Defecation disturbances after cystectomy for urinary bladder cancer

Thulin, Helena; Kreicbergs, Ulrika; Onelöv, Erik; Ahlstrand, Christer; Carringer, Malcolm; Holmäng, Sten; Ljungberg, Börje; Malmström, Per‐Uno; Robinsson, David; Wijkström, Hans; Wiklund, Peter; Steineck, Gunnar; Henningsohn, Lars

doi:10.1111/j.1464-410x.2010.09815.x

Cited by 14 publications

(8 citation statements)

References 31 publications

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“…Our results are supported by a Swedish population-based study that reported postsurgery defecation problems occurring in up to 30% of patients, indicating bowel problems may have a significant impact on HRQoL 38. Moreover, the value of the exercise-based rehabilitation intervention was a 10% significant decrease in symptoms of dyspnea in the intervention group compared with the standard group.…”

Section: Discussionsupporting

confidence: 83%

Multidisciplinary rehabilitation can impact on health-related quality of life outcome in radical cystectomy: secondary reported outcome of a randomized controlled trial

Jensen¹,

Jensen²,

Laustsen³

et al. 2014

JMDH

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PurposeHealth related quality of life (HRQoL) is an important outcome in cancer care, although it is not well reported in surgical uro-oncology. Radical cystectomy (RC) with lymph-node dissection is the standard treatment of muscle-invasive bladder cancer and high-risk noninvasive bladder cancer. A wide range of impairments are reported postsurgery. The aims were to evaluate whether a standardized pre- and postoperative physical exercise program and enhanced mobilization can impact on HRQoL and inpatient satisfaction in RC, as defined by the European Organisation for Research and Treatment of Cancer (EORTC).Materials and methodsPatients were randomized to fast-track RC and intervention (nI=50) or fast-track standard treatment (nS=57). HRQoL and inpatient satisfaction was measured using valid questionnaires: EORTC Quality of Life Questionnaire Core 30 (QLQ-C30) combined with the disease-specific EORTC BLS24 (baseline), and EORTC BLM30 (follow-up), and IN-PATSAT32 inpatient-satisfaction survey at discharge. Efficacy was defined as the differences in HRQoL-scores between treatment groups at the 4-month follow-up.ResultsThe intervention group significantly improved HRQoL scores in dyspnea (P≤0.05), constipation (P<0.02), and abdominal flatulence (P≤0.05) compared to the standard group. In contrast, the standard group reported significantly reduced symptoms in sleeping pattern (P≤0.04) and clinically relevant differences in role function, body function, and fatigue. The intervention did not compromise inpatient satisfaction.ConclusionWe found no overall impact on global HRQoL due to a physical rehabilitation program. However, pre- and postoperative physical rehabilitation can significantly and positively impact on HRQoL aspects related to bowel management and respiratory function (dyspnea) without compromising inpatient satisfaction. These results highlight the role of multimodal rehabilitation, including physical exercises in fast-track RC.

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Section: Discussionsupporting

confidence: 83%

Multidisciplinary rehabilitation can impact on health-related quality of life outcome in radical cystectomy: secondary reported outcome of a randomized controlled trial

Jensen¹,

Jensen²,

Laustsen³

et al. 2014

JMDH

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“…The percentage of items rated “important” or “very important” varied across the domains: medical (95%, 95% CI 94–97%), physical (86%, 95% CI 84–88%), practical (77%, 95% CI 75–80%), emotional (67%, 95% CI 63–70%), social (61%, 95% CI 58–64%), and spiritual (40%, 95% CI 35–44%). The ten most highly ranked informational needs were from the medical [5], physical [3], and practical [2] domains (Table 2).…”

Section: Resultsmentioning

confidence: 99%

Assessment of quality of life, information, and supportive care needs in patients with muscle and non-muscle invasive bladder cancer across the illness trajectory

Chung

Kulkarni

Morash

et al. 2019

Support Care Cancer

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Background To date, little research has examined the quality of life and cancer-associated needs of bladder cancer patients. The objective of the current study was to assess the quality of life (QoL), informational needs, and supportive care needs (SCN) in a large sample of muscle invasive (MIBC) and non-muscle invasive (NMIBC) bladder cancer survivors across the treatment trajectory (newly diagnosed and undergoing treatment, post-treatment follow-up, and treatment for advanced/recurrent disease). Methods Questionnaires were distributed to a convenience sample of patients registered with Bladder Cancer Canada, the Princess Margaret Cancer Centre, or The Ottawa Hospital. Eligibility criteria included being > 18 years of age, English-speaking, and diagnosed with bladder cancer. The questionnaire included an adapted tool to measure informational needs, and validated measures for QoL (Bladder Utility Symptom Scale, BUSS) and SCN (Cancer Survivors’ Unmet Needs Measure, CaSUN). QoL scores and unmet needs were calculated and compared between disease groups and cancer trajectory groups. Results and limitations Of the 1126 surveys distributed, 586 were completed (response = 52%). Mean age was 67.3 ± 10.2 years, and 401 participants (68.7%) were male. The mean QoL score (BUSS) for the sample was 78.1 ± 17.9 (median 81.7). Respondents with MIBC had significantly lower QoL scores compared to NMIBC. Further, scores differed across the cancer phase groups with the follow-up surveillance group having significantly higher QoL scores compared to the newly diagnosed and advance/recurrent disease groups. The ten most highly ranked informational needs were from the medical, physical, and practical domains. Eighty-eight percent (95% CI 85–91%) of respondents reported at least one SCN, with a median of 12. Over half of the participants (54%, 95% CI 49–59%) had at least one unmet need and 15% had ≥ 10 unmet needs. Newly diagnosed participants had the highest number of unmet needs. Conclusion We found that the number of unmet supportive care needs and quality of life differed across cancer trajectory and disease groups. Future efforts should focus on the development and evaluation of tailored resources and programs to address the needs of people diagnosed and treated for BC. Electronic supplementary material The online version of this article (10.1007/s00520-019-4649-z) contains supplementary material, which is available to authorized users.

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“…Improvements in cancer treatment have increased survival rates1 and the population of cancer survivors is continuously growing. Being cured of cancer does not necessarily mean being in good health, since we know from our research that the long-term consequences of treatment can have a devastating impact on the quality of life of cancer survivors 5 12 13 27. For this reason it is essential to evaluate the post-treatment physical symptoms experienced by survivors as well as their long-term quality of life.…”

Section: Discussionmentioning

confidence: 99%

Cancer survivors’ perception of participation in a long-term follow-up study

et al. 2012

Self Cite

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Every year medical researchers make contact with a large number of cancer survivors with the aim of evaluating cancer treatment. For this reason we decided to investigate how Swedish cancer survivors perceived their participation in research studies focusing on the long-term consequences of being a survivor of gynaecological or urinary bladder cancer. Data were collected by means of two study-specific postal questionnaires, both consisting of questions covering physical symptoms, well-being and the experience of being a cancer survivor. Both questionnaires also included questions evaluating the participants' experience of being research subjects. The questionnaires were developed in close co-operation with cancer survivors. The study population consisted of 1068 cancer survivors. Of these, 95% (n=1003) reported that they thought the study was valuable and 54% (n=559) that they had been positively affected by participating. Four per cent (n=39) expressed that they had been negatively affected by their participation in the study. The vast majority of the cancer survivors thought that participating in their particular study was valuable.

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Defecation disturbances after cystectomy for urinary bladder cancer

Cited by 14 publications

References 31 publications

Multidisciplinary rehabilitation can impact on health-related quality of life outcome in radical cystectomy: secondary reported outcome of a randomized controlled trial

Multidisciplinary rehabilitation can impact on health-related quality of life outcome in radical cystectomy: secondary reported outcome of a randomized controlled trial

Assessment of quality of life, information, and supportive care needs in patients with muscle and non-muscle invasive bladder cancer across the illness trajectory

Cancer survivors’ perception of participation in a long-term follow-up study

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