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Quality of Life Measures

  • Christopher B. AndersonEmail author
  • David F. Penson
  • Daniel A. Barocas
Chapter

Abstract

Although objective survival endpoints are important, they may not fully capture the impact of treatment for bladder cancer. Health-related quality of life (HRQOL) is a subjective, patient-centric outcome that provides a more complete assessment of the impact of a disease or its treatment. HRQOL is a vital component when counseling and treating bladder cancer patients, and is also an important comparative-effectiveness research outcome. Although there is no gold-standard method for measuring HRQOL in bladder cancer, the use of reliable, valid and responsive disease-specific instruments is mandatory. Studies to date have not consistently demonstrated the superiority of any diversion type after radical cystectomy, however with proper patient selection and preoperative counseling, postoperative HRQOL can be comparable between diversions. With ongoing study of HRQOL in bladder cancer, we will continue to improve cancer survivorship and refine patient treatment.

Keywords

Health-related quality of life Bladder cancer Instrument Urinary diversion Treatment outcome 

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Christopher B. Anderson
    • 1
    • 2
    Email author
  • David F. Penson
    • 3
  • Daniel A. Barocas
    • 4
  1. 1.Department of Surgery, Urology ServiceMemorial Sloan Kettering Cancer CenterNew YorkUSA
  2. 2.Department of Urologic SurgeryVanderbilt University Medical CenterNashvilleUSA
  3. 3.Department of Urologic Surgery, Center for Surgical Quality and Outcomes ResearchVanderbilt University Medical CenterNashvilleUSA
  4. 4.Department of Urologic Surgery, Center for Surgical Quality and Outcomes ResearchVanderbilt University Medical CenterNashvilleUSA

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