Universität zu Köln

Zimmermann, Kristin, Mostafaei, Hadi ORCID: 0000-0001-5596-1771, Heidenreich, Axel, Schmelz, Hans U., Shariat, Shahrokh F. and Mori, Keiichiro (2021). Health-related quality of life in bladder cancer patients: general and cancer-specific instruments. Part 1. Curr. Opin. Urol., 31 (4). S. 297 - 304. PHILADELPHIA: LIPPINCOTT WILLIAMS & WILKINS. ISSN 1473-6586

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Abstract

Purpose of review Although survival outcomes are the primary outcomes to determine the effectiveness of treatment options, quality of life (QoL) is gaining in importance in addition to classic oncological outcomes. The present review aims to state and critically assess the challenges in health-related QoL (HRQoL) assessment especially in bladder cancer (BC) patients. Recent findings General QoL-instruments do not address concerns specific to cancer patients or BC patients. Domains, such as sexual functioning, embarrassment, self-consciousness, psychological distress, and urinary incontinence, are not adequately covered by any of the available instruments. With these QoL-instruments becoming increasingly specialized, the general aspects of QoL and possible unanticipated adverse effects are no longer likely to be accurately assessed. Sex-specific requirements have not been properly addressed by these QoL-instruments. HRQoL is reported to be lower in the elderly population, which may be due to their associated comorbidities and limitations, rather than treatment-related issues. Due to their specifications, BC-specific instruments need to be used together with general QoL instruments to assess overall well being and disease- and treatment-specific QoL. Assessment of age-specific HRQoL is essential to understanding the QoL burden in each age group. QoL assessment calls for more detailed sex-specific questions to accurately address the HRQoL dimensions in men and women alike.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Zimmermann, Kristin UNSPECIFIED UNSPECIFIED UNSPECIFIED Mostafaei, Hadi UNSPECIFIED orcid.org/0000-0001-5596-1771 UNSPECIFIED Heidenreich, Axel UNSPECIFIED UNSPECIFIED UNSPECIFIED Schmelz, Hans U. UNSPECIFIED UNSPECIFIED UNSPECIFIED Shariat, Shahrokh F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mori, Keiichiro UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-599397
DOI:	10.1097/MOU.0000000000000893
Journal or Publication Title:	Curr. Opin. Urol.
Volume:	31
Number:	4
Page Range:	S. 297 - 304
Date:	2021
Publisher:	LIPPINCOTT WILLIAMS & WILKINS
Place of Publication:	PHILADELPHIA
ISSN:	1473-6586
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language RADICAL CYSTECTOMY; EUROPEAN-ORGANIZATION; UROTHELIAL CARCINOMA; URINARY-DIVERSION; 90-DAY MORTALITY; EORTC QLQ-C30; VALIDITY; GENDER; AGE; VALIDATION Multiple languages Urology & Nephrology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/59939