Patient-Reported Outcomes Measurement System (PROMIS ® ) for Patients with Urolithiasis

Initial Report

Michael S Borofsky, Giulia I. Lane, Suzanne M. Neises, Andrew J. Portis

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Purpose Health related quality of life is increasingly important in quality improvement efforts for medical conditions. However, it has proved challenging to measure health related quality of life for urolithiasis, given the distinct chronic and acute phases of this disease. We evaluated the use of PROMIS® (Patient-Reported Outcomes Measurement System) to assess the patient experience through acute stone episode stages. Materials and Methods PROMIS pain measures (intensity and interference) were obtained from patients at a subspecialty kidney stone clinic. Four types of clinical encounters were considered, including emergency department followup, trial of passage, stent removal and 1-month postoperative findings. Raw scores were translated into population normed T-scores with a T-score of 50 considered the reference population mean and a score of 60 considered 1 SD above the mean. T-scores were compared across encounter types on univariate and multivariate analysis. Results A total of 2,018 complete surveys were available from 1,162 patients. Mean pain intensity and pain interference T-scores differed significantly by encounter type (p <0.001). On multivariate analysis the OR of T-scores greater than 60 was higher for pain intensity and interference for all encounter types relative to postoperative findings, including emergency department followup 37.9 vs 124.9, passage trial 5.4 vs 10.5 and stent removal 9.4 vs 30.2 (p <0.001). Additionally, female gender and younger age were independent risk factors for T-scores greater than 60. Conclusions PROMIS pain measures are responsive to the phase of care during symptomatic stone events. Further application of this instrument holds great potential as a valuable tool to improve the quality of urolithiasis care.

Original languageEnglish (US)
Pages (from-to)1091-1097
Number of pages7
JournalJournal of Urology
Volume198
Issue number5
DOIs
StatePublished - Nov 1 2017

Fingerprint

Urolithiasis
Pain
Stents
Hospital Emergency Service
Multivariate Analysis
Quality of Life
Kidney Calculi
Quality of Health Care
Acute Disease
Quality Improvement
Population
Patient Reported Outcome Measures

Keywords

  • kidney
  • pain
  • patient reported outcome measures
  • ureter
  • urolithiasis

Cite this

Patient-Reported Outcomes Measurement System (PROMIS ® ) for Patients with Urolithiasis : Initial Report. / Borofsky, Michael S; Lane, Giulia I.; Neises, Suzanne M.; Portis, Andrew J.

In: Journal of Urology, Vol. 198, No. 5, 01.11.2017, p. 1091-1097.

Research output: Contribution to journalArticle

Borofsky, Michael S ; Lane, Giulia I. ; Neises, Suzanne M. ; Portis, Andrew J. / Patient-Reported Outcomes Measurement System (PROMIS ® ) for Patients with Urolithiasis : Initial Report. In: Journal of Urology. 2017 ; Vol. 198, No. 5. pp. 1091-1097.
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