Cosmin-George Radu, George Daniel Rădăvoi, Justin Aurelian, Ion-Florin Achim, Iulia Andras, Maximilian Buzoianu, Elisabeta Ioana Hiriscau, Nicolae Crisan, Silviu Constantinoiu, Viorel Jinga
{"title":"单纯皮肤输尿管造口术与根治性膀胱切除术后回肠导管阻塞术患者的生活质量分析。","authors":"Cosmin-George Radu, George Daniel Rădăvoi, Justin Aurelian, Ion-Florin Achim, Iulia Andras, Maximilian Buzoianu, Elisabeta Ioana Hiriscau, Nicolae Crisan, Silviu Constantinoiu, Viorel Jinga","doi":"10.21614/chirurgia.3128","DOIUrl":null,"url":null,"abstract":"<p><p><b>Introduction:</b> Radical cystectomy (RC) with pelvic lymphadenectomy remains the standard therapeutic approach in the treatment of muscle-invasive bladder cancer (MIBC). The impact of urinary diversion type on postoperative health-related quality of life (HRQoL) remains a debated topic, especially in the context of Eastern European clinical practice. Objective: This retrospective, observational, multicentric study aimed to compare the quality of life in patients undergoing RC followed by either simple cutaneous ureterostomy (SCU) or non-continent ileal conduit (Bricker), across two academic centers in Romania, utilizing different surgical approaches. Material and <b>Methods:</b> A total of 46 patients diagnosed with non-metastatic MIBC were included and equally distributed into two groups. Quality of life was assessed at 3 months postoperatively using the EQ-5D-5L questionnaire and the EQ-VAS visual analogue scale. Indexed scores were calculated using a European value set. A multivariate linear regression was applied to identify independent predictors of quality of life scores. <b>Results:</b> Patients in the Bricker group reported slightly higher EQ-VAS scores. Paradoxically, social support was associated with lower indexed scores (p 0.001), suggesting more severe functional impairment among patients requiring assistance. The type of surgical approach did not significantly impact quality of life. Male patients reported greater limitations in self-care and daily activities (p 0.05). <b>Conclusions:</b> Both urinary diversion techniques yield comparable quality of life outcomes at 3 months postoperatively. Social support may serve as an indirect marker of functional vulnerability, emphasizing the need for an individualized and multidisciplinary approach.</p>","PeriodicalId":10171,"journal":{"name":"Chirurgia","volume":"120 2","pages":"205-217"},"PeriodicalIF":0.8000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Quality of Life Analysis in Patients with Simple Cutaneous Ureterostomy versus Ileal Conduit Bricker Following Radical Cystectomy.\",\"authors\":\"Cosmin-George Radu, George Daniel Rădăvoi, Justin Aurelian, Ion-Florin Achim, Iulia Andras, Maximilian Buzoianu, Elisabeta Ioana Hiriscau, Nicolae Crisan, Silviu Constantinoiu, Viorel Jinga\",\"doi\":\"10.21614/chirurgia.3128\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><b>Introduction:</b> Radical cystectomy (RC) with pelvic lymphadenectomy remains the standard therapeutic approach in the treatment of muscle-invasive bladder cancer (MIBC). The impact of urinary diversion type on postoperative health-related quality of life (HRQoL) remains a debated topic, especially in the context of Eastern European clinical practice. Objective: This retrospective, observational, multicentric study aimed to compare the quality of life in patients undergoing RC followed by either simple cutaneous ureterostomy (SCU) or non-continent ileal conduit (Bricker), across two academic centers in Romania, utilizing different surgical approaches. Material and <b>Methods:</b> A total of 46 patients diagnosed with non-metastatic MIBC were included and equally distributed into two groups. Quality of life was assessed at 3 months postoperatively using the EQ-5D-5L questionnaire and the EQ-VAS visual analogue scale. Indexed scores were calculated using a European value set. A multivariate linear regression was applied to identify independent predictors of quality of life scores. <b>Results:</b> Patients in the Bricker group reported slightly higher EQ-VAS scores. Paradoxically, social support was associated with lower indexed scores (p 0.001), suggesting more severe functional impairment among patients requiring assistance. The type of surgical approach did not significantly impact quality of life. Male patients reported greater limitations in self-care and daily activities (p 0.05). <b>Conclusions:</b> Both urinary diversion techniques yield comparable quality of life outcomes at 3 months postoperatively. 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Quality of Life Analysis in Patients with Simple Cutaneous Ureterostomy versus Ileal Conduit Bricker Following Radical Cystectomy.
Introduction: Radical cystectomy (RC) with pelvic lymphadenectomy remains the standard therapeutic approach in the treatment of muscle-invasive bladder cancer (MIBC). The impact of urinary diversion type on postoperative health-related quality of life (HRQoL) remains a debated topic, especially in the context of Eastern European clinical practice. Objective: This retrospective, observational, multicentric study aimed to compare the quality of life in patients undergoing RC followed by either simple cutaneous ureterostomy (SCU) or non-continent ileal conduit (Bricker), across two academic centers in Romania, utilizing different surgical approaches. Material and Methods: A total of 46 patients diagnosed with non-metastatic MIBC were included and equally distributed into two groups. Quality of life was assessed at 3 months postoperatively using the EQ-5D-5L questionnaire and the EQ-VAS visual analogue scale. Indexed scores were calculated using a European value set. A multivariate linear regression was applied to identify independent predictors of quality of life scores. Results: Patients in the Bricker group reported slightly higher EQ-VAS scores. Paradoxically, social support was associated with lower indexed scores (p 0.001), suggesting more severe functional impairment among patients requiring assistance. The type of surgical approach did not significantly impact quality of life. Male patients reported greater limitations in self-care and daily activities (p 0.05). Conclusions: Both urinary diversion techniques yield comparable quality of life outcomes at 3 months postoperatively. Social support may serve as an indirect marker of functional vulnerability, emphasizing the need for an individualized and multidisciplinary approach.
期刊介绍:
Chirurgia is a bimonthly journal. In Chirurgia, original papers in the area of general surgery which neither
appeared, nor were sent for publication in other periodicals, can be published. You can send original articles,
new surgical techniques, or comprehensive general reports on surgical topics, clinical case presentations and,
depending on publication space, - reviews of some articles of general interest to surgeons from other publications.
Chirurgia is also a place for sharing information about the activity of various branches of the Romanian Society of
Surgery, information on Congresses and Symposiums organized by the Romanian Society of Surgery and
participation notes in other scientific meetings.
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