The Assessment of SF-36 Survey for Quality-of-Life Measurement after Radical Cystectomy for Muscle-Invasive Bladder Cancer: A Systematic Review

Diseases Pub Date : 2024-03-16 DOI:10.3390/diseases12030056
Vlad Barbos, Bogdan Feciche, S. Latcu, Alexei Croitor, Vlad Dema, R. Bardan, Flaviu Ionut Faur, Tudor Mateescu, D. Novacescu, Gherle Bogdan, Alin Adrian Cumpănaş
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Abstract

This study presents a systematic review of the literature on individuals’ health-related quality of life (HRQoL) following radical cystectomy for muscle-invasive bladder cancer (MIBC), utilizing the Short Form-36 Health Survey (SF-36) as a primary assessment tool. The review was designed as an exhaustive literature search across three major databases including PubMed, Scopus, and Embase up to December 2023, using the PRISMA guidelines. The selection process refined 2281 identified articles down to 11 studies meeting our inclusion criteria. These studies encompassed a diverse demographic and clinical profile of 774 participants, with follow-up durations ranging from 3 to 130 months, thereby offering insights into both short-term and long-term HRQoL outcomes. The results highlighted significant alterations in individuals’ HRQoL across various domains post-radical cystectomy. Notably, the Physical Functioning (PF) and Bodily Pain (BP) domains generally scored higher, indicating a moderate to high perceived physical health status. However, the Role Physical (RP) and Role Emotional (RE) domains showed variability, reflecting the challenges in daily role fulfillment and emotional adjustment post-surgery. A marked variability in physical recovery was observed, with studies reporting significant differences in PF and RP scores between patient groups. The General Health (GH) and Vitality (VT) domains sometimes reflected perceived deteriorations, whereas the Mental Health (MH) scores suggested that many patients maintained or achieved high levels of well-being post-operatively. The conclusions drawn from this systematic review underscore the profound and multi-faceted impact of radical cystectomy on HRQoL, varying widely between studies, being influenced by geographic factors, surgical methods, and the time of evaluation. The findings emphasize the necessity for holistic patient care approaches that address both physical and emotional rehabilitation, aiming to improve HRQoL outcomes.
肌浸润性膀胱癌根治性膀胱切除术后生活质量的 SF-36 调查评估:系统性综述
本研究采用简表-36 健康调查 (SF-36) 作为主要评估工具,对肌肉浸润性膀胱癌 (MIBC) 根治性膀胱切除术后个人健康相关生活质量 (HRQoL) 的文献进行了系统性综述。该综述采用 PRISMA 指南,在三大数据库(包括 PubMed、Scopus 和 Embase)中进行了详尽的文献检索,检索期截至 2023 年 12 月。在筛选过程中,我们将 2281 篇已确定的文章筛选为 11 篇符合纳入标准的研究。这些研究涵盖了 774 名参与者的不同人口和临床特征,随访时间从 3 个月到 130 个月不等,从而为短期和长期的 HRQoL 结果提供了见解。研究结果表明,根治性膀胱切除术后,患者在各个领域的 HRQoL 都发生了显著变化。值得注意的是,身体功能(PF)和身体疼痛(BP)领域的得分普遍较高,表明身体健康状况处于中上水平。然而,角色体能(RP)和角色情感(RE)领域却显示出差异,这反映出手术后在日常角色履行和情感调整方面所面临的挑战。在身体恢复方面存在明显的差异,有研究报告称不同患者组之间的 PF 和 RP 分数存在显著差异。一般健康(GH)和活力(VT)领域有时反映出患者感觉到的病情恶化,而心理健康(MH)评分则表明,许多患者在术后保持或达到了较高的健康水平。本系统综述得出的结论强调了根治性膀胱切除术对 HRQoL 的深远和多方面影响,不同研究之间差异很大,并受到地理因素、手术方法和评估时间的影响。研究结果强调,有必要采取全面的患者护理方法,解决身体和情绪康复问题,以改善患者的 HRQoL 结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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