Department of Urologic Sciences, The University of British Columbia, Vancouver, British Columbia, Canada.
Department of Surgery, Université de Montréal, Montreal, Quebec, Canada.
J Endourol. 2022 Jun;36(6):798-806. doi: 10.1089/end.2021.0298. Epub 2022 May 17.
The coronavirus disease 2019 (COVID-19) pandemic is an unprecedented global event that has caused significant fear and anxiety across all populations. To date, there have been no studies on how major health crises have affected the stone-related quality of life (QOL) of urolithiasis patients. In this multi-institutional study, we investigated the association between fear of COVID-19 and the QOL of urolithiasis patients during the COVID-19 pandemic using the Fear of COVID-19 Scale (FCV-19S) and the Wisconsin Stone Quality of Life (WISQOL) questionnaires. Patient-reported data collection occurred between April and October 2020 during the COVID-19 pandemic where many procedures (radiologic or surgical) and visits were either delayed or cancelled. The scores generated from patient-reported responses to questionnaires were correlated and then further subanalyzed dependent on categorical responses related to procedural delays or care and were analyzed the Student's -test. A single factor analysis of variance (ANOVA) was performed to analyze varying QOL scores across the FCV-19S quartiles. Four hundred respondents participated in this study. Overall mean total standardized FCV-19S and WISQOL scores (both transformed to min-max 0-100) were 34.3 and 70.3, respectively. A significant inverse correlation ( = -0.265, < 0.0001) demonstrated that suggesting greater COVID-19 fear may result in lower stone-related QOL. A significant difference in fear and QOL scores was observed between the sexes, with women having more COVID-19 fear (35.8 28.6, < 0.01) and lower stone-related QOL (64.2 75.2, < 0.01). Quartile ANOVA analysis revealed significant mean difference in WISQOL scores across all FCV-19S score quartiles ( < 0.05). Using two validated questionnaires (FCV-19S and WISQOL) and correlating patient-reported responses, we found that greater fear for COVID-19 was associated with lower stone-related QOL in urolithiasis patients.
2019 年冠状病毒病（COVID-19）大流行是一场前所未有的全球事件，给所有人群带来了巨大的恐惧和焦虑。迄今为止，尚无研究探讨重大卫生危机如何影响尿石症患者的结石相关生活质量（QOL）。在这项多机构研究中，我们使用恐惧 COVID-19 量表（FCV-19S）和威斯康星州结石生活质量（WISQOL）问卷调查了 COVID-19 大流行期间 COVID-19 对尿石症患者 QOL 的影响。患者报告数据的收集发生在 2020 年 4 月至 10 月 COVID-19 大流行期间，在此期间，许多程序（放射学或手术）和就诊被推迟或取消。通过问卷对患者报告的反应生成的分数进行了相关性分析，然后根据与程序延迟或护理相关的分类反应进行了进一步的子分析，并进行了 Student's t 检验。对 FCV-19S 四分位数的 QOL 评分进行了单因素方差分析（ANOVA）。400 名受访者参加了这项研究。总体平均总标准化 FCV-19S 和 WISQOL 评分（均转换为 min-max 0-100）分别为 34.3 和 70.3。显着的负相关（ = -0.265， < 0.0001）表明，对 COVID-19 的恐惧可能导致较低的结石相关 QOL。性别之间的恐惧和 QOL 评分存在显着差异，女性对 COVID-19 的恐惧程度更高（35.8 28.6， < 0.01），结石相关 QOL 更低（64.2 75.2， < 0.01）。四分位数 ANOVA 分析显示，所有 FCV-19S 评分四分位数的 WISQOL 评分均存在显着的均值差异（ < 0.05）。通过使用两个经过验证的问卷（FCV-19S 和 WISQOL）和关联患者报告的反应，我们发现对 COVID-19 的恐惧程度与尿石症患者的结石相关 QOL 较低相关。
