title: Health-related quality of life after radical cystectomy for bladder cancer in elderly patients with an ileal conduit, ureterocutaneostomy, or orthotopic urinary reservoir: a comparative questionnaire survey.
abstract: To compare the health-related quality of life of elderly patients after radical cystectomy for bladder cancer in urinary diversion groups: ileal conduit, ureterocutaneostomy, or orthotopic urinary reservoir. The 109 participating elderly patients aged 75 or older completed self-reporting questionnaires: the QLQ-C30, and on satisfaction with urinary diversion methods. Fifty-six patients had undergone constructions for ileal conduit diversion, 31 for ureterocutaneostomy, and 22 for orthotopic urinary reservoir (OUR). The median follow-up period for each group was 4.0 years (range 0.3-11.2), 4.5 years (range 0.3-18.0), and 3.3 years (range 0.3-6.7), respectively. Regardless of the type of urinary diversion, the majority of patients reported having good overall quality of life, although with some problem of pain. No significant differences among urinary diversion subgroups were found in any quality of life area in the QLQ-C30 questionnaire. More patients in the OUR sub-group felt disappointment than those in the ileal conduit or cutaneostomy sub-groups. However, a questionnaire which asked which diversion method would be preferable showed a trend that more patients in the OUR subgroup would have chosen the same one. Health-related quality of life appeared relatively good in these 3 groups. Patient demands and expectations may be so different from the results that the details of each urinary diversion method should be explained thoroughly. OUR construction could be a candidate even for elderly patients.
authors.affiliation: Department of Urology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan. saika@cc.okayama-u.ac.jp
authors.forename: Takashi
authors.initials: T
authors.lastname: Saika
authors.forename: Ryoji
authors.initials: R
authors.lastname: Arata
authors.forename: Tomoyasu
authors.initials: T
authors.lastname: Tsushima
authors.forename: Yasutomo
authors.initials: Y
authors.lastname: Nasu
authors.forename: Bunzo
authors.initials: B
authors.lastname: Suyama
authors.forename: Katsuji
authors.initials: K
authors.lastname: Takeda
authors.forename: Shin
authors.initials: S
authors.lastname: Ebara
authors.forename: Daisuke
authors.initials: D
authors.lastname: Manabe
authors.forename: Tomoko
authors.initials: T
authors.lastname: Kobayashi
authors.forename: Ryuta
authors.initials: R
authors.lastname: Tanimoto
authors.forename: Hiromi
authors.initials: H
authors.lastname: Kumon
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015653:Cystectomy; D005260:Female; D006801:Humans; D007081:Ileostomy; D008297:Male; D011788:Quality of Life; D011795:Surveys and Questionnaires; D014519:Ureterostomy; D001749:Urinary Bladder Neoplasms / Q000601:surgery*; D014547:Urinary Diversion