Prevalence, Modes Of Treatment, And Patients’ Satisfaction With Kidney Stone Disease Management At Hospital Universiti Sains Malaysia

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Date
2018-06
Authors
Abdel Rahman Nouri, Ahmed Ibrahim
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Publisher
Universiti Sains Malaysia
Abstract
Kidney stones form by the precipitation or crystallization of minerals and urinary constituents. It is a common problem worldwide manifested with recurrent intermittent pain episodes, surgical interventions and medication consumption which affect the quality of life of the patients. This study aimed 1) - to assess the prevalence of kidney stone disease among patients admitted to Hospital Universiti Sains Malaysia (HUSM), 2) - to determine the characteristics of stones, modes of treatment, renal function and comorbid conditions, 3) - to explore the patients’ satisfaction with the management of kidney stones disease, the social aspects, perceptions, and how the disease affecting their quality of life. A multi-method research adopting both quantitative and qualitative methodologies were applied. Quantitative phase was a retrospective cross-sectional study design. A list of all patients admitted to HUSM for five years (January 1st, 2012 to December 31st, 2016) was retrieved using ICD-10 to identify cases of kidney stones in HUSM. The statistical analysis included the calculation of descriptive statistics, Kolmogorov-Smirnov test of normality, and Mann–Whitney U test to compare medians. All analysis were carried out with SPSS (Statistical Package of Social Sciences Version 22.0) program. The prevalence of patients with kidney stones disease was 1.8% among patients admitted to HUSM. Male patients were more than females with a ratio of 1.35:1, the majority of patients were of Malay ethnicity (91.1%, n= 133). Extracorporeal shockwave lithotripsy was the most prevalent mode of treatment among patients (45%, n= 67 of 146). On the other hand, a phenomenological approach was applied in the qualitative phase. Purposive sampling was adopted to recruit and approach patients above 18 years old and diagnosed with kidney stones disease.
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Keywords
Satisfaction with kidney stone disease , at Hospital Universiti Sains Malaysia
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