Recent Trends in Postcystectomy Health-related Quality of Life (QoL) Favors Neobladder Diversion: Systematic Review of the Literature

Ghosh, Anngona; Somani, Bhaskar K.

doi:10.1016/j.urology.2015.12.079

Cited by 39 publications

(19 citation statements)

References 32 publications

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“…9 This study found no change in the proportion of continent reservoir UD or other method over the past 20 years. This is despite evidence that neobladders improve quality of life 6 and in many international centres are the preferred technique in patients without contra-indications. 20 Interestingly, similar results were found in a recent study of US data from the Nationwide Inpatient Sample.…”

Section: Discussionmentioning

confidence: 99%

“…Ileal conduit formation was previously the gold‐standard UD; however, over the past 25 years there has been a significant shift to orthotopic neobladder formation . There is increasing evidence that neobladders lead to improved quality of life compared to intestinal conduit UD . Despite this, uptake of orthotopic neobladder has been inconsistent.…”

Section: Introductionmentioning

confidence: 99%

“…1,4,5 There is increasing evidence that neobladders lead to improved quality of life compared to intestinal conduit UD. [6][7][8] Despite this, uptake of orthotopic neobladder has been inconsistent. Rates in some high-volume cystectomy centres are 50-90%, whereas rates in other countries, such as the USA, are much lower.…”

Section: Introductionmentioning

confidence: 99%

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National trends in urinary diversion over the past 20 years: an Australian study

Best

Patel

2019

ANZ Journal of Surgery

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Background To investigate the trends in urinary diversion (UD) in Australia over the past 20 years, to correlate with patient demographics and to compare with international data. Methods A retrospective analysis of Medicare Australia data was performed using the relevant Medicare Benefit Schedule procedure codes over the past 20 years. Included diversion procedures were ureterocutaneous, ureterocolonic, intestinal conduit and continent reservoir. All patients aged older than 15 years were included in the analyses. Results Over the past two decades, 6124 cystectomies and 7166 UDs were subsidized by Medicare Australia. The median age group for UD was 65–74 years old and 71.8% were male. Intestinal conduit accounted for the majority of UDs (84.9%), followed by continent reservoirs (11.8%). Ureterocolonic and ureterocutaneous accounted for small proportions (2.9% and 0.4%, respectively). The absolute numbers of UD procedures increased over the past 20 years but the proportion of different methods remained constant. The rates of continent reservoir UD were significantly higher in men and people aged less than 55 years old (P < 0.001 for both). Over the course of the study, the proportion of people aged greater than 75 years undergoing UD increased significantly (P < 0.001). Conclusion In contrast to major international academic institutions, the proportion of continent reservoir UDs performed in Australia has not changed over the past two decades. Intestinal conduit remains the most common UD procedure.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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National trends in urinary diversion over the past 20 years: an Australian study

Best

Patel

2019

ANZ Journal of Surgery

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“…These include decision making and decision appraisal, satisfaction with care, ostomy or neobladder-related self-care, informal caregiving, self-efficacy, and personal meaning in illness experience. These aspects of patient experience are often overlooked in comparative studies about different urinary diversions, which have focused more on health-related quality of life measures and clinical outcomes [23, 24]. …”

Section: Discussionmentioning

confidence: 99%

Recovering from Cystectomy: Patient Perspectives

McMullen

Kwan

Colwell

et al. 2019

BLC

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Background: Bladder cancer patients who undergo cystectomy and urinary diversion face functional and quality-of-life challenges. Little is known about these patients’ experiences during decision-making, surgery, and recovery, or how they vary by treatment setting. Objective: To learn about patients’ experiences with treatment choice, surgical care, and recovery across health settings. Understanding patient experiences is essential to closing care gaps and developing patient-reported measures. Methods: We conducted focus groups with cystectomy patients and family caregivers at a large comprehensive health care system (N = 32 patients) and an NCI-designated comprehensive cancer center (N = 25 patients and 5 caregivers). Using standard qualitative methods, we identified themes that are not well-represented in existing research. Results: Across both systems, patients described variable experiences in decision-making about their cystectomy and urinary diversion. Some felt overwhelmed by information; others felt poorly informed. Many found self-care equipment challenging; many felt they knew little about what to expect regarding chemotherapy, recovery, and transitioning home. At times, health care personnel could not help manage patients’ ostomies or catheterization equipment. Our study also contributes a grounded theoretical framework for describing meaningful domains of patient experience with cystectomy and urinary diversion. We identified a common trajectory that includes decision-making, surgery and post-operative recovery, mastery of self-care, and reintegration. Conclusions: Patients with radical cystectomy and urinary diversion report a wide variety of experiences not captured by quantitative measures. These findings demonstrate that many cystectomy patients could benefit from additional post-operative support. We offer a framework to measure patient-centered domains in future research.

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“…), основанный на полно-метражных статьях на английском, французском, немецком, итальянском и испанском языках и сравнивающий варианты деривации мочи по-сле цистэктомии, показал, что для полноценной рекомендательной оценки качества жизни не-обходимо проведение рандомизированных ис-следований, которые в литературе на тот момент не были представлены [47]. [49,50].…”

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Continent Heterotopic Urine Derivation Forms

Spitsin¹,

Perepechay²,

Коган³

2017

Vestn. urol.

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285-11-11; e-mail: ispitsin@list.ru В обзоре анализируются различные методики деривации мочи после цистэктомии. Раскрывается вопрос о целесообразности выбора гетеротопического континентного отведения мочи на основании сравнения осложнений, сложности исполнения, послеоперационного качества жизни при использо-вании различных вариантов кишечных реконструкций мочевого пузыря. Поднимается проблема по-иска новых, более простых методик формирования удерживающих механизмов клапана резервуара, с целью большей популяризации выполнения континентных форм деривации мочи.Ключевые слова: рак мочевого пузыря, радикальная цистэктомия, деривация мочи, гетеротопиче-ская кишечная пластика. CONTINENT HETEROTOPIC URINE DERIVATION FORMS Rostov State Medical University of the Ministry Public Health of the Russian Federation; Rostov-on-Don, Russian FederationThe review offers analysis of various methods used for urine derivation after cystectomy. It provides insight into the advisability of continent heterotopic urine derivation based on a comparison of complications, practical complexity, and quality of life following different variants of bladder reconstruction using intestinal segments. The problem of searching for new simpler methods for the formation of reservoir valve retention mechanisms is raised to encourage broader use of continent urine derivation forms.

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Recent Trends in Postcystectomy Health-related Quality of Life (QoL) Favors Neobladder Diversion: Systematic Review of the Literature

Cited by 39 publications

References 32 publications

National trends in urinary diversion over the past 20 years: an Australian study

National trends in urinary diversion over the past 20 years: an Australian study

Recovering from Cystectomy: Patient Perspectives

Continent Heterotopic Urine Derivation Forms

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