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ID 48338
JaLCDOI
フルテキストURL
著者
Saika, Takashi Okayama University
Arata, Ryoji Okayama University
Tsushima, Tomoyasu Okayama University
Nasu, Yasutomo Okayama University
Suyama, Bunzo Okayama University
Takeda, Katsuji Okayama University
Ebara, Shin Okayama University
Manabe, Daisuke Okayama University
Kobayashi, Tomoko Okayama University
Tanimoto, Ryuta Okayama University
Kumon, Hiromi Okayama University
抄録
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.
キーワード
bladder cancer
cystectomy
neo-bladder
urinary diversion
QOL
Amo Type
Original Article
発行日
2007-08
出版物タイトル
Acta Medica Okayama
61巻
4号
出版者
Okayama University Medical School
開始ページ
199
終了ページ
203
ISSN
0386-300X
NCID
AA00508441
資料タイプ
学術雑誌論文
言語
English
論文のバージョン
publisher
査読
有り
PubMed ID
Web of Sience KeyUT