Abstracts from the Abstracts from the Mid-Atlantic Section of the AUA 2021

MA-AUA 2021 Abstracts Moderated Poster Session 2: Stones/Infection/Pediatrics MP2-07 From Doctor Google to the App Store: Where Stone Patients Get Information R. Takele 1 , P. Patel 2 , P. Diaz 3 , K. Scotland 3 1 Edward Via College of Osteopathic Medicine-Virginia Campus, Blacksburg, VA, USA; 2 Loyola University Medical Center, Maywood, IL, USA; 3 UCLA Health, Los Angeles, CA, USA Introduction and Objective: Patient-centered care is at the forefront of medical innovation. With the increasing production of nephrolithiasis related applications (apps), we sought to explore their use among the general population and evaluate the quality of information regarding stone prevention and treatment. Methods: Using Google Trends, quantity and frequency of searches related to smartphone apps between 2016 and 2021 were studied. BuzzSumo, an online content research platform, was used to query the results. Avoluntary questionnaire, which aimed to ascertain where patients obtain stone-related information, was posted on two popular Facebook sites and one Reddit group that stone formers frequent. Based on usage, seven smartphone apps were chosen for investigation. These apps were comparedwith respect to download and usage data provided by their developers. The DISCERN tool was utilized to assess the quality of clinical information available on these apps. Results: Google Trends results revealed that the search volume index of “kidney stones app” has increased by about 60% and 80% in the US and worldwide respectively in the last year. Of the 115 questionnaire participants, 22.7% reported using a kidney stone app at least once. However, when asked where they obtained most of their information, respondents indicated their doctor (44%), YouTube (6.6%), smartphone apps (4.2%) and other sources (19%). Information important to respondents were diet and water intake (50%), procedures (24%), and medical treatment (24%). Mean DISCERN score for the seven apps evaluated was 2.07 with no statistically significant difference among evaluators. Conclusions: While physicians are still the most used resource by nephrolithiasis patients, usage of online platforms and smartphone apps is increasing. Patients are especially interested in water intake and diet-based apps. The evaluation of these apps with DISCERN indicates that their content is potentially important but has shortcomings. Urologists’ engagement with these platforms would ensure dissemination of high-quality information to patients. Post-Operative Pain and Recovery in Patients withNephrolithiasis: Results from the Endourological Society TOWER Research Collaborative A. Jones 1 , G. Lin 1 , H. Stambakio 1 , B. Chew 2 , J. Stern 3 , J. Ziemba 1 1 University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA; 2 University of British Columbia, Vancouver, BC, Canada; 3 Intermountain Healthcare - Park City Hospital, Park City, UT, USA Introduction and Objective: Urolithiasis is among the most common urological conditions, however, the impact of pain on patients with the disease remains understudied, particularly following surgical intervention. We prospectively captured patient-reported pain interference in patients following ureteroscopy (URS) or percutaneous nephrolithotomy (PCNL) for nephrolithiasis. Methods: Adults undergoing URS or PCNL for renal/ureteral stones were eligible for inclusion (10/2020-3/2021). Patients prospectively completed the PROMIS- Pain Interference instrument pre-operatively (POD 0) and via email on POD 1, 7, and 14. Scores are reported as T-scores (normalized to US pop., mean=50) with a change of 5 (0.5 SD) considered clinically significant. Results: A total of 68 patients completed enrollment at POD 0 (POD 1=40, POD 7=39, POD 14=32). In the URS cohort, repeatedmeasuresANOVAshow statistically significant difference in pain interference scores between POD 0 and 1 and between POD7 and 14 (Figure 1, p <0.05). Similar findings were seen in the PCNL cohort (Figure 2, p <0.05). Both URS and PCNL patients return to baseline pain interference by POD 14. No demographic or perioperative characteristics were predictive of greater interference. Conclusions: Pain interference increases immediately post-operatively. Both URS and PCNLpatients see a reduction below the baseline in pain interference by POD 14. Results offer meaningful insight to assist with patient counseling for surgical treatment of nephrolithiasis. MP2-06 15