Patient-assessed outcomes in Swedish and Egyptian men undergoing radical cystectomy and orthotopic bladder substitution--a prospective comparative study.
(2007) In Urology 70(6). p.1086-1090- Abstract
- OBJECTIVES: To compare two patient populations with assumed cultural differences undergoing radical cystectomy and orthotopic bladder substitution to determine whether these translate into differences in the answers to self-report instruments. METHODS: The questionnaires Functional Assessment of Cancer Therapy-Bladder Cancer (FACT-BL), consisting of a general version (FACT-G) and a bladder cancer specific module, and Hospital Anxiety and Depression Scale (HADS) were used preoperatively and 3 and 12 months postoperatively to assess patient well-being, urologic symptoms, depression, and anxiety in 29 and 32 Swedish and Egyptian male patients, respectively. RESULTS: Significant differences were found between the two groups. Higher FACT-G... (More)
- OBJECTIVES: To compare two patient populations with assumed cultural differences undergoing radical cystectomy and orthotopic bladder substitution to determine whether these translate into differences in the answers to self-report instruments. METHODS: The questionnaires Functional Assessment of Cancer Therapy-Bladder Cancer (FACT-BL), consisting of a general version (FACT-G) and a bladder cancer specific module, and Hospital Anxiety and Depression Scale (HADS) were used preoperatively and 3 and 12 months postoperatively to assess patient well-being, urologic symptoms, depression, and anxiety in 29 and 32 Swedish and Egyptian male patients, respectively. RESULTS: Significant differences were found between the two groups. Higher FACT-G scores (ie, better outcomes) were obtained in the Swedish patients, both preoperatively and 3 months postoperatively, but not after 12 months. Differences were also seen in the urogenital assessment provided by the FACT-BL module. HADS revealed more depression among the Egyptian patients throughout the study period. Also, anxiety was more common preoperatively and 3 months postoperatively in the Egyptian patients, but not after 12 months. CONCLUSIONS: Swedish men scored better than Egyptian men on the FACT-BL and HADS, although the latter improved with time after surgery. These results show that patient-assessed outcomes differ in patients from different sociocultural backgrounds. This should be recognized when analyzing results from comparative studies. Also, the use of culture-fair instruments is important when assessing patients with different sociocultural backgrounds. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1034940
- author
- Månsson, Åsa LU ; Al Amin Al Khalifa, Maaz LU ; Malmström, Per-Uno ; Wijkström, Hans ; Abol Enein, Hassan and Månsson, Wiking LU
- organization
- publishing date
- 2007
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Cystectomy: psychology, Anxiety: etiology, Urination Disorders: etiology, Urinary Bladder Neoplasms: surgery, Urinary Diversion: psychology, Urinary Diversion: adverse effects, Cystectomy: adverse effects, Urinary Bladder Neoplasms: psychology, Depression: etiology
- in
- Urology
- volume
- 70
- issue
- 6
- pages
- 1086 - 1090
- publisher
- Elsevier
- external identifiers
-
- pmid:18158023
- wos:000253194400014
- scopus:37349065123
- ISSN
- 1527-9995
- DOI
- 10.1016/j.urology.2007.07.071
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Department of Urology, Lund (013077000), Division of Nursing (Closed 2012) (013065000)
- id
- fbd8e8bd-e9ea-464f-8248-b7be0f7043ed (old id 1034940)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/18158023?dopt=Abstract
- date added to LUP
- 2016-04-01 12:20:42
- date last changed
- 2022-04-13 17:44:30
@article{fbd8e8bd-e9ea-464f-8248-b7be0f7043ed,
abstract = {{OBJECTIVES: To compare two patient populations with assumed cultural differences undergoing radical cystectomy and orthotopic bladder substitution to determine whether these translate into differences in the answers to self-report instruments. METHODS: The questionnaires Functional Assessment of Cancer Therapy-Bladder Cancer (FACT-BL), consisting of a general version (FACT-G) and a bladder cancer specific module, and Hospital Anxiety and Depression Scale (HADS) were used preoperatively and 3 and 12 months postoperatively to assess patient well-being, urologic symptoms, depression, and anxiety in 29 and 32 Swedish and Egyptian male patients, respectively. RESULTS: Significant differences were found between the two groups. Higher FACT-G scores (ie, better outcomes) were obtained in the Swedish patients, both preoperatively and 3 months postoperatively, but not after 12 months. Differences were also seen in the urogenital assessment provided by the FACT-BL module. HADS revealed more depression among the Egyptian patients throughout the study period. Also, anxiety was more common preoperatively and 3 months postoperatively in the Egyptian patients, but not after 12 months. CONCLUSIONS: Swedish men scored better than Egyptian men on the FACT-BL and HADS, although the latter improved with time after surgery. These results show that patient-assessed outcomes differ in patients from different sociocultural backgrounds. This should be recognized when analyzing results from comparative studies. Also, the use of culture-fair instruments is important when assessing patients with different sociocultural backgrounds.}},
author = {{Månsson, Åsa and Al Amin Al Khalifa, Maaz and Malmström, Per-Uno and Wijkström, Hans and Abol Enein, Hassan and Månsson, Wiking}},
issn = {{1527-9995}},
keywords = {{Cystectomy: psychology; Anxiety: etiology; Urination Disorders: etiology; Urinary Bladder Neoplasms: surgery; Urinary Diversion: psychology; Urinary Diversion: adverse effects; Cystectomy: adverse effects; Urinary Bladder Neoplasms: psychology; Depression: etiology}},
language = {{eng}},
number = {{6}},
pages = {{1086--1090}},
publisher = {{Elsevier}},
series = {{Urology}},
title = {{Patient-assessed outcomes in Swedish and Egyptian men undergoing radical cystectomy and orthotopic bladder substitution--a prospective comparative study.}},
url = {{http://dx.doi.org/10.1016/j.urology.2007.07.071}},
doi = {{10.1016/j.urology.2007.07.071}},
volume = {{70}},
year = {{2007}},
}