The quality of life in patients with bladder cancer after cystectomy

Ryoji Arata, Tomoyasu Tsushima, Takashi Saika, Yasutomo Nasu, Hiromi Kumon, Tadashi Oeda, Yoshiyuki Miyaji, Ayano Ishii, Hitoshi Takamoto

Research output: Contribution to journalArticle

Abstract

A survey carried out by means of questionnaires was conducted to assess the impact of different forms of urinary diversion on the quality of life (QOL) in patients with bladder cancer. First, a QOL survey using self-administered questionnaires was carried out on 330 patients who were followed up for more than 3 months after cystectomy at the Okayama University Hospital and its affiliated hospitals. QOL assessment was performed using EORTC QLQ-C30, supplemented with detailed questionnaires about sexual function, voiding function, continence and patient's satisfaction. Among these 330 patients, 80 had an orthotopic urinary reservoir (OUR), 27 had a continent urinary reservoir (CUR) and 223 had a urostomy. Based on the answes to these questionnaires, there was little difference in the QOL score among the three groups. However, as regards satisfaction with the methods of urinary diversion, patients in the OUR group expressed better satisfaction than those in the other two groups. Second, a survey based on the same questionnaires was performed to assess the changes in the QOL of 57 patients observed prospectively from pre-surgery to one year post-surgery. Two kinds of urinary diversion were compared: 26 patients received OUR and 31 patients received urostomy. In most areas, the QOL returned to the prior level within six months after surgery. However, patients were restricted as regards their sexual function. Concerning voiding condition and continence in the OUR group, the score did not return to the prior level within one year. After one year post-surgery, no difference was recognized with regard to any of the items between the two groups.

Original languageEnglish
Pages (from-to)279-290
Number of pages12
JournalNishinihon Journal of Urology
Volume66
Issue number4
Publication statusPublished - 2004

Fingerprint

Cystectomy
Urinary Bladder Neoplasms
Quality of Life
Urinary Diversion
Continent Urinary Reservoirs
Surveys and Questionnaires
Patient Satisfaction

Keywords

  • Cystectomy
  • QOL
  • Urinary diversion

ASJC Scopus subject areas

  • Urology

Cite this

Arata, R., Tsushima, T., Saika, T., Nasu, Y., Kumon, H., Oeda, T., ... Takamoto, H. (2004). The quality of life in patients with bladder cancer after cystectomy. Nishinihon Journal of Urology, 66(4), 279-290.

The quality of life in patients with bladder cancer after cystectomy. / Arata, Ryoji; Tsushima, Tomoyasu; Saika, Takashi; Nasu, Yasutomo; Kumon, Hiromi; Oeda, Tadashi; Miyaji, Yoshiyuki; Ishii, Ayano; Takamoto, Hitoshi.

In: Nishinihon Journal of Urology, Vol. 66, No. 4, 2004, p. 279-290.

Research output: Contribution to journalArticle

Arata, R, Tsushima, T, Saika, T, Nasu, Y, Kumon, H, Oeda, T, Miyaji, Y, Ishii, A & Takamoto, H 2004, 'The quality of life in patients with bladder cancer after cystectomy', Nishinihon Journal of Urology, vol. 66, no. 4, pp. 279-290.
Arata R, Tsushima T, Saika T, Nasu Y, Kumon H, Oeda T et al. The quality of life in patients with bladder cancer after cystectomy. Nishinihon Journal of Urology. 2004;66(4):279-290.
Arata, Ryoji ; Tsushima, Tomoyasu ; Saika, Takashi ; Nasu, Yasutomo ; Kumon, Hiromi ; Oeda, Tadashi ; Miyaji, Yoshiyuki ; Ishii, Ayano ; Takamoto, Hitoshi. / The quality of life in patients with bladder cancer after cystectomy. In: Nishinihon Journal of Urology. 2004 ; Vol. 66, No. 4. pp. 279-290.
@article{da957a59370c457f8facadd191dac267,
title = "The quality of life in patients with bladder cancer after cystectomy",
abstract = "A survey carried out by means of questionnaires was conducted to assess the impact of different forms of urinary diversion on the quality of life (QOL) in patients with bladder cancer. First, a QOL survey using self-administered questionnaires was carried out on 330 patients who were followed up for more than 3 months after cystectomy at the Okayama University Hospital and its affiliated hospitals. QOL assessment was performed using EORTC QLQ-C30, supplemented with detailed questionnaires about sexual function, voiding function, continence and patient's satisfaction. Among these 330 patients, 80 had an orthotopic urinary reservoir (OUR), 27 had a continent urinary reservoir (CUR) and 223 had a urostomy. Based on the answes to these questionnaires, there was little difference in the QOL score among the three groups. However, as regards satisfaction with the methods of urinary diversion, patients in the OUR group expressed better satisfaction than those in the other two groups. Second, a survey based on the same questionnaires was performed to assess the changes in the QOL of 57 patients observed prospectively from pre-surgery to one year post-surgery. Two kinds of urinary diversion were compared: 26 patients received OUR and 31 patients received urostomy. In most areas, the QOL returned to the prior level within six months after surgery. However, patients were restricted as regards their sexual function. Concerning voiding condition and continence in the OUR group, the score did not return to the prior level within one year. After one year post-surgery, no difference was recognized with regard to any of the items between the two groups.",
keywords = "Cystectomy, QOL, Urinary diversion",
author = "Ryoji Arata and Tomoyasu Tsushima and Takashi Saika and Yasutomo Nasu and Hiromi Kumon and Tadashi Oeda and Yoshiyuki Miyaji and Ayano Ishii and Hitoshi Takamoto",
year = "2004",
language = "English",
volume = "66",
pages = "279--290",
journal = "Nishinihon Journal of Urology",
issn = "0029-0726",
publisher = "Kyushu University, Faculty of Science",
number = "4",

}

TY - JOUR

T1 - The quality of life in patients with bladder cancer after cystectomy

AU - Arata, Ryoji

AU - Tsushima, Tomoyasu

AU - Saika, Takashi

AU - Nasu, Yasutomo

AU - Kumon, Hiromi

AU - Oeda, Tadashi

AU - Miyaji, Yoshiyuki

AU - Ishii, Ayano

AU - Takamoto, Hitoshi

PY - 2004

Y1 - 2004

N2 - A survey carried out by means of questionnaires was conducted to assess the impact of different forms of urinary diversion on the quality of life (QOL) in patients with bladder cancer. First, a QOL survey using self-administered questionnaires was carried out on 330 patients who were followed up for more than 3 months after cystectomy at the Okayama University Hospital and its affiliated hospitals. QOL assessment was performed using EORTC QLQ-C30, supplemented with detailed questionnaires about sexual function, voiding function, continence and patient's satisfaction. Among these 330 patients, 80 had an orthotopic urinary reservoir (OUR), 27 had a continent urinary reservoir (CUR) and 223 had a urostomy. Based on the answes to these questionnaires, there was little difference in the QOL score among the three groups. However, as regards satisfaction with the methods of urinary diversion, patients in the OUR group expressed better satisfaction than those in the other two groups. Second, a survey based on the same questionnaires was performed to assess the changes in the QOL of 57 patients observed prospectively from pre-surgery to one year post-surgery. Two kinds of urinary diversion were compared: 26 patients received OUR and 31 patients received urostomy. In most areas, the QOL returned to the prior level within six months after surgery. However, patients were restricted as regards their sexual function. Concerning voiding condition and continence in the OUR group, the score did not return to the prior level within one year. After one year post-surgery, no difference was recognized with regard to any of the items between the two groups.

AB - A survey carried out by means of questionnaires was conducted to assess the impact of different forms of urinary diversion on the quality of life (QOL) in patients with bladder cancer. First, a QOL survey using self-administered questionnaires was carried out on 330 patients who were followed up for more than 3 months after cystectomy at the Okayama University Hospital and its affiliated hospitals. QOL assessment was performed using EORTC QLQ-C30, supplemented with detailed questionnaires about sexual function, voiding function, continence and patient's satisfaction. Among these 330 patients, 80 had an orthotopic urinary reservoir (OUR), 27 had a continent urinary reservoir (CUR) and 223 had a urostomy. Based on the answes to these questionnaires, there was little difference in the QOL score among the three groups. However, as regards satisfaction with the methods of urinary diversion, patients in the OUR group expressed better satisfaction than those in the other two groups. Second, a survey based on the same questionnaires was performed to assess the changes in the QOL of 57 patients observed prospectively from pre-surgery to one year post-surgery. Two kinds of urinary diversion were compared: 26 patients received OUR and 31 patients received urostomy. In most areas, the QOL returned to the prior level within six months after surgery. However, patients were restricted as regards their sexual function. Concerning voiding condition and continence in the OUR group, the score did not return to the prior level within one year. After one year post-surgery, no difference was recognized with regard to any of the items between the two groups.

KW - Cystectomy

KW - QOL

KW - Urinary diversion

UR - http://www.scopus.com/inward/record.url?scp=2442508952&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=2442508952&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:2442508952

VL - 66

SP - 279

EP - 290

JO - Nishinihon Journal of Urology

JF - Nishinihon Journal of Urology

SN - 0029-0726

IS - 4

ER -