How Physician and Patient Perceptions Differ Regarding Medical Management of Stone Disease

Karim Bensalah, Altug Tuncel, Jay Raman, Aditya Bagrodia, Margaret Pearle, Yair Lotan

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Purpose: We compared patient and urologist perceptions regarding the medical management of stone disease. Materials and Methods: A total of 159 patients were prospectively interviewed. Patients were asked 3 questions concerning subjective tolerance of stone passage and surgical intervention weighed against the use of daily preventive medication. The same questions were sent to members of the Endourological Society. Results: Mean ± SD patient age was 51 ± 14 years. Recurrent stone formers comprised 72% of patients and 76% had undergone a prior surgical procedure while 43% were taking prophylactic medication. Overall 81% and 88% of patients responded that they would rather take medication than tolerate a single stone event at home or in the emergency room, respectively. Likewise 92% of patients stated that they would prefer daily medication compared to any surgical procedure. Among 61 urologists 26%, 38% and 18% responded that patients would likely tolerate 1, 2 or an unlimited number of stone passages at home, respectively, before agreeing to take medication. Of the urologists 66% estimated that patients would tolerate up to 2 acute stone events requiring an emergency room visit before starting medication. In addition 20%, 31% and 33% of urologists presumed that patients would accept the need for surgery annually, every other year or every third year rather than take medication. Conclusions: Most patients with stones will consider preventive medical therapy to avoid recurrent pain or a surgical procedure. In contrast, most urologists perceive that patients prefer to avoid medication even if it means tolerating several acute stone events and/or surgical procedures.

Original languageEnglish (US)
Pages (from-to)998-1004
Number of pages7
JournalJournal of Urology
Volume182
Issue number3
DOIs
StatePublished - Sep 1 2009

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Disease Management
Physicians
Hospital Emergency Service
Urologists
Pain

All Science Journal Classification (ASJC) codes

  • Urology

Cite this

Bensalah, Karim ; Tuncel, Altug ; Raman, Jay ; Bagrodia, Aditya ; Pearle, Margaret ; Lotan, Yair. / How Physician and Patient Perceptions Differ Regarding Medical Management of Stone Disease. In: Journal of Urology. 2009 ; Vol. 182, No. 3. pp. 998-1004.
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How Physician and Patient Perceptions Differ Regarding Medical Management of Stone Disease. / Bensalah, Karim; Tuncel, Altug; Raman, Jay; Bagrodia, Aditya; Pearle, Margaret; Lotan, Yair.

In: Journal of Urology, Vol. 182, No. 3, 01.09.2009, p. 998-1004.

Research output: Contribution to journalArticle

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