Assessment of quality of life after cystectomy or conservative therapy for patients with infiltrating bladder carcinoma: A survey by a self‐administered questionnaire

Abstract

QOL is better after conservative therapy than after cystectomy, as expected. Prospective studies with repeated measurements covering all fields of interest in QOL would offer an accurate assessment of QOL in NMBC patients.

Quality of Life Assessment After Concurrent Chemoradiation for Invasive Bladder Cancer: Results of a Multicenter Prospective Study (GETUG 97-015)

“…The self-assessment by patients is in agreement with the investigators' evaluation. At the time of the study, a specific module for urinary symptoms of the QLQC-30 questionnaire was not available, and a specific questionnaire was built, based on other published studies (17,18). Using this tool, 70% of patients maintained a good score for bladder function 12 months after treatment.…”

“…In contrast, after surgery only 13% had had intercourse, and none had ejaculated. Caffo et al (18) carried out a retrospective study by mailing a questionnaire to 93 patients treated with radiation with or without chemotherapy or by cystectomy. The QoL after surgery was reduced by lack of sexual activity and a worsened physical condition.…”

Radical cystectomy vs. chemoradiation in T2-4aN0M0 bladder cancer: A case-control study

“…This can be assessed more adequately by quality-of-life questionnaires. When patients who underwent radical cystectomy were compared with patients treated by chemoradiation, Caffo et al [24] found that the quality of life after cystectomy was lowered by the presence of stoma, decreased sexual activity, and worsened physical condition. In another study, it was found that patients who had an orthotopic reconstruction had better quality of life than patients who had an ileal conduit did [25].…”

The Type of Urinary Diversion After Radical Cystectomy Significantly Impacts on the Patient?s Quality of Life

“…[2][3][4][5][6][7][8][9][10][11][12][13] Only three studies have used validated quality-of-life surveys to evaluate patients. [11][12][13] Other studies have improperly compared nonrandomized groups of patients with continent diversions with those with conduits.…”