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The quality of life in men after radical cystectomy with a continent cutaneous diversion or orthotopic bladder substitution: is there a difference?

Månsson, Åsa LU ; Davidsson, Thomas LU ; Hunt, S and Månsson, Wiking LU (2002) In BJU International1999-01-01+01:00 90(4). p.386-390
Abstract
Objective To compare the quality of life (QoL) in men after radical cystectomy who had either a continent cutaneous diversion or orthotopic bladder substitution. Patients and methods Eighty men with at least 6 months of follow-up and with no signs of recurrent disease after radical cystectomy for bladder carcinoma, and who had either a continent cutaneous diversion or orthotopic bladder substitution, were sent two types of questionnaire, the Functional Assessment of Cancer Therapy-Bladder Cancer (FACT-Bl) and the Hospital Anxiety and Depression Scale (HADS), to determine their QoL. Results The FACT-Bl and HADS questionnaires were returned by 90% and 71% of the patients, respectively ( P < 0.05). In the replies to the generic version of... (More)
Objective To compare the quality of life (QoL) in men after radical cystectomy who had either a continent cutaneous diversion or orthotopic bladder substitution. Patients and methods Eighty men with at least 6 months of follow-up and with no signs of recurrent disease after radical cystectomy for bladder carcinoma, and who had either a continent cutaneous diversion or orthotopic bladder substitution, were sent two types of questionnaire, the Functional Assessment of Cancer Therapy-Bladder Cancer (FACT-Bl) and the Hospital Anxiety and Depression Scale (HADS), to determine their QoL. Results The FACT-Bl and HADS questionnaires were returned by 90% and 71% of the patients, respectively ( P < 0.05). In the replies to the generic version of FACT-Bl there were no differences between the groups in any domain, the scores being high in all. In questions covering intestinal, urinary and sexual items, patients with continent diversion had less trouble controlling urine (P< 0.0001), had to empty less often (P < 0.001), and had fewer symptoms when emptying (P < 0.05). Patients with neobladders had a better appreciation of appearance and better preserved erectile function (both P < 0.05). In the answers to the HADS, the mean scores were low (within the normal ranges) and did not differ between the groups. Conclusion Using two instruments tested for validity and reliability, there were no differences between patients with continent diversion and those with orthotopic substitution. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
self-reported questionnaires, quality of life, substitution, orthotopic bladder, radical cystectomy, continent diversion
in
BJU International1999-01-01+01:00
volume
90
issue
4
pages
386 - 390
publisher
Blackwell Science Ltd
external identifiers
  • wos:000177440100007
  • pmid:12175394
  • scopus:0036968518
ISSN
1464-4096
DOI
10.1046/j.1464-410X.2002.02899.x
language
English
LU publication?
yes
id
3e28d2ee-87dc-441c-b26c-fd97efac2598 (old id 331091)
date added to LUP
2007-11-02 10:59:48
date last changed
2017-11-19 03:31:35
@article{3e28d2ee-87dc-441c-b26c-fd97efac2598,
  abstract     = {Objective To compare the quality of life (QoL) in men after radical cystectomy who had either a continent cutaneous diversion or orthotopic bladder substitution. Patients and methods Eighty men with at least 6 months of follow-up and with no signs of recurrent disease after radical cystectomy for bladder carcinoma, and who had either a continent cutaneous diversion or orthotopic bladder substitution, were sent two types of questionnaire, the Functional Assessment of Cancer Therapy-Bladder Cancer (FACT-Bl) and the Hospital Anxiety and Depression Scale (HADS), to determine their QoL. Results The FACT-Bl and HADS questionnaires were returned by 90% and 71% of the patients, respectively ( P &lt; 0.05). In the replies to the generic version of FACT-Bl there were no differences between the groups in any domain, the scores being high in all. In questions covering intestinal, urinary and sexual items, patients with continent diversion had less trouble controlling urine (P&lt; 0.0001), had to empty less often (P &lt; 0.001), and had fewer symptoms when emptying (P &lt; 0.05). Patients with neobladders had a better appreciation of appearance and better preserved erectile function (both P &lt; 0.05). In the answers to the HADS, the mean scores were low (within the normal ranges) and did not differ between the groups. Conclusion Using two instruments tested for validity and reliability, there were no differences between patients with continent diversion and those with orthotopic substitution.},
  author       = {Månsson, Åsa and Davidsson, Thomas and Hunt, S and Månsson, Wiking},
  issn         = {1464-4096},
  keyword      = {self-reported questionnaires,quality of life,substitution,orthotopic bladder,radical cystectomy,continent diversion},
  language     = {eng},
  number       = {4},
  pages        = {386--390},
  publisher    = {Blackwell Science Ltd},
  series       = {BJU International1999-01-01+01:00},
  title        = {The quality of life in men after radical cystectomy with a continent cutaneous diversion or orthotopic bladder substitution: is there a difference?},
  url          = {http://dx.doi.org/10.1046/j.1464-410X.2002.02899.x},
  volume       = {90},
  year         = {2002},
}