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Quality of Life of Urolithiasis Patients During the COVID-19 Pandemic: A Multi-Institutional Cross-Sectional Study
Victor K F Wong1, Naeem Bhojani2, Vincent Bird3
1Department of Urologic Sciences, The University of British Columbia, Vancouver, British Columbia, Canada.
Insights
Fear of COVID-19 negatively impacted the quality of life for urolithiasis patients. Higher COVID-19 fear correlated with lower stone-related quality of life (QOL), particularly affecting women.
Area of Science:
- Urology
- Psychology
- Public Health
Background:
- The COVID-19 pandemic caused widespread fear and anxiety.
- No prior studies examined the impact of health crises on urolithiasis patients' quality of life (QOL).
Purpose of the Study:
- To investigate the association between fear of COVID-19 and stone-related QOL in urolithiasis patients.
- To analyze how procedural delays during the pandemic affected patient QOL.
Main Methods:
- A multi-institutional study involving 400 respondents.
- Utilized the Fear of COVID-19 Scale (FCV-19S) and Wisconsin Stone Quality of Life (WISQOL) questionnaires.
- Correlated questionnaire scores, with subanalysis for procedural delays and ANOVA for FCV-19S quartiles.
Main Results:
- A significant inverse correlation found: greater COVID-19 fear associated with lower stone-related QOL (r = -0.265, p < 0.0001).
- Women reported higher COVID-19 fear (35.8 vs 28.6) and lower QOL (64.2 vs 75.2) than men.
- QOL scores significantly differed across FCV-19S score quartiles (p < 0.05).
Conclusions:
- Increased fear of COVID-19 is linked to diminished stone-related QOL in urolithiasis patients.
- The findings highlight the psychological impact of pandemics on chronic disease patient QOL.
- Interventions addressing fear may be crucial for maintaining QOL in urolithiasis patients during health crises.
Abstract:
The coronavirus disease 2019 (COVID-19) pandemic is an unprecedented global event that has caused significant fear and anxiety across all populations. To date, there have been no studies on how major health crises have affected the stone-related quality of life (QOL) of urolithiasis patients. In this multi-institutional study, we investigated the association between fear of COVID-19 and the QOL of urolithiasis patients during the COVID-19 pandemic using the Fear of COVID-19 Scale (FCV-19S) and the Wisconsin Stone Quality of Life (WISQOL) questionnaires. Patient-reported data collection occurred between April and October 2020 during the COVID-19 pandemic where many procedures (radiologic or surgical) and visits were either delayed or cancelled. The scores generated from patient-reported responses to questionnaires were correlated and then further subanalyzed dependent on categorical responses related to procedural delays or care and were analyzed via the Student's t-test. A single factor analysis of variance (ANOVA) was performed to analyze varying QOL scores across the FCV-19S quartiles. Four hundred respondents participated in this study. Overall mean total standardized FCV-19S and WISQOL scores (both transformed to min-max 0-100) were 34.3 and 70.3, respectively. A significant inverse correlation (r = -0.265, p < 0.0001) demonstrated that suggesting greater COVID-19 fear may result in lower stone-related QOL. A significant difference in fear and QOL scores was observed between the sexes, with women having more COVID-19 fear (35.8 vs 28.6, p < 0.01) and lower stone-related QOL (64.2 vs 75.2, p < 0.01). Quartile ANOVA analysis revealed significant mean difference in WISQOL scores across all FCV-19S score quartiles (p < 0.05). Using two validated questionnaires (FCV-19S and WISQOL) and correlating patient-reported responses, we found that greater fear for COVID-19 was associated with lower stone-related QOL in urolithiasis patients.
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