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Quality of life in patients with bladder carcinoma after cystectomy: First results of a prospective study

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Abstract

This study reports the changes in the quality of life (QoL) of 44 patients observed prospectively from pre-surgery to one year post-surgery. Two kinds of surgeries were compared: continent and incontinent urinary diversion. In most areas the QoL returned to the prior level within one year after surgery. However, patients were restricted in their physical activity, sexual activity, and emotional well-being. Using individual weights for different aspects of life (Fragen zur Lebenszufriedenheit – Module FLZM), QoL was higher than when using an unweighted measurement (Short Form 36, MOS). Two trends for the different developments in the QoL were established: general life satisfaction and social functioning tended to improve after a continent diversion but decreased after an incontinent diversion. The perceived global satisfaction with both kinds of diversion was high – 75% of the patients would choose the same kind of diversion again.

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References

  1. Thüroff JW, Alken P, Riedmiller H, Engelmann U, Jacobi GH, Hohenfellner R. The Mainz pouch (mixed augmentation ileum and cecum) for bladder augmentation and continent diversion. J Urol 1986; 136(1): 17-26.

    Google Scholar 

  2. Boyd SD, Feinberg SM, Skinner DG, Lieskovsky G, Baron D, Richardson J. Quality of life survey of urinary diversion patients: comparison of ileal conduits versus continent Kock ileal reservoirs. J Urol 1987; 138(6): 1386-1389.

    Google Scholar 

  3. Mansson A, Johnson G, Mansson W. Quality of life after cystectomy. Comparison between patients with conduit and those with continent caecal reservoir urinary diversion. Br J Urol 1988; 62(3): 240-245.

    Google Scholar 

  4. Gerharz EW, Weingartner K, Dopatka T, Kohl UN, Basler HD, Riedmiller HN. Quality of life after cystectomy and urinary diversion: Results of a retrospective interdisciplin-ary study. J Urol 1997; 158(3 Pt 1): 778-785.

    Google Scholar 

  5. Bjerre BD, Johansen C, Steven K. Health related quality of life after cystectomy: Bladder substitution compared with ileal conduit diversion. A questionnaire survey. Br J Urol 1995; 75(2): 200-205.

    Google Scholar 

  6. Filipas D, Egle UT, Budenbender C, et al. Quality of life and health in patients with urinary diversion: A comparison of incontinent versus continent urinary diversion. Eur Urol 1997; 32(1): 23-29.

    Google Scholar 

  7. Okada Y, Oishi K, Shichiri Y, et al. Quality of life survey of urinary diversion patients: comparison of continent urinary diversion versus ileal conduit. Int J Urol 1997; 4(1): 26-31.

    Google Scholar 

  8. Ao T, Yokoyama E, Uchida T, et al. Clinical feature and quality of life of urinary diversion patients with bladder cancer. Nippon Hinyokika Gakkai Zasshi 1994; 85(4): 616-625.

    Google Scholar 

  9. Bjerre BD, Johansen C, Steven K. Health related quality of life after urinary diversion: Continent diversion with the Kock pouch compared with ileal conduit. A questionnaire study. Scand J Urol Nephrol Suppl 1994; 157: 113-118.

    Google Scholar 

  10. Castagnola C, Marechal JM, Hanauer MT, Dawahra M, Dubernard JM. Quality of life and skin urinary diversions. Results of a questionnaire completed by 73 patients. Prog Urol 1996; 6(2): 207-216.

    Google Scholar 

  11. Mansson A, Christensson P, Johnson G, Colleen S. Can preoperative psychological defense mechanism, mood and type of lower urinary tract reconstruction predict psychoso-cial adjustment after cystectomyin patients with bladder cancer? Br J Urol 1998; 82: 348-356.

    Google Scholar 

  12. Guyatt GH, Naylor CD, Juniper E, Heyland DK, Jaeschke R, Cook DJ. Users' guides to the medical literature. XII. How to use articles about health related quality of life. Evidence Based Medicine Working Group. JAMA 1997; 277(15): 1232-1237.

    Google Scholar 

  13. Ware JE Jr, Kosinski M, Keller SD. SF-36 physical and mental health summary scales: A user's manual. Boston, New England Medical Center, The Health Institute, 1994.

    Google Scholar 

  14. Ware JE Jr, Snow KK, Kosinski M, Gandek B. SF-36 health survey: Manual and interpretation guide. Boston, New England Medical Center, The Health Institute, 1993.

    Google Scholar 

  15. Henrich G, Herschbach P. Der Fragebogen als methodischer Zugang zur Erfassung von”Lebensqualitaet” in der Onkologie. In: Schwarz R, Bernhardt J, Flechtner H, Ku-echler T, Huerny C (eds), Lebensqualitaet in der Onkologie. Muenchen: Zuckerschwert, 1991; 34-46.

    Google Scholar 

  16. Kirk RE. Experimental design: Procedures for the behaviourmental sciences. Belmont: 1968.

  17. Fowler FJ, Barry MJ, Lu Yao G, Wasson J, Roman A, Wennberg J. Effect of radical prostatectomy for prostate cancer on patient quality of life: Results from a medical survey. Urology 1995; 45(6): 1007-1015.

    Google Scholar 

  18. Brähler E, Unger U. Sexual activity in old age in context of gender, marital status and personality-results of a representative study. Z Gerontol 1994; 27: 110-115.

    Google Scholar 

  19. Whalley D, McKenna SP. Measuring quality of life in patients with depression or anxiety. Pharmacoeconomics 1995; 8(4): 305-315.

    Google Scholar 

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Authors and Affiliations

  1. Clinic for Psychosomatic Medicine and Psychotherapy, University of Mainz, D-55101, Mainz, Germany

    Jochen Hardt & Ulrich T. Egle

  2. Department of Urology, University of Mainz, D-55101, Mainz, Germany

    Dragana Filipas & Rudolph Hohenfellner

Authors
  1. Jochen Hardt
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  2. Dragana Filipas
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  3. Rudolph Hohenfellner
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  4. Ulrich T. Egle
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Hardt, J., Filipas, D., Hohenfellner, R. et al. Quality of life in patients with bladder carcinoma after cystectomy: First results of a prospective study. Qual Life Res 9, 1–12 (2000). https://doi.org/10.1023/A:1008927809013

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