Quality of life and psycho-emotional wellbeing in bladder cancer patients and their caregivers: a comparative analysis between urostomy versus ileal orthotopic neobladder

被引:16
作者
Masiero, Marianna [1 ,2 ]
Busacchio, Derna [1 ]
Guiddi, Paolo [1 ]
Arnaboldi, Paola [3 ]
Musi, Gennaro [4 ]
De Cobelli, Ottavio [2 ,5 ]
Didier, Florence [1 ]
Pravettoni, Gabriella [1 ,2 ]
机构
[1] IRCCS, Appl Res Div Cognit & Psychol Sci, European Inst Oncol, Milan, Italy
[2] Univ Milan, Dept Oncol & Hematooncol, Milan, Italy
[3] Cantonal Sociopsychiat Org OSC, Med Psychiat & Med Psychol Serv, Lugano, Switzerland
[4] IRCCS, European Inst Oncol, Unit Neoplasms Male Genital Apparat, Milan, Italy
[5] IRCCS, Div Urol, European Inst Oncol, Milan, Italy
来源
ECANCERMEDICALSCIENCE | 2021年 / 15卷
关键词
radical cystectomy; neobladder; urostomy; decision-making; caregivers; personality; PSYCHOLOGICAL DISTRESS; RADICAL CYSTECTOMY; CONDUIT; IMPACT; HEAD;
D O I
10.3332/ecancer.2021.1163
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background: The impact of neobladder and urostomy on bladder cancer patient's health-related quality of life (HR-QoL) is controversial and many issues currently remain under-investigated. Initial studies pointed out that the emotional responses of caregivers might be 'contagious, influencing emotional reactions in bladder cancer patients undergoing radical cystectomy. Methods: Three hundred and eighty-two bladder cancer patients (aged M = 67.29 years; SD = 9.23) (16.9% (65) were female and 82.9% (319) were male) and their caregivers were enrolled. Data were collected prospectively: at T0 (1 month before the surgery), at T1 (2 weeks after the surgery, at patient discharge from the hospital) and at T2 (6-month follow-up). At each time point (T0, T1 and T2), a set of questionnaires (EORT QLQ-C30 and emotion thermometer) were given to patients and their caregivers. Results: All patients reported a general improvement in the HR-QoL and global health status/QoL from T0 to T2 (p < 0.001). No significant differences were observed between neobladder and urostomy. At T0, the emotional thermometer total scoring in caregivers was positive in relation to HR-QoL (p < 0.001) and negative in relation to the patient's perception of QoL (p < 0.001) and global health (p < 0.001). Similar trends were observed at T1 and T2. Conclusions: These results suggest that patients and their caregiver's emotional reactions to cancer are deep-rooted and strongly interconnected, and they provide innovative insights for the clinical management of bladder cancer patients.
引用
收藏
页数:12
相关论文
共 45 条
[1]   THE EUROPEAN-ORGANIZATION-FOR-RESEARCH-AND-TREATMENT-OF-CANCER QLQ-C30 - A QUALITY-OF-LIFE INSTRUMENT FOR USE IN INTERNATIONAL CLINICAL-TRIALS IN ONCOLOGY [J].
AARONSON, NK ;
AHMEDZAI, S ;
BERGMAN, B ;
BULLINGER, M ;
CULL, A ;
DUEZ, NJ ;
FILIBERTI, A ;
FLECHTNER, H ;
FLEISHMAN, SB ;
DEHAES, JCJM ;
KAASA, S ;
KLEE, M ;
OSOBA, D ;
RAZAVI, D ;
ROFE, PB ;
SCHRAUB, S ;
SNEEUW, K ;
SULLIVAN, M ;
TAKEDA, F .
JOURNAL OF THE NATIONAL CANCER INSTITUTE, 1993, 85 (05) :365-376
[2]   Sexual Dysfunction and Intimacy for Ostomates [J].
Albaugh, Jeffrey A. ;
Tenfelde, Sandi ;
Hayden, Dana M. .
CLINICS IN COLON AND RECTAL SURGERY, 2017, 30 (03) :201-206
[3]  
Andrews J, 2019, J UROL, V201, DOI [10.1097/01.ju.0000556822.63726.66, DOI 10.1097/01.JU.0000556822.63726.66]
[4]  
[Anonymous], [No title captured]
[5]  
Arnaboldi P, PSYCHOONCOLOGY, V25, P56
[6]   The clinical-care focused psychological interview (CLiC): a structured tool for the assessment of cancer patients' needs [J].
Arnaboldi, Paola ;
Oliyeri, Serena ;
Vergani, Laura ;
Marton, Giulia ;
Guiddi, Paolo ;
Busacchio, Dema ;
Didier, Florence ;
Pravettoni, Gabriella .
ECANCERMEDICALSCIENCE, 2020, 14
[7]   The Paradox of Pelvic Exenteration The Interaction of Clinical and Psychological Variables [J].
Arnaboldi, Paola ;
Santoro, Luigi ;
Mazzocco, Ketti ;
Oliveri, Serena ;
Maggioni, Angelo ;
Pravettoni, Gabriella .
INTERNATIONAL JOURNAL OF GYNECOLOGICAL CANCER, 2015, 25 (08) :1534-1540
[8]   Psychological distress in patients and caregivers over the course of radiotherapy for head and neck Cancer [J].
Badr, Hoda ;
Gupta, Vishal ;
Sikora, Andrew ;
Posner, Marshall .
ORAL ONCOLOGY, 2014, 50 (10) :1005-1011
[9]   The Natural History of Symptoms and Distress in Patients and Families Following Cystectomy for Treatment of Muscle Invasive Bladder Cancer [J].
Benner, Carly ;
Greenberg, Molly ;
Shepard, Nancy ;
Meng, Maxwell V. ;
Rabow, Michael W. .
JOURNAL OF UROLOGY, 2014, 191 (04) :937-942
[10]   Bladder Cancer Survivorship [J].
Bhanvadia, Sumeet K. .
CURRENT UROLOGY REPORTS, 2018, 19 (12)