Postoperative Quality of Life in Patients with Ileal Neobladder at Short-, Intermediate- and Long-Term Follow-Up.

Abstract:

BACKGROUND:To evaluate the difference at different steps of follow-up of the postoperative quality of life (QoL) in patients who had undergone radical cystectomy and ileal orthotopic neobladder derivation. PATIENTS AND METHODS:A multicentric, cross-qualitative study was performed in 5 Italian centers of reference for the treatment of bladder cancer. One hundred seventy one patients who underwent radical cystectomy and creation of ileal orthotopic neobladder according to 'Vescica Ileale Padovana' between 2006 and 2011 have been analyzed. The validated and dedicated questionnaires EORTC QLQ-C30, IOB-PRO and EORTC QLQ-BLM30 were used. RESULTS:All data gathered were then processed, specifically means ± SD were included for comparison during 4 periods of follow-up (quartile): the first ranging from 1 to 18 months; the second ranging from 19 to 36 months; the third from 37 to 72 months and the fourth >72 months. Cancer-specific and health-related factors were analyzed separately, and the change was determined during follow-up. CONCLUSIONS:The global QoL, highlighted by validated cancer-specific and health-related questionnaires, is certainly on a satisfactory level. Thus, the education of the patient, the exploration of the pros and cons of an orthotopic neobladder and the active participation in treatment decision seem to be the keys to better improve the post-operative QoL during the follow-up period.

journal_name

Urol Int

journal_title

Urologia internationalis

authors

D''Agostino D,Racioppi M,Pugliese D,Ragonese M,Di Gianfrancesco L,Filianoti A,Palermo G,Belgrano E,Siracusano S,Niero M,Imbimbo C,Iafrate M,Artibani W,Cerruto MA,Talamini R,Bassi P

doi

10.1159/000443185

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

54-60

issue

1

eissn

0042-1138

issn

1423-0399

pii

000443185

journal_volume

97

pub_type

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