Evaluation of Functional Outcomes and Quality of Life in Elderly Patients (>75 y.o.) Undergoing Minimally Invasive Radical Cystectomy with Single Stoma Ureterocutaneostomy vs. Bricker Intracorporeal Ileal Conduit Urinary Diversion
Diversion after radical cystectomy (RC) is crucial when considering elderly subjects. Data on the quality of life (QoL) impact with different diversions is scarce. This study aims to compare complications and QoL in patients aged > 75 y.o., who underwent minimally invasive (MI) RC with Bricker in...
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| Veröffentlicht in: | Journal of clinical medicine 2021-12, Vol.11 (1), p.136 |
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| creator | Fuschi, Andrea Al Salhi, Yazan Sequi, Manfredi Bruno Velotti, Gennaro Martoccia, Alessia Suraci, Paolo Pietro Scalzo, Silvio Asimakopoulos, Anastasios Bozzini, Giorgio Zucchi, Alessandro De Nunzio, Cosimo Carbone, Antonio Pastore, Antonio Luigi |
| description | Diversion after radical cystectomy (RC) is crucial when considering elderly subjects. Data on the quality of life (QoL) impact with different diversions is scarce. This study aims to compare complications and QoL in patients aged > 75 y.o., who underwent minimally invasive (MI) RC with Bricker intracorporeal urinary derivation and single stoma ureterocutaneostomy.
We conducted a retrospective analysis of elderly patients who underwent MIRC and intracorporeal diversion. The 78 subjects were divided into two groups: group A, ileal conduit, and group B, single stoma ureterocutaneostomy. We evaluated the bowel's recovery time and complications rate. We investigated QoL 3 and 6 months after surgery using the Stoma-QoL questionnaire.
Mean age was 77.2 in group A and 82.4 in group B. The mean ASA score and Charlson Comorbidity index were comparable between the two groups. Rates of complications were 57.6% and 37.4% in groups A and B, respectively. The mean postoperative Stoma-QoL score 3 months after surgery was 52.2 and 52.4 in groups A and B, respectively. At 6 months of follow-up the Stoma QoL mean score was 63.4, showing homogeneity between the groups.
MIRC with single stoma ureterocutaneostomy represents an alternative to ileal conduit, with comparable QoL and ostomy management 6 months after surgery, reporting fewer complications. |
| doi_str_mv | 10.3390/jcm11010136 |
| format | Article |
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We conducted a retrospective analysis of elderly patients who underwent MIRC and intracorporeal diversion. The 78 subjects were divided into two groups: group A, ileal conduit, and group B, single stoma ureterocutaneostomy. We evaluated the bowel's recovery time and complications rate. We investigated QoL 3 and 6 months after surgery using the Stoma-QoL questionnaire.
Mean age was 77.2 in group A and 82.4 in group B. The mean ASA score and Charlson Comorbidity index were comparable between the two groups. Rates of complications were 57.6% and 37.4% in groups A and B, respectively. The mean postoperative Stoma-QoL score 3 months after surgery was 52.2 and 52.4 in groups A and B, respectively. At 6 months of follow-up the Stoma QoL mean score was 63.4, showing homogeneity between the groups.
MIRC with single stoma ureterocutaneostomy represents an alternative to ileal conduit, with comparable QoL and ostomy management 6 months after surgery, reporting fewer complications.</description><identifier>ISSN: 2077-0383</identifier><identifier>EISSN: 2077-0383</identifier><identifier>DOI: 10.3390/jcm11010136</identifier><identifier>PMID: 35011876</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Bladder cancer ; Cancer therapies ; Chemotherapy ; Clinical medicine ; Comorbidity ; Hemoglobin ; Laparoscopy ; Medical records ; Ostomy ; Quality of life ; Questionnaires ; Robots ; Statistical analysis ; Values</subject><ispartof>Journal of clinical medicine, 2021-12, Vol.11 (1), p.136</ispartof><rights>2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 by the authors. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c409t-67e670f35a512c04a4041db1a71ba558342d20c425b0b6890abe16bd9a1054c13</citedby><cites>FETCH-LOGICAL-c409t-67e670f35a512c04a4041db1a71ba558342d20c425b0b6890abe16bd9a1054c13</cites><orcidid>0000-0003-4293-9174 ; 0000-0002-2190-512X ; 0000-0002-7230-579X ; 0000-0003-1725-1933 ; 0000-0003-2252-4297</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8745776/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8745776/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35011876$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fuschi, Andrea</creatorcontrib><creatorcontrib>Al Salhi, Yazan</creatorcontrib><creatorcontrib>Sequi, Manfredi Bruno</creatorcontrib><creatorcontrib>Velotti, Gennaro</creatorcontrib><creatorcontrib>Martoccia, Alessia</creatorcontrib><creatorcontrib>Suraci, Paolo Pietro</creatorcontrib><creatorcontrib>Scalzo, Silvio</creatorcontrib><creatorcontrib>Asimakopoulos, Anastasios</creatorcontrib><creatorcontrib>Bozzini, Giorgio</creatorcontrib><creatorcontrib>Zucchi, Alessandro</creatorcontrib><creatorcontrib>De Nunzio, Cosimo</creatorcontrib><creatorcontrib>Carbone, Antonio</creatorcontrib><creatorcontrib>Pastore, Antonio Luigi</creatorcontrib><title>Evaluation of Functional Outcomes and Quality of Life in Elderly Patients (>75 y.o.) Undergoing Minimally Invasive Radical Cystectomy with Single Stoma Ureterocutaneostomy vs. Bricker Intracorporeal Ileal Conduit Urinary Diversion</title><title>Journal of clinical medicine</title><addtitle>J Clin Med</addtitle><description>Diversion after radical cystectomy (RC) is crucial when considering elderly subjects. Data on the quality of life (QoL) impact with different diversions is scarce. This study aims to compare complications and QoL in patients aged > 75 y.o., who underwent minimally invasive (MI) RC with Bricker intracorporeal urinary derivation and single stoma ureterocutaneostomy.
We conducted a retrospective analysis of elderly patients who underwent MIRC and intracorporeal diversion. The 78 subjects were divided into two groups: group A, ileal conduit, and group B, single stoma ureterocutaneostomy. We evaluated the bowel's recovery time and complications rate. We investigated QoL 3 and 6 months after surgery using the Stoma-QoL questionnaire.
Mean age was 77.2 in group A and 82.4 in group B. The mean ASA score and Charlson Comorbidity index were comparable between the two groups. Rates of complications were 57.6% and 37.4% in groups A and B, respectively. The mean postoperative Stoma-QoL score 3 months after surgery was 52.2 and 52.4 in groups A and B, respectively. At 6 months of follow-up the Stoma QoL mean score was 63.4, showing homogeneity between the groups.
MIRC with single stoma ureterocutaneostomy represents an alternative to ileal conduit, with comparable QoL and ostomy management 6 months after surgery, reporting fewer complications.</description><subject>Bladder cancer</subject><subject>Cancer therapies</subject><subject>Chemotherapy</subject><subject>Clinical medicine</subject><subject>Comorbidity</subject><subject>Hemoglobin</subject><subject>Laparoscopy</subject><subject>Medical records</subject><subject>Ostomy</subject><subject>Quality of life</subject><subject>Questionnaires</subject><subject>Robots</subject><subject>Statistical analysis</subject><subject>Values</subject><issn>2077-0383</issn><issn>2077-0383</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNpdkt9v0zAQxyMEYtPYE-_IEi9DqMWOkzh5mQSlg0pFA0afo4vjdC6OXfwjU_7h_R04dEwFW7JP9ue-dz5fkrwkeE5phd_teE8IjpMWT5LTFDM2w7SkT4_sk-TcuR2OoyyzlLDnyQnNMSElK06T--UAKoCXRiPToaug-WSDQtfBc9MLh0C36FsAJf04IWvZCSQ1WqpWWDWir9FZaO_QxSXL0Tg38zdoo-Pd1ki9RV-klj2oCK70AE4OAn2HVvIYYTE6L7g3_YjupL9FN5FXAt3EE0AbK7ywhgcPWhj3hxrcHH2wkv8UNqp5C9zYvbEiaq3UtC6MboP00VlqsCP6GMNZF9_zInnWgXLi_GE_SzZXyx-Lz7P19afV4v16xjNc-VnBRMFwR3PIScpxBhnOSNsQYKSBPC9plrYp5lmaN7gpygpDI0jRtBUQnGec0LPk8qC7D00vWi6mLFW9t7EGdqwNyPrfGy1v660Z6pJlOWNFFLh4ELDmVxDO1710XCg1VSG4Oi1IDFtizCL6-j90Z4KNX3egUppXBY7U2wPFrXHOiu4xGYLrqYXqoxaK9Kvj_B_Zvw1DfwOFgsX8</recordid><startdate>20211227</startdate><enddate>20211227</enddate><creator>Fuschi, Andrea</creator><creator>Al Salhi, Yazan</creator><creator>Sequi, Manfredi Bruno</creator><creator>Velotti, Gennaro</creator><creator>Martoccia, Alessia</creator><creator>Suraci, Paolo Pietro</creator><creator>Scalzo, Silvio</creator><creator>Asimakopoulos, Anastasios</creator><creator>Bozzini, Giorgio</creator><creator>Zucchi, Alessandro</creator><creator>De Nunzio, Cosimo</creator><creator>Carbone, Antonio</creator><creator>Pastore, Antonio Luigi</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-4293-9174</orcidid><orcidid>https://orcid.org/0000-0002-2190-512X</orcidid><orcidid>https://orcid.org/0000-0002-7230-579X</orcidid><orcidid>https://orcid.org/0000-0003-1725-1933</orcidid><orcidid>https://orcid.org/0000-0003-2252-4297</orcidid></search><sort><creationdate>20211227</creationdate><title>Evaluation of Functional Outcomes and Quality of Life in Elderly Patients (>75 y.o.) 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Undergoing Minimally Invasive Radical Cystectomy with Single Stoma Ureterocutaneostomy vs. Bricker Intracorporeal Ileal Conduit Urinary Diversion</atitle><jtitle>Journal of clinical medicine</jtitle><addtitle>J Clin Med</addtitle><date>2021-12-27</date><risdate>2021</risdate><volume>11</volume><issue>1</issue><spage>136</spage><pages>136-</pages><issn>2077-0383</issn><eissn>2077-0383</eissn><abstract>Diversion after radical cystectomy (RC) is crucial when considering elderly subjects. Data on the quality of life (QoL) impact with different diversions is scarce. This study aims to compare complications and QoL in patients aged > 75 y.o., who underwent minimally invasive (MI) RC with Bricker intracorporeal urinary derivation and single stoma ureterocutaneostomy.
We conducted a retrospective analysis of elderly patients who underwent MIRC and intracorporeal diversion. The 78 subjects were divided into two groups: group A, ileal conduit, and group B, single stoma ureterocutaneostomy. We evaluated the bowel's recovery time and complications rate. We investigated QoL 3 and 6 months after surgery using the Stoma-QoL questionnaire.
Mean age was 77.2 in group A and 82.4 in group B. The mean ASA score and Charlson Comorbidity index were comparable between the two groups. Rates of complications were 57.6% and 37.4% in groups A and B, respectively. The mean postoperative Stoma-QoL score 3 months after surgery was 52.2 and 52.4 in groups A and B, respectively. At 6 months of follow-up the Stoma QoL mean score was 63.4, showing homogeneity between the groups.
MIRC with single stoma ureterocutaneostomy represents an alternative to ileal conduit, with comparable QoL and ostomy management 6 months after surgery, reporting fewer complications.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>35011876</pmid><doi>10.3390/jcm11010136</doi><orcidid>https://orcid.org/0000-0003-4293-9174</orcidid><orcidid>https://orcid.org/0000-0002-2190-512X</orcidid><orcidid>https://orcid.org/0000-0002-7230-579X</orcidid><orcidid>https://orcid.org/0000-0003-1725-1933</orcidid><orcidid>https://orcid.org/0000-0003-2252-4297</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MDPI - Multidisciplinary Digital Publishing Institute; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; PubMed Central Open Access |
| subjects | Bladder cancer Cancer therapies Chemotherapy Clinical medicine Comorbidity Hemoglobin Laparoscopy Medical records Ostomy Quality of life Questionnaires Robots Statistical analysis Values |
| title | Evaluation of Functional Outcomes and Quality of Life in Elderly Patients (>75 y.o.) Undergoing Minimally Invasive Radical Cystectomy with Single Stoma Ureterocutaneostomy vs. Bricker Intracorporeal Ileal Conduit Urinary Diversion |
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