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Low Income and Nonwhite Race are Strongly Associated with Worse Quality of Life in Patients with Nephrolithiasis
- Source :
- Journal of Urology. 202:119-124
- Publication Year :
- 2019
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2019.
-
Abstract
- Kidney stones are a source of significant morbidity which have been shown to negatively impact health related quality of life. We sought to understand the association between health related quality of life, socioeconomic status and race among patients with kidney stones.Patients with stones at a total of 11 stone centers across the United States completed the WISQOL (Wisconsin Stone Quality of Life questionnaire). The patient ZIP Code™ was used to estimate household income. A mixed effects regression model was constructed for analysis with ZIP Code as the random intercept.A total of 2,057 stone formers completed the WISQOL. Lower income was independently associated with significantly lower health related quality of life (β = 0.372, p = 0.014), as were nonwhite race (β = -0.299, p = 0.001), unemployed work status (β = -0.291, p = 0.008), female gender (β = -0.204, p0.001), body mass index greater than 40 kg/mLower income, nonwhite race and unemployed work status were independently associated with lower health related quality of life among patients with kidney stones. While clinical characteristics such as body mass and stone disease severity were also associated with health related quality of life, this study shows that socioeconomic factors are similarly important. Further research to understand the specific mechanisms by which socioeconomic status and race impact health may lend insight into methods to optimize clinical treatment of stone formers and patients with other chronic diseases.
- Subjects :
- Male
Low income
Urology
media_common.quotation_subject
030232 urology & nephrology
Kidney Calculi
03 medical and health sciences
Race (biology)
0302 clinical medicine
Quality of life (healthcare)
Risk Factors
Surveys and Questionnaires
medicine
Humans
In patient
Prospective Studies
Poverty
media_common
Health related quality of life
business.industry
Racial Groups
Health related
Health Status Disparities
Middle Aged
medicine.disease
Unemployment
Chronic Disease
Income
Quality of Life
Female
Kidney stones
business
Demography
Subjects
Details
- ISSN :
- 15273792 and 00225347
- Volume :
- 202
- Database :
- OpenAIRE
- Journal :
- Journal of Urology
- Accession number :
- edsair.doi.dedup.....9d05400642911557f027bb85c965f3eb