Health-related quality of life after treatment for bladder cancer in England

Autor: Samantha J Mason, Luke Hounsome, James W.F. Catto, Amy Downing, Penny Wright, Michael J Richards, Adam Glaser, Jessica Corner, Sarah Bottomley
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: British Journal of Cancer
ISSN: 0007-0920
1532-1827
Popis: Background: Little is known about quality of life after bladder cancer treatment. This common cancer is managed using treatments that can affect urinary, sexual and bowel function.\ud \ud \ud \ud Methods: To understand quality of life and inform future care, the Department of Health (England) surveyed adults surviving bladder cancer 1–5 years after diagnosis. Questions related to disease status, co-existing conditions, generic health (EQ-5D), cancer-generic (Social Difficulties Inventory) and cancer-specific outcomes (Functional Assessment of Cancer Therapy—Bladder).\ud \ud \ud \ud Results: In total, 673 (54%) patients responded; including 500 (74%) men and 539 (80%) with co-existing conditions. Most respondents received endoscopic treatment (60%), while 92 (14%) and 99 (15%) received radical cystectomy or radiotherapy, respectively. Questionnaire completion rates varied (51–97%). Treatment groups reported ≥1 problem using EQ-5D generic domains (59–74%). Usual activities was the most common concern. Urinary frequency was common after endoscopy (34–37%) and radiotherapy (44–50%). Certain populations were more likely to report generic, cancer-generic and cancer-specific problems; notably those with co-existing long-term conditions and those treated with radiotherapy.\ud \ud \ud \ud Conclusion: The study demonstrates the importance of assessing patient-reported outcomes in this population. There is a need for larger, more in-depth studies to fully understand the challenges patients with bladder cancer face.
Databáze: OpenAIRE