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An Intervention to Increase 24-Hour Urine Collection Compliance.
Carter Boyd1, Kyle Wood2, Omotola Ashorobi2
1School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
Urology Practice
|June 14, 2023
Summary
An intervention improved 24-hour urine collection compliance by 18% in kidney stone patients. However, inadequate insurance remained a barrier to compliance, highlighting persistent health disparities.
Area of Science:
- Nephrology
- Urology
- Public Health
Background:
- Accurate assessment of kidney stone risk relies on patient compliance with 24-hour urine collections.
- Understanding factors influencing compliance is crucial for effective preventive therapy in stone formers.
Purpose of the Study:
- To determine factors associated with 24-hour urine collection compliance.
- To evaluate the impact of a practice change intervention on compliance rates.
Main Methods:
- A comparative analysis of 368 adult stone formers' compliance data from 2015 and 2016.
- Intervention involved a practice change where requests were sent directly to the vendor (Litholink®) by FAX.
- Statistical methods included ANOVA, Fisher's exact test, chi-square test, and t-test to analyze demographic data and compliance.
Main Results:
- Overall compliance increased significantly from 46.9% to 65.1% after the intervention (p <0.001).
- Adequate insurance was associated with higher compliance (58.3% vs 37.15%, p=0.017).
- Partner status and older age correlated with increased compliance in 2015 but not after the intervention.
Conclusions:
- The implemented intervention significantly improved 24-hour urine collection compliance by 18%.
- The intervention effectively eliminated disparities related to age and partner status.
- Inadequate insurance status was identified as a persistent factor associated with poor compliance, even after the intervention.
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