Efficacy of long-term extended nursing services combined with atezolizumab in patients with bladder cancer after endoscopic bladder resection

Abstract

Background: Nursing has been reported to effectively ameliorate physical movement, significantly decrease postoperative complications, and markedly improve the quality of life in patients with bladder cancer after endoscopic bladder resection. Atezolizumab (ATZ) has been approved as effective therapy for patients with bladder cancer. This study was aimed to assess the efficacy of long-term extended nursing services combined with ATZ in patients with bladder cancer after endoscopic bladder resection.Methods: A total of one 126 patients diagnosed with bladder cancer underwent endoscopic bladder resection were recruited in this study. Patients were randomly allocated into the long-term conventional nursing plus atezolizumab (LTCN-ATZ) (n = 60) and long-term extended nursing services plus atezolizumab (LTENS-ATZ) groups (n = 66). The renal function, physical movement, postoperative complications, the quality of life, survival, and recurrence were examined in patients in LTCN-ATZ and LTENS-ATZ groups during 36-month follow up.Results: Data in the current study demonstrated that the renal function, quality of life, satisfaction anxiety and depression for LTENS-ATZ group was significantly improved compared with that of LTCN-ATZ group. The occurrence rate was significantly lower, and the length of hospital stay was shorter for LTENS-ATZ than that of LTCN-ATZ group. Outcomes demonstrated that LTENS-ATZ increased survival and decreased the occurrence compared to those patients in LTENS-ATZ group. Conclusion:In conclusion, outcomes in this study indicate that LTENS-ATZ improves renal function, and quality of life and prognosis in patients with bladder cancer after endoscopic bladder resection.Abbreviations: ATZ = atezolizumab, BUN = blood urea nitrogen, eGFR = estimated glomerular filtration rate, LTCN-ATZ = long-term conventional nursing plus atezolizumab, LTENS-ATZ = long-term extended nursing services plus atezolizumab, PD-L1 = programmed death ligand 1, TRAEs = treatment-related adverse events.

“Internet Plus” continuous nursing for patients with advanced bladder cancer: A retrospective observational study

“…A standardized service and system of continuous nursing for patients with bladder cancer has not yet been established in China. [ 13 ] In addition, nursing services differ greatly between different hospitals. However, it should be recognized that cancer affects the quality of life of patients and their caregivers.…”