Health-Related Quality of Life after Cystectomy and Urinary Diversion for Bladder Cancer

With multiple options for urinary diversion after radical cystectomy for bladder cancer that have comparable cancer control and complication rates, health-related quality of life (HRQOL) has become an important consideration. This article reviews the methods for defining HRQOL, the challenges in mea...

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Main Authors: Cheryl Shih, Michael P. Porter
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Advances in Urology
Online Access:http://dx.doi.org/10.1155/2011/715892
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author Cheryl Shih
Michael P. Porter
author_facet Cheryl Shih
Michael P. Porter
author_sort Cheryl Shih
collection DOAJ
description With multiple options for urinary diversion after radical cystectomy for bladder cancer that have comparable cancer control and complication rates, health-related quality of life (HRQOL) has become an important consideration. This article reviews the methods for defining HRQOL, the challenges in measuring HRQOL in bladder cancer, and the literature comparing HRQOL after various methods of urinary diversion. Recent contributions include the validation of HRQOL instruments specific to bladder cancer and the publication of several prospective studies measuring HRQOL outcomes after cystectomy and urinary diversion. There is no convincing evidence from existing literature that any particular method of urinary diversion offers superior HRQOL outcomes. Rather, there is growing evidence that good HRQOL can be achieved with patient education and consideration of each patient's clinical and psychosocial situation. Future research should utilize the validated bladder cancer specific HRQOL instruments and perhaps explore the impact of preoperative counseling on postoperative HRQOL.
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spelling doaj-art-73bddb56ea5943b083e5e62dfa316e592025-02-03T01:33:26ZengWileyAdvances in Urology1687-63691687-63772011-01-01201110.1155/2011/715892715892Health-Related Quality of Life after Cystectomy and Urinary Diversion for Bladder CancerCheryl Shih0Michael P. Porter1Department of Urology, University of Washington, Seattle, WA 98195, USADepartment of Urology, University of Washington, Seattle, WA 98195, USAWith multiple options for urinary diversion after radical cystectomy for bladder cancer that have comparable cancer control and complication rates, health-related quality of life (HRQOL) has become an important consideration. This article reviews the methods for defining HRQOL, the challenges in measuring HRQOL in bladder cancer, and the literature comparing HRQOL after various methods of urinary diversion. Recent contributions include the validation of HRQOL instruments specific to bladder cancer and the publication of several prospective studies measuring HRQOL outcomes after cystectomy and urinary diversion. There is no convincing evidence from existing literature that any particular method of urinary diversion offers superior HRQOL outcomes. Rather, there is growing evidence that good HRQOL can be achieved with patient education and consideration of each patient's clinical and psychosocial situation. Future research should utilize the validated bladder cancer specific HRQOL instruments and perhaps explore the impact of preoperative counseling on postoperative HRQOL.http://dx.doi.org/10.1155/2011/715892
spellingShingle Cheryl Shih
Michael P. Porter
Health-Related Quality of Life after Cystectomy and Urinary Diversion for Bladder Cancer
Advances in Urology
title Health-Related Quality of Life after Cystectomy and Urinary Diversion for Bladder Cancer
title_full Health-Related Quality of Life after Cystectomy and Urinary Diversion for Bladder Cancer
title_fullStr Health-Related Quality of Life after Cystectomy and Urinary Diversion for Bladder Cancer
title_full_unstemmed Health-Related Quality of Life after Cystectomy and Urinary Diversion for Bladder Cancer
title_short Health-Related Quality of Life after Cystectomy and Urinary Diversion for Bladder Cancer
title_sort health related quality of life after cystectomy and urinary diversion for bladder cancer
url http://dx.doi.org/10.1155/2011/715892
work_keys_str_mv AT cherylshih healthrelatedqualityoflifeaftercystectomyandurinarydiversionforbladdercancer
AT michaelpporter healthrelatedqualityoflifeaftercystectomyandurinarydiversionforbladdercancer