Journal article
The Patient Voice: Stent Experiences After Ureteroscopy-Insights from In-Depth Interviews with Participants in the USDRN STENTS Nested Qualitative Cohort Study
Journal of endourology, Vol.37(6), pp.642-653
06/01/2023
DOI: 10.1089/end.2022.0810
PMID: 37021358
Abstract
Ureteral stents are commonly used after ureteroscopy and cause significant discomfort, yet qualitative perspectives on patients' stent experiences remain unknown. We describe psychological, functional, and interpersonal effects of post-ureteroscopy stents and whether additional patient-reported assessments may be needed.
Using a qualitative descriptive study design, we conducted in-depth interviews with a nested cohort of participants in the STudy to Enhance uNderstanding of sTent-associated Symptoms (STENTS). Participants shared their symptoms with a post-ureteroscopy stent and described symptom bother and impact on daily activities. All interviews were audio-recorded, transcribed, and analyzed using applied thematic analysis. During analysis, participants' experiences with interference in daily activities were categorized into three groups based on their impact: minimal, moderate, and substantial.
All 39 participants experienced pain, although descriptions varied and differentiated between feelings of pain
discomfort. Almost all experienced urinary symptoms. Only a few reported other physical symptoms, although several psychological aspects were identified. In the areas of sleep, mood, life enjoyment, work, exercise, activities of daily living, driving, childcare, and leisure/social activities, the stent had little impact on daily living among participants placed in the minimal group (
= 12) and far greater impact for participants in the substantial group (
= 8). For patients in the moderate group (
= 19), some daily activities were moderately or substantially affected, whereas other activities were minimally affected.
Counseling to better prepare patients for the impact of stent-associated symptoms may help mitigate symptom burden. While existing instruments adequately cover most symptoms, additional assessments for other domains, particularly psychological factors, may be needed.
Details
- Title: Subtitle
- The Patient Voice: Stent Experiences After Ureteroscopy-Insights from In-Depth Interviews with Participants in the USDRN STENTS Nested Qualitative Cohort Study
- Creators
- Amy Corneli - Duke UniversityCarrie Dombeck - Duke UniversityKevin McKenna - Duke UniversityJonathan D Harper - University of WashingtonJodi A Antonelli - The University of Texas Southwestern Medical CenterAlana C Desai - Washington University in St. LouisH Henry Lai - Washington University in St. LouisGregory E Tasian - Children's Hospital of PhiladelphiaJustin Ziemba - University of PennsylvaniaRebecca McCune - Children's Hospital of PhiladelphiaBrooke Piskator - The University of Texas Southwestern Medical CenterHussein R Al-Khalidi - Duke UniversityNaim M Maalouf - The University of Texas Southwestern Medical CenterPeter P Reese - University of PennsylvaniaHunter Wessells - University of WashingtonZiya Kirkali - National Institute of Diabetes and Digestive and Kidney DiseasesCharles D Scales - Duke Universityfor the NIDDK Urinary Stone Disease Research Network
- Resource Type
- Journal article
- Publication Details
- Journal of endourology, Vol.37(6), pp.642-653
- DOI
- 10.1089/end.2022.0810
- PMID
- 37021358
- ISSN
- 0892-7790
- eISSN
- 1557-900X
- Grant note
- U01 DK110994 / NIDDK NIH HHS U01 DK110954 / NIDDK NIH HHS U01 DK110961 / NIDDK NIH HHS U01 DK110986 / NIDDK NIH HHS U01 DK110988 / NIDDK NIH HHS
- Language
- English
- Date published
- 06/01/2023
- Academic Unit
- Urology
- Record Identifier
- 9985244539002771
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