Multicenter Patient Self-Reporting Questionnaire on Impotence, Incontinence and Stricture After Radical Prostatectomy

Kao, Tzu‐Cheg; Cruess, David F.; Garner, Daniel; Foley, John P.; Seay, Thomas M.; Friedrichs, Paul; Thrasher, J. Brantley; Mooneyhan, Renee; McLeod, David G.; &NA;, JUDD W. MOUL

doi:10.1097/00005392-200003000-00034

Cited by 48 publications

(66 citation statements)

References 19 publications

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“…Prior studies that have reported results on the association between bowel symptoms and quality of life have not examined the impact across such a wide range of domains. 3,11,17 Using a single question (After your prostate carcinoma treatment, do you feel your overall quality of life is: better than before/same as before/worse than before? ), Kao and colleagues 3 found that incontinence and impotence were significant predictors of overall health status (OR, 0.41 and 0.34, respectively for better or same vs. worse).…”

Section: Discussionmentioning

confidence: 99%

“…3,11,17 Using a single question (After your prostate carcinoma treatment, do you feel your overall quality of life is: better than before/same as before/worse than before? ), Kao and colleagues 3 found that incontinence and impotence were significant predictors of overall health status (OR, 0.41 and 0.34, respectively for better or same vs. worse). However, no further detail was gathered on the specific domains of quality of life affected in this retrospective study of prostatectomy patients treated at one of five military hospitals.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5][6][7][8] Because the prognosis associated with localized prostate carcinoma is excellent (5-year relative survival rate nearly 100% 9 ), quality-of-life issues become a key factor in decision making regarding the choice of treatment.…”

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confidence: 99%

“…3,[5][6][7]13,15 Reported levels of incontinence range from 30% to 70% 1 year after diagnosis and treatment. [3][4][5][6][7]11,15 Bowel dysfunction has been noted to occur in approximately 30 -45% of patients treated with external beam radiation, 4,7,16 and to a lesser degree with other types of treatment. 4,6,7,15 Most studies of treatment outcomes in men with prostate carcinoma have emphasized sexual, urinary, and bowel symptoms with the assumption that they have an impact on quality of life.…”

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confidence: 99%

“…More recently, two studies found that incontinence and impotence were associated with reduced overall quality of life for prostatectomy patients. 3,11 In the study presented here, we examined the impact of common prostate carcinoma treatment-associated symptoms on generic health-related quality of life, as well as cancer specific quality of life. In particular, we addressed: 1) what types of treatment-related symptoms (e.g., erectile dysfunction, urinary incontinence, and bowel symptoms) are associated with the largest adverse effects on quality of life; 2) which domains of quality of life are most affected by symptomatology; and 3) whether posttreatment quality of life was modified by prediagnosis levels of sexual and urinary function.…”

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confidence: 99%

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The association of treatment‐related symptoms with quality‐of‐life outcomes for localized prostate carcinoma patients

Bacon

Giovannucci

Testa³

et al. 2002

Cancer

142

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BACKGROUNDMost studies of treatment outcomes in men with localized prostate carcinoma have emphasized sexual, urinary, and bowel symptoms with the assumption that they have an impact on quality of life. However, very few studies have directly examined and compared the impact of these symptoms on overall and cancer specific quality of life.METHODSThe authors examined 783 incident cases of localized prostate carcinoma, diagnosed from 1993 to 1998, and 1928 age‐matched healthy controls from the Health Professionals Follow‐Up Study cohort. Information on frequency of ejaculation and urinary symptoms were collected before cancer diagnosis. After cancer diagnosis, the authors mailed a questionnaire including the Medical Outcomes Study Short Form–36 Health Status Survey (SF‐36), the Cancer Rehabilitation Evaluation System–Short Form (CARES‐SF), and the University of California at Los Angeles Prostate Cancer Index in 1998.RESULTSCases had slightly lower scores on most of the SF‐36 scales and reported much more bother from sexual, urinary, and bowel symptoms compared with healthy controls. Among prostate carcinoma patients, bowel symptoms had the greatest negative impact on quality of life, followed by sexual and urinary symptoms. As expected, treatment‐related symptoms were associated with the physical domains of quality of life, but psychosocial domains were just as strongly affected.CONCLUSIONSPatients and health care providers need to consider the potential mental quality‐of‐life impacts associated with prostate carcinoma treatment symptoms when making treatment decisions. Even after patients have completed cancer treatment, significant health impairments may remain. Health care providers should continue to address the mental and physical well‐being of prostate carcinoma patients in follow‐up care. Cancer 2002;94:862–71. © 2002 American Cancer Society.DOI 10.1002/cncr.10248

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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The association of treatment‐related symptoms with quality‐of‐life outcomes for localized prostate carcinoma patients

Bacon

Giovannucci

Testa³

et al. 2002

Cancer

142

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Patient satisfaction with treatment decisions for clinically localized prostate carcinoma. Results from the Prostate Cancer Outcomes Study

Hoffman

Hunt

Gilliland

et al. 2003

Cancer

145

112

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BACKGROUNDMen with early‐stage prostate carcinoma can choose aggressive treatment or conservative management. The authors used data from a population‐based cohort of men with clinically localized prostate carcinoma to describe satisfaction with treatment decisions 24 months after diagnosis and to examine the association of demographic, socioeconomic, and clinical characteristics with treatment satisfaction.METHODSThe authors evaluated 2365 men with clinically localized prostate carcinoma, diagnosed between October 1994 and October 1995, in one of six Surveillance, Epidemiology, and End Results tumor registries and who were available for 24 month follow‐up. Medical record review and patient‐completed surveys provided demographic, socioeconomic, and clinical data and measured treatment satisfaction. Logistic regression analyses were used to identify factors associated with satisfaction.RESULTSOverall, 59.2% of subjects were delighted or very pleased with their treatment selection. The perception of being cancer free (66.4%), maintaining urinary (64.2%) and bowel (60.5%) control and normal erectile function (65.9%), having good general health (71.3%), and preserving social relationships (68.1%) were significantly associated with being satisfied (P < 0.05). Men receiving no active treatment were less satisfied (50.5%, P < 0.001) than actively treated men, and Hispanic men were less satisfied than non‐Hispanic white men after undergoing radical prostatectomy (50.1% vs. 58.0%, P = 0.05) or androgen deprivation (29.7% vs. 71.8%, P < 0.02).CONCLUSIONSThe majority of men were satisfied with their treatment selection for clinically localized prostate carcinoma. Receiving an active treatment, believing oneself to be free of cancer, avoiding treatment complications, and having good overall health and social support were positively associated with satisfaction. Cancer 2003;97:1653–62. © 2003 American Cancer Society.DOI 10.1002/cncr.11233

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Correlation of abdominal leak point pressure with objective incontinence severity in men with post‐radical prostatectomy stress incontinence

Twiss

Fleischmann

Νitti

2005

Neurourology and Urodynamics

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ALPP did not correlate significantly with the 24-hr pad test in patients with post-prostatectomy stress incontinence. This suggests that in this patient subset, the ALPP is a relatively poor predictor of incontinence severity and, therefore, has limited clinical value in the urodynamic evaluation of post-prostatectomy incontinence. The urodynamic assessment of these patients should focus on the presence or absence of stress incontinence and on the presence of associated bladder dysfunction.

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Multicenter Patient Self-Reporting Questionnaire on Impotence, Incontinence and Stricture After Radical Prostatectomy

Cited by 48 publications

References 19 publications

The association of treatment‐related symptoms with quality‐of‐life outcomes for localized prostate carcinoma patients

The association of treatment‐related symptoms with quality‐of‐life outcomes for localized prostate carcinoma patients

Patient satisfaction with treatment decisions for clinically localized prostate carcinoma. Results from the Prostate Cancer Outcomes Study

Correlation of abdominal leak point pressure with objective incontinence severity in men with post‐radical prostatectomy stress incontinence

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