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Do the different types of renal surgery impact the quality of life in the postoperative period?

  • Urology – Original Paper
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Abstract

Purpose

Because more than 70 % of patients with localized tumors experience 10 years of cancer-specific survival, their quality of life (QoL) after surgery is important. The aim of this study was to explore the impact of the type of surgery (partial vs. total nephrectomy) and the postoperative outcome on the QoL of patients with renal cancer.

Methods

A total of 205 patients underwent partial or total nephrectomy at the Department of Urology, Roskilde Hospital, between February 2008 and June 2013 and survived until the time of the survey. The European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire 30 (EORTC QLQ-C30) was sent to this cohort in January 2014.

Results

The response rate was 74.1 % for complete answers. The overall global health status (QoL) was low (69.12 %) for all patient groups, regardless of the operation technique and the underlying medical status. Total nephrectomy was a negative predictor of QoL, physical functioning, role functioning, and fatigue. Patients who experienced recurrence reported significant deterioration in 11 of the 15 EORTC QLQ-C30 domains. Additionally, thinking about cancer only during the follow-up visit was associated with a significant decrease in emotional functioning and role functioning compared with never thinking about one’s cancer.

Conclusion

Total nephrectomy was a negative predictor of overall global health status. There is a demand for a reasonable follow-up program with an individual control interval according to the risk of recurrence and the possibility of treatment as well as the patient’s discretion.

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Abbreviations

QoL:

Quality of life

CKD:

Chronic kidney disease

e-GFR:

Estimated glomerular filtration rate

ECOG:

Eastern Cooperative Oncology Group performance

EORTC QLQ-C30:

European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire 30

GH-QoL:

Global health and QoL scale

RQRC:

The rehabilitation questionnaire for renal cancer

RQRC1:

Have you at any time in the treatment course felt sick?

RQRC2:

Have you ever thought of yourself as a cancer patient?

RQRC3:

Have you ever thought of cancer recurrence in your treatment course?

RQRC4:

Do you think that you have had a complicated course after surgery?

RQRC5:

How do you see your body after surgery for kidney cancer?

RQRC6:

How often do you think about the fact that you have had kidney cancer?

RQRC7:

Are you satisfied with your treatment course?

OT:

Operations period

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Conflict of interest

The authors declare that they have no conflicts of interest.

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Authors and Affiliations

  1. Department of Urology, Roskilde Hospital, Kogevej 7-13, 4000, Roskilde, Denmark

    Nessn H. Azawi, Helen Tesfalem & Claus Dahl

  2. Department of Urology, Odense University Hospital, Sdr. Boulevard 29, 5000, Odense, Denmark

    Lars Lund

Authors
  1. Nessn H. Azawi
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  2. Helen Tesfalem
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  3. Claus Dahl
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  4. Lars Lund
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Correspondence to Nessn H. Azawi.

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Azawi, N.H., Tesfalem, H., Dahl, C. et al. Do the different types of renal surgery impact the quality of life in the postoperative period?. Int Urol Nephrol 47, 263–269 (2015). https://doi.org/10.1007/s11255-014-0893-9

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  • DOI: https://doi.org/10.1007/s11255-014-0893-9

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