M, Edwards T, Sorensen M, Sweet R, Baxter T, Covert H, Ayala E, Flint L, Cho G, Marshall G, Desai A, Lai H, Du K, Mueller S, Black L, Klim A, Scales C, Al-Khalidi H, Corneli A, Reeve B, Weinfurt K, Yang H, Andersen D, Johnson L, Dodd A, Thompson O, Dombeck C, McKenna K, Swezey T, Kirkali Z and Mullins C (2023) Risk Factors for Increased Stent-associated Symptoms Following Ureteroscopy for Urinary Stones: Results From STENTSJournal of Urology, VOL. 209, NO. 5, (971-980), Online publication date: 1-May-2023.DiBianco J, Daignault-Newton S, Dupati A, Hiller S, Kachroo N, Seifman B, Wenzler D, Dauw C and Ghani K (2023) Stent Omission in Pre-stented Patients Undergoing Ureteroscopy Decreases Unplanned Health Care UtilizationUrology Practice, VOL. 10, NO. 2, (163-169), Online publication date: 1-Mar-2023.Wiseman O, Ventimiglia E, Doizi S, Kleinclauss F, Letendre J, Cloutier J and Traxer O (2020) Effects of Silicone Hydrocoated Double Loop Ureteral Stent on Symptoms and Quality of Life in Patients Undergoing Flexible Ureteroscopy for Kidney Stone: A Randomized Multicenter Clinical StudyJournal of Urology, VOL. 204, NO. 4, (769-777), Online publication date: 1-Oct-2020.Iser D, Trevisol D and Pinto Moehlecke Iser B (2019) Re: Efficacy and Safety of Complete Intraureteral Stent Placement versus Conventional Stent Placement in Relieving Ureteral Stent Related Symptoms: A Randomized, Prospective, Single Blind, Multicenter Clinical TrialJournal of Urology, VOL. 203, NO. 1, (210-210), Online publication date: 1-Jan-2020.Yoshida T, Inoue T, Taguchi M, Matsuzaki T, Murota T, Kinoshita H and Matsuda T (2019) Efficacy and Safety of Complete Intraureteral Stent Placement versus Conventional Stent Placement in Relieving Ureteral Stent Related Symptoms: A Randomized, Prospective, Single Blind, Multicenter Clinical TrialJournal of Urology, VOL. 202, NO. 1, (164-170), Online publication date: 1-Jul-2019.Portis J, Neises S and Portis A (2018) Pain is Independent of Stone Burden and Predicts Surgical Intervention in Patients with Ureteral StonesJournal of Urology, VOL. 200, NO. 3, (597-603), Online publication date: 1-Sep-2018.Borofsky M, Lane G, Neises S and Portis A (2017) Patient-Reported Outcomes Measurement System (PROMIS®) for Patients with Urolithiasis: Initial ReportJournal of Urology, VOL. 198, NO. 5, (1091-1097), Online publication date: 1-Nov-2017.Sivalingam S, Streeper N, Sehgal P, Sninsky B, Best S and Nakada S (2015) Does Combination Therapy with Tamsulosin and Tolterodine Improve Ureteral Stent Discomfort Compared with Tamsulosin Alone? A Double-Blind, Randomized, Controlled TrialJournal of Urology, VOL. 195, NO. 2, (385-390), Online publication date: 1-Feb-2016.Sivalingam S and Monga M (2014) Management of Ureteral Stent Discomfort in Contemporary Urology PracticeUrology Practice, VOL. 1, NO. 3, (141-145), Online publication date: 1-Sep-2014.Yakoubi R, Lemdani M, Monga M, Villers A and Koenig P (2011) Is There a Role for α-Blockers in Ureteral Stent Related Symptoms? A Systematic Review and Meta-AnalysisJournal of Urology, VOL. 186, NO. 3, (928-934), Online publication date: 1-Sep-2011.Davenport K, Kumar V, Collins J, Melotti R, Timoney A and Keeley F (2010) New Ureteral Stent Design Does Not Improve Patient Quality of Life: A Randomized, Controlled TrialJournal of Urology, VOL. 185, NO. 1, (175-178), Online publication date: 1-Jan-2011.Joshi H, Keeley F and Timoney A (2010) Re: A Novel Drug Eluting Ureteral Stent: A Prospective, Randomized, Multicenter Clinical Trial to Evaluate the Safety and Effectiveness of a Ketorolac Loaded Ureteral StentJournal of Urology, VOL. 184, NO. 5, (2217-2218), Online publication date: 1-Nov-2010.Dellis A, Joshi H, Timoney A and Keeley F (2010) Relief of Stent Related Symptoms: Review of Engineering and Pharmacological SolutionsJournal of Urology, VOL. 184, NO. 4, (1267-1272), Online publication date: 1-Oct-2010.Krambeck A, Walsh R, Denstedt J, Preminger G, Li J, Evans J and Lingeman J (2010) A Novel Drug Eluting Ureteral Stent: A Prospective, Randomized, Multicenter Clinical Trial to Evaluate the Safety and Effectiveness of a Ketorolac Loaded Ureteral StentJournal of Urology, VOL. 183, NO. 3, (1037-1043), Online publication date: 1-Mar-2010.Shields J, Bird V, Graves R and Gómez-Marín O (2009) Impact of Preoperative Ureteral Stenting on Outcome of Ureteroscopic Treatment for Urinary LithiasisJournal of Urology, VOL. 182, NO. 6, (2768-2774), Online publication date: 1-Dec-2009.Lingeman J, Preminger G, Goldfischer E and Krambeck A (2009) Assessing the Impact of Ureteral Stent Design on Patient ComfortJournal of Urology, VOL. 181, NO. 6, (2581-2587), Online publication date: 1-Jun-2009.Beddingfield R, Pedro R, Hinck B, Kreidberg C, Feia K and Monga M (2008) Alfuzosin to Relieve Ureteral Stent Discomfort: A Prospective, Randomized, Placebo Controlled StudyJournal of Urology, VOL. 181, NO. 1, (170-176), Online publication date: 1-Jan-2009.Giannarini G, Mogorovich A, Selli C and Keeley F (2008) Re: Indwelling Ureteral Stents and Sexual Health: A Prospective, Multivariate AnalysisJournal of Urology, VOL. 180, NO. 3, (1188-1190), Online publication date: 1-Sep-2008.Ibrahim H, Al-Kandari A, Shaaban H, Elshebini Y and Shokeir A (2008) Role of Ureteral Stenting After Uncomplicated Ureteroscopy for Distal Ureteral Stones: A Randomized, Controlled TrialJournal of Urology, VOL. 180, NO. 3, (961-965), Online publication date: 1-Sep-2008.Giannarini G, Keeley F, Valent F, Milesi C, Mogorovich A, Manassero F, Barbone F, Joshi H, Timoney A and Selli C (2008) The Italian Linguistic Validation of the Ureteral Stent Symptoms QuestionnaireJournal of Urology, VOL. 180, NO. 2, (624-628), Online publication date: 1-Aug-2008.Haleblian G, Kijvikai K, de la Rosette J and Preminger G (2007) Ureteral Stenting and Urinary Stone Management: A Systematic ReviewJournal of Urology, VOL. 179, NO. 2, (424-430), Online publication date: 1-Feb-2008.Sighinolfi M, Micali S, De Stefani S, Mofferdin A, Grande A, Giacometti M, Ferrari N, Rivalta M and Bianchi G (2007) Indwelling Ureteral Stents and Sexual Health: A Prospective, Multivariate AnalysisJournal of Urology, VOL. 178, NO. 1, (229-231), Online publication date: 1-Jul-2007.JOSHI H, CHITALE S, NAGARAJAN M, IRVING S, BROWNING A, BIYANI C and BURGESS N (2018) A PROSPECTIVE RANDOMIZED SINGLE-BLIND COMPARISON OF URETERAL STENTS COMPOSED OF FIRM AND SOFT POLYMERJournal of Urology, VOL. 174, NO. 6, (2303-2306), Online publication date: 1-Dec-2005. Volume 169Issue 3March 2003Page: 1060-1064 Advertisement Copyright & Permissions© 2003 by American Urological Association, Inc.Keywordsstentsquestionnairesuretertreatment outcomequality of lifeMetricsAuthor Information H.B. JOSHI More articles by this author N. NEWNS More articles by this author A. STAINTHORPE More articles by this author R.P. MacDONAGH More articles by this author F.X. KEELEY More articles by this author A.G. TIMONEY More articles by this author Expand All Advertisement PDF downloadLoading ...
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