Year: 2018
Type: article
Study design: Observational Study
Abstract: You have accessJournal of UrologyStone Disease: Epidemiology & Evaluation I1 Apr 2018MP13-07 INCOME IS STRONGLY ASSOCIATED WITH KIDNEY STONE DISEASE-SPECIFIC QUALITY OF LIFE Tessnim R. Ahmad, BS, David T. Tzou, MD, Shalonda Reliford-Titus, BA, Clinton Wu, BSc, Jeremy Goodman, BA, Jodi A. Antonelli, MD, Davis P. Viprakasit, MD, FACS, Timothy D. Averch, MD, Sri Sivalingam, MD, MSc, FRCSC, Ben H. Chew, MD, Vincent G. Bird, MD, Vernon M. Paise, Jr., MD, Necole M. Streeper, MD, Roger L. Sur, MD, Stephen Y. Nakada, MD, FACS, FRCS, Kristina L. Penniston, PhD, RD, and Thomas Chi, MD Tessnim R. Ahmad, BSTessnim R. Ahmad, BS More articles by this author , David T. Tzou, MDDavid T. Tzou, MD More articles by this author , Shalonda Reliford-Titus, BAShalonda Reliford-Titus, BA More articles by this author , Clinton Wu, BScClinton Wu, BSc More articles by this author , Jeremy Goodman, BAJeremy Goodman, BA More articles by this author , Jodi A. Antonelli, MDJodi A. Antonelli, MD More articles by this author , Davis P. Viprakasit, MD, FACSDavis P. Viprakasit, MD, FACS More articles by this author , Timothy D. Averch, MDTimothy D. Averch, MD More articles by this author , Sri Sivalingam, MD, MSc, FRCSCSri Sivalingam, MD, MSc, FRCSC More articles by this author , Ben H. Chew, MDBen H. Chew, MD More articles by this author , Vincent G. Bird, MDVincent G. Bird, MD More articles by this author , Vernon M. Paise, Jr., MDVernon M. Paise, Jr., MD More articles by this author , Necole M. Streeper, MDNecole M. Streeper, MD More articles by this author , Roger L. Sur, MDRoger L. Sur, MD More articles by this author , Stephen Y. Nakada, MD, FACS, FRCSStephen Y. Nakada, MD, FACS, FRCS More articles by this author , Kristina L. Penniston, PhD, RDKristina L. Penniston, PhD, RD More articles by this author , and Thomas Chi, MDThomas Chi, MD More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2018.02.479AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Kidney stones are a source of significant morbidity and have been shown to negatively impact health-related quality of life (HRQOL). While socioeconomic status (SES) is associated with HRQOL, it has never been examined in relation to kidney stone disease-specific HRQOL. The purpose of this study was to assess kidney stone patients’ quality of life in relation to income. METHODS This was a multi-institutional prospective cohort study where kidney stone patients at 10 stone centers across the U.S. were enrolled. They completed the Wisconsin Stone Quality of Life questionnaire (WISQOL – a validated HRQOL questionnaire specifically tailored to kidney stone patients) between June 2014 and March 2017 at the time of their first clinic visit when presenting for initial stone evaluation. Race/ethnicity was defined by self-report. Each patient’s income was estimated using census median incomes identified by zip code, then further classified into low, middle, and upper income brackets using Pew Research Center guidelines. Linear regression was used to examine the relationship between income and HRQOL, adjusting for age, gender, race, BMI, number of stone events, and number of comorbidities. RESULTS The study sample included 1,777 individuals. Older age and male gender were significantly associated with higher WISQOL scores (p<0.010). Factors associated with lower WISQOL scores were low income, non-White race, overweight or extremely obese BMI, the presence of 3 or more comorbidities, and severe recurrent stone formation. In a multiple regression model, the effect of income on QOL weakened but remained statistically significant (p<0.050, Table 1). CONCLUSIONS Lower income, when adjusted for age, race, gender, BMI, number of stone events, and comorbidities, is statistically significantly associated with lower stone-specific HRQOL. Understanding how SES impacts HRQOL may lend insight into ways to optimize the management of patients with kidney stones. © 2018FiguresReferencesRelatedDetails Volume 199Issue 4SApril 2018Page: e173-e174 Advertisement Copyright & Permissions© 2018MetricsAuthor Information Tessnim R. Ahmad, BS More articles by this author David T. Tzou, MD More articles by this author Shalonda Reliford-Titus, BA More articles by this author Clinton Wu, BSc More articles by this author Jeremy Goodman, BA More articles by this author Jodi A. Antonelli, MD More articles by this author Davis P. Viprakasit, MD, FACS More articles by this author Timothy D. Averch, MD More articles by this author Sri Sivalingam, MD, MSc, FRCSC More articles by this author Ben H. Chew, MD More articles by this author Vincent G. Bird, MD More articles by this author Vernon M. Paise, Jr., MD More articles by this author Necole M. Streeper, MD More articles by this author Roger L. Sur, MD More articles by this author Stephen Y. Nakada, MD, FACS, FRCS More articles by this author Kristina L. Penniston, PhD, RD More articles by this author Thomas Chi, MD More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...
Source: The Journal of Urology
Authors: Tessnim R. Ahmad, BS, David T. Tzou, MD, Shalonda Reliford-Titus, BA, Clinton Wu, BSc, Jeremy Goodman, BA, Jodi A. Antonelli, MD, Davis P. Viprakasit, MD, FACS, Timothy D. Averch, MD, Sri Sivalingam, MD, MSc, FRCSC, Ben H. Chew, MD, Vincent G. Bird, MD, Vernon M. Paise, Jr., MD, Necole M. Streeper, MD, Roger L. Sur, MD, Stephen Y. Nakada, MD, FACS, FRCS, Kristina L. Penniston, PhD, RD, Thomas Chi, MD
Institution: Pennsylvania State University
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W2796154457