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Patient-assessed outcomes in Swedish and Egyptian men undergoing radical cystectomy and orthotopic bladder substitution--a prospective comparative study.

Månsson, Åsa LU ; Al Amin Al Khalifa, Maaz LU ; Malmström, Per-Uno; Wijkström, Hans; Abol Enein, Hassan and Månsson, Wiking LU (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)
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author
organization
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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
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
2008-08-01 11:55:25
date last changed
2017-08-13 03:43:09
@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},
  keyword      = {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},
  volume       = {70},
  year         = {2007},
}