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Short‐term patient reported health‐related quality of life ( HRQL ) outcomes after robot‐assisted radical cystectomy ( RARC )
Author(s) -
Poch Michael A.,
Stegemann Andrew P.,
Rehman Shabnam,
Sharif Mohamed A.,
Hussain Abid,
Consiglio Joseph D.,
Wilding Gregory E.,
Guru Khurshid A.
Publication year - 2014
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1111/bju.12162
Subject(s) - medicine , cystectomy , quality of life (healthcare) , cohort , urinary diversion , surgery , bladder cancer , cancer , nursing
Objective To determine short‐term health‐related quality of life ( HRQL ) outcomes after robot‐assisted radical cystectomy ( RARC ) using the B ladder C ancer I ndex ( BCI ) and E uropean O rganisation for R esearch and T reatment of C ancer ( EORTC ) B ody I mage S cale ( BIS ).Patients and Methods All patients undergoing RARC were enrolled in a quality assurance database. The patients completed two validated questionnaires, BCI and BIS , preoperatively and at standardised postoperative intervals. The primary outcome measure was difference in interval and baseline BCI and BIS scores. Complications were identified and classified by C lavien grade.Results In all, 43 patients completed pre‐ and postoperative questionnaires There was a decline in the urinary domain at 0–1 month after RARC ( P = 0.006), but this returned to baseline by 1–2 months. There was a decline in the bowel domain at 0–1 month ( P < 0.001) and 1–2 months ( P = 0.024) after RARC , but this returned to baseline by 2–4 months. The decline in BCI scores was greatest for the sexual function domain, but this returned to baseline by 16–24 months after RARC . Body image perception using BIS showed no significant change after RARC except at the 4–10 months period ( P = 0.018).Conclusions Based on BCI and BIS scores HRQL outcomes after RARC show recovery of urinary and bowel domains ≤6 months. Longer follow‐up with a larger cohort of patients will help refine HRQL outcomes.