Advances in Clinical and Experimental Medicine
2020, vol. 29, nr 7, July, p. 857–863
Publication type: original article
Health-related quality of life is not related to laparoscopic or robotic technique in radical cystectomy
1 Department of General and Oncologic Urology, Collegium Medicum, Nicolaus Copernicus University, Bydgoszcz, Poland
2 Department of General and Oncological Urology, Nicolaus Copernicus Hospital, Toruń, Poland
3 Department of Regenerative Medicine Cell and Tissue Bank, Department of Urology, Collegium Medicum, Nicolaus Copernicus University, Bydgoszcz, Poland
Background. Evaluating health-related quality of life (HR-QoL) is important in urological oncology.
Objectives. To evaluate the impact of minimally invasive radical cystectomy (RC) on the patients’ QoL depending on the surgical strategy (laparoscopic compared to robotic).
Material and Methods. The study involved 110 patients divided into 2 groups: group 1 (n = 65), qualified for robotic-assisted RC (RARC), and group 2 (n = 45), qualified for laparoscopic RC (LRC). A prospective analysis of QoL was performed. In the study, we used sociodemographic data taken from the patients’ medical records, and data from standardized questionnaires of QoL surveys entitled Functional Assessment of Cancer Therapy – General (FACT-G) and Functional Assessment of Cancer Therapy for Bladder Cancer (FACT-Bl).
Results. In the patients who had undergone LRC, a statistically significant difference in HR-QoL was noted only for the subjective well-being (SWB) domain regarding family and social life: The patients had higher SWB values before surgery than after it. In the patients who had undergone RARC, statistically significant differences in HR-QoL were noted in 3 domains: 1) SWB – family and social life, 2) FACT-Bl assessment and 3) FACT-G assessment. Both before and after surgery, no statistically significant differences were found between the 2 groups for any of the HR-QoL domains.
Conclusion. The surgical technique of minimally invasive endoscopic RC used (laparoscopic or robotic) does not affect HR-QoL domains.
radical cystectomy, quality of life, urinary diversion, laparoscopic, robotic-assisted
- Moncrief TJ, Balaji P, Lindgren BB, Weight CJ, Konety BR. Comparative evaluation of bladder-specific Health-Related Quality of Life (HRQOL) instruments for bladder cancer. Urology. 2017;108:76–81.
- Sosnowski R, Kulpa M, Ziętalewicz U, et al. Basic issues concerning health-related quality of life. Cent European J Urol. 2017;70(2):206–211.
- Stein JP, Lieskovsky G, Cote R, et al. Radical cystectomy in the treatment of invasive bladder cancer: Long-term results in 1,054 patients. J Clin Oncol. 2001;19(3):666–675.
- Webster K, Cella D, Yost K. The Functional Assessment of Chronic Illness Therapy (FACIT) measurement system: Properties, applications, and interpretation. Health Qual Life Outcomes. 2003;16(1):79.
- Danna BJ, Metcalfe MJ, Wood EL, Shah JB. Assessing symptom burden in bladder cancer: An overview of bladder cancer-specific Health-Related Quality of Life instruments. Bladder Cancer. 2016;2(3):329–340.
- Degboe A, Ivanescu C, Rohay JM, Turner RR, Cella D. Validity and performance of the Functional Assessment of Cancer Therapy – Bladder (FACT-Bl) among advanced urothelial cancer patients. Support Care Cancer. 2019;27(11):4189–4198.
- Mason SJ, Downing A, Wright P, et al. Health-related quality of life after treatment for bladder cancer in England. Br J Cancer. 2018;118(11):1518–1528.
- Anderson CB, Feurer ID, Large MC, et al. Psychometric characteristics of a condition-specific, health-related quality-of-life survey: The FACT-Vanderbilt Cystectomy Index. Urology. 2012;80(1):77–83.
- Cookson MS, Dutta SC, Chang SS, Clark T, Smith JA Jr, Wells N. Health-related quality of life in patients treated with radical cystectomy and urinary diversion for urothelial carcinoma of the bladder: Development and validation of a new disease specific questionnaire. J Urol. 2003;170(5):1926–1930.
- Radecka B. Health-related quality of life: The role and manners of assessment in cancer patients. Curr Gynecol Oncol. 2015;13(3):172–179.
- Parkinson JP, Konety BR. Health-related quality of life assessments for patients with bladder cancer. J Urol. 2004;172(6 Pt 1):2130–2136.
- Gilbert SM, Wood DP, Dunn RL, et al. Measuring health-related quality of life outcomes in bladder cancer patients using the Bladder Cancer Index (BCI). Cancer. 2007;109(9):1756–1762.
- Shih C, Porter MP. Health-related quality of life after cystectomy and urinary diversion for bladder cancer. Adv Urol. 2011;2011:715892.
- Saber A. Urinary diversion: Historical aspect and patient’s satisfaction. Urol Nephrol Open Access J. 2014;1(3):86–93.
- Somani BK, MacLennan SJ, N’Dow J. Quality of life with urinary diversion. Eur Urol Supp. 2010;9(10):763–771.
- Varricchio CG, Ferrans CE. Quality of life assessments in clinical practice. Semin Oncol Nurs. 2010;26(1):12–17.
- Asgari MA, Safarinejad MR, Shakhssalim N, Soleimani M, Shahabi A, Amini E. Quality of life after radical cystectomy for bladder cancer in men with an ileal conduit or continent urinary diversion: A comparative study. Urol Ann. 2013;5(3):190–196.
- Saika T, Arata R, Tsushima T, et al; Okayama Urological Research Group. Health-related quality of life after radical cystectomy for bladder cancer in elderly patients with an ileal conduit, ureterocutaneostomy, or orthotopic urinary reservoir: A comparative questionnaire survey. Acta Med Okayama. 2007;61(4):199–203.
- Porter MP, Penson DF. Health-related quality of life after radical cystectomy and urinary diversion for bladder cancer: A systematic review and critical analysis of the literature. J Urol. 2005;173(4):1318–1322.
- Bochner BH, Dalbagni G, Sjoberg DD, et al. Comparing open radical cystectomy and robot-assisted laparoscopic radical cystectomy: A randomized clinical trial. Eur Urol. 2015;67(6):1042–1050.
- Messer JC, Punnen S, Fitzgerald J, Svatek R, Parekh DJ. Health-related quality of life from a prospective randomised clinical trial of robot-assisted laparoscopic vs open radical cystectomy. BJU Int. 2014;114(6):896–902.
- Jensen BT, Kiesbye B, Soendergaard I, Jensen JB, Ammitzboell Kristensen S. Efficacy of preoperative uro-stoma education on self-efficacy after radical cystectomy: Secondary outcome of a prospective randomized controlled trial. Eur J Oncol Nurs. 2017;28:41–46.
- Danielsen AK, Rosenberg J. Health-related quality of life may increase when patients with a stoma attend patient education: A case-control study. PLoS One. 2014;9(3):e90354.
- O’Connor G. Teaching stoma-management skills: The importance of self-care. Br J Nurs. 2005;14(6):320–324.
- Kristensen SA, Laustsen S, Kiesbye B, Jensen BT. The Urostomy Education Scale: A reliable and valid tool to evaluate urostomy self-care skills among cystectomy patients. J Wound Ostomy Continence Nurs. 2013;40(6):611–617.
- Kozell K, Frecea M, Thomas JT. Preoperative ostomy education and stoma site marking. J Wound Ostomy Continence Nurs. 2014;41(3):206–207.
- Fujimura T. Current status and future perspective of robot-assisted radical cystectomy for invasive bladder cancer. Int J Urol. 2019;26(11):1033–1042.