Category: Clinical Stones: Ureteroscopy
Introduction & Objective : Unplanned encounters following ureteroscopic stone extraction are common. We sought to examine psychologic syndromes as potential risk factors for unplanned encounters.
Methods : We performed a retrospective chart review in a tertiary university hospital, examining unplanned encounters following ureteroscopic stone extraction in 2016 including patient-initiated telephone contact, emergency room (ER) visits, and hospital admissions. Chi-square test of independence was used to test for associations between unplanned encounters and psychological syndromes. Multivariable logistic regression was also used to examine the relationship between unplanned encounters and psychological syndromes while controlling for potential confounding patient and surgical factors.
Results : We found that 77/334 (23%) and 84/334 (25%) of patients had a self-reported diagnosis of generalized anxiety disorder (GAD) or major depressive disorder (MDD), respectively. Of these patients, 72/334 (22%) were receiving anxiety or depression medications. There was no statistically significant increase in ER visits, hospital admissions or phone calls for patients with GAD or MDD (Figure 1). On multivariable logistic regression, there was no evidence of increased odds for ER visits or phone calls for GAD or MDD.
Conclusions : In patients that are being treated for anxiety or depression, there does not appear to be an increase in unplanned encounters after ureteroscopic stone extraction. The morbidity associated with ureteroscopy is likely secondary to physiologic reasons rather than psychologic.
Bryan Pham– Resident, Washington University in Saint Louis, St. Louis, Missouri
Joel Vetter– Statistician, Washington University in St. Louis, Saint Louis, Missouri
Ramakrishna Venkatesh– Professor, Washington University in St. Louis, Saint Louis, Missouri
Robert Figenshau– Professor, Washington University in St. Louis, Saint Louis, Missouri
Alana Desai– Saint Louis, Missouri
Washington University in Saint Louis
St. Louis, Missouri
Bryan Pham, MD. I am currently a fourth year resident at Washington University in Saint Louis.