Urology · 2026
Item Level Analysis of Patient-Reported Outcomes After Ureteroscopy for Kidney Stones-Plan Your Chores, Cancel Your Plans.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Ziemba Justin B, Jones Amanda, Stambakio Hanna, Tasian Gregory E, Huang Jing
Аннотация
OBJECTIVE: To examine item-level changes in PROMIS pain interference and ability to participate in social roles and activities following ureteroscopy (URS).
MATERIALS AND METHODS: A prospective cohort study was conducted at a single academic center from 2020 to 2022. Adults undergoing URS for nephrolithiasis completed the PROMIS pain interference (computer-adaptive test, 15 subdomains) and ability to participate in social roles and activities (short-form 8a, 8 subdomains) at baseline and at postoperative days (POD) 1, 7, 14, and 30. The primary outcome was a minimal clinically important difference (≥5 points) in T-score from baseline to POD 1. Pairwise comparisons were assessed for change from baseline to each POD using linear mixed-effects models.
RESULTS: A total of 178 participants were enrolled. For pain interference, only 2 of 15 items-work around the home and day-to-day activities-demonstrated a statistically and clinically significant worsening at POD 1 (change +5.9 and +5.7, respectively; both P <.01), persisting through POD 7 before recovering by POD 30. In contrast, 6 of 8 social participation items worsened significantly at POD 1 (change -5.2 to -6.8 points; all P <.01), with full recovery by POD 30.
CONCLUSION: URS produces a specific, task-limited impact on pain interference but a comprehensive reduction in social participation both in and outside the home. These item-level findings offer actionable targets for patient counseling and anticipatory guidance prior to surgery.
MATERIALS AND METHODS: A prospective cohort study was conducted at a single academic center from 2020 to 2022. Adults undergoing URS for nephrolithiasis completed the PROMIS pain interference (computer-adaptive test, 15 subdomains) and ability to participate in social roles and activities (short-form 8a, 8 subdomains) at baseline and at postoperative days (POD) 1, 7, 14, and 30. The primary outcome was a minimal clinically important difference (≥5 points) in T-score from baseline to POD 1. Pairwise comparisons were assessed for change from baseline to each POD using linear mixed-effects models.
RESULTS: A total of 178 participants were enrolled. For pain interference, only 2 of 15 items-work around the home and day-to-day activities-demonstrated a statistically and clinically significant worsening at POD 1 (change +5.9 and +5.7, respectively; both P <.01), persisting through POD 7 before recovering by POD 30. In contrast, 6 of 8 social participation items worsened significantly at POD 1 (change -5.2 to -6.8 points; all P <.01), with full recovery by POD 30.
CONCLUSION: URS produces a specific, task-limited impact on pain interference but a comprehensive reduction in social participation both in and outside the home. These item-level findings offer actionable targets for patient counseling and anticipatory guidance prior to surgery.