The type of urinary diversion after radical cystectomy significantly impacts on the patient's quality of life Journal Article
| Authors: | Mcguire, M. S.; Grimaldi, G.; Grotas, J.; Russo, P. |
| Article Title: | The type of urinary diversion after radical cystectomy significantly impacts on the patient's quality of life |
| Abstract: | Background: In this study, we used a previously well-validated survey to assess the impact of different forms of urinary diversion on overall quality of life in patients with bladder cancer. Methods: A total of 92 patients, having three different forms of urinary diversion after radical cystectomy, completed by mail the SF-36, a validated quality-of-life survey. All patients had local/regional disease at the time of cystectomy and are currently without evidence of disease. Completed surveys were then analyzed into physical (PCS) and mental (MCS) component quality-of-life scores per published protocols. Results were then compared with published age-based norms. Results: A total of 38 men who had cystectomy and ileal neobladder had a mean PCS (±SD) of 48.4 (7.8) and a mean MCS of 51.0 (7.4); 16 men and women who had cystectomy and Indiana Pouch had a mean PCS of 48.4 (8.9) and a mean MCS of 55.7 (3.8). None of these results is statistically different from published age- and sex-based population norms. Thirty-eight men who had cystectomy and ileal conduit had a mean PCS of 41.4 (8.5) and a mean MCS of 48.2 (10.7). The PCS is not statistically different from the population-based norm; however, the MCS is significantly decreased from the published norm (P = .01). Conclusions: Patients with ileal conduits have significantly decreased mental health quality of life whereas patients with continent urinary diversions do not. Therefore, when not medically contraindicated, patients should be offered a continent diversion as the diversion of choice after cystectomy. |
| Keywords: | adult; controlled study; aged; aged, 80 and over; middle aged; major clinical study; quality of life; bladder cancer; cystectomy; urinary diversion; population surveillance; mental health; physical capacity; ileum; proctocolectomy, restorative; ileal conduit; humans; human; male; female; article |
| Journal Title: | Annals of Surgical Oncology |
| Volume: | 7 |
| Issue: | 1 |
| ISSN: | 1068-9265 |
| Publisher: | Springer |
| Date Published: | 2000-01-01 |
| Start Page: | 4 |
| End Page: | 48 |
| Language: | English |
| PUBMED: | 10674441 |
| PROVIDER: | scopus |
| DOI: | 10.1007/s10434-000-0004-2 |
| DOI/URL: | |
| Notes: | Export Date: 18 November 2015 -- Source: Scopus |
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