Health-related quality of life prior to and 1 year after radical cystectomy evaluated with FACT-G and FACT-VCI questionnaires

Authors

  • Anna Karin Lind Department of Urology, Skåne University Hospital, Malmö, Sweden
  • Fredrik Liedberg Department of Urology, Skåne University Hospital, Malmö, Sweden; Institution of Translational Medicine, Lund University, Malmö, Sweden
  • Firas Aljabery Department of Clinical and Experimental Medicine, Division of Urology, Linköping University, Linköping, Sweden
  • Mats Bläckberg Department of Urology, Helsingborg County Hospital, Helsingborg, Sweden
  • Truls Gårdmark Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden
  • Abofazl Hosseini Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden
  • Tomas Jerlström Department of Urology, School of Medical Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
  • Viveka Ströck Department of Urology, Sahlgrenska University Hospital and Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden
  • Karin Stenzelius Malmö University, Department of Care Science, Faculty of Health and Society, Malmö, Sweden

DOI:

https://doi.org/10.2340/sju.v58.11952

Keywords:

Bladder cancer, FACT-G, FACT-VCI, Health-related quality of life, Radical cystectomy, Urinary diversion

Abstract

Objective: The aim of this study was to investigate health-related quality of life (HRQoL) before and 1 year after radical cystectomy in relation to age and gender.

Methods: This prospective study involves 112 men and 40 women with bladder cancer treated with radical cystectomy between 2015 and 2018. HRQoL was assessed preoperatively and 1 year post-surgery through Functional Assessment of Cancer Therapy Scale – General (FACT-G) and Functional Assessment of Cancer Therapy Scale – Vanderbilt Cystectomy Index (FACT-VCI) questionnaires. The median age of the 152 patients was 71.5 years.

Results: Preoperatively, emotional and functional well-being were negatively affected. Physical, emotional and functional well-being presented higher values 1 year after surgery compared to before radical cystectomy, that is, better HRQoL. Social well-being showed a reduction, especially regarding closeness to partner and support from family. Men and women were equally satisfied with their sex life before radical cystectomy, but less so 1 year after, where men were less satisfied compared to women. Additionally, one out of five patients reported that they had to limit their physical activities, were afraid of being far from a toilet and were dissatisfied with their body appearance after surgery.

Conclusions: Recovery regarding HRQoL was ongoing 1 year after radical cystectomy. Patients recovered in three out of four dimensions of HRQoL, but social well-being was still negatively affected 1 year after treatment. Sexual function after radical cystectomy was exceedingly limited for both men and women. An individual sexual rehabilitation plan involving the couple with special intention to encourage intimacy, might not only improve sexual life but also have a positive effect on social well-being as a consequence.

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Published

2023-09-21

How to Cite

Lind, A. K., Liedberg, F., Aljabery, F., Bläckberg, M., Gårdmark, T., Hosseini, A., Jerlström, T., Ströck, V., & Stenzelius, K. (2023). Health-related quality of life prior to and 1 year after radical cystectomy evaluated with FACT-G and FACT-VCI questionnaires. Scandinavian Journal of Urology, 58, 76–83. https://doi.org/10.2340/sju.v58.11952

Issue

Vol. 58 (2023)

Section

Original research article

License

Copyright (c) 2023 Anna Karin Lind, Fredrik Liedberg, Firas Aljabery, Mats Bläckberg, Truls Gårdmark, Abofazl Hosseini, Tomas Jerlström, Viveka Ströck, Karin Stenzelius

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Acta Chirurgica Scandinavica Society owns the copyright for all material published until Volume 57 (2023) unless otherwise specified. As from Volume 59 (2024) all published articles, unless otherwise specified, are published under CC-BY licences, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material for non-commercial purposes, provided proper attribution to the original work.

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