Patient-assessed outcomes in Swedish and Egyptian men undergoing radical cystectomy and orthotopic bladder substitution--a prospective comparative study.

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Månsson, ÅsaLund University,Lunds universitet,Institutionen för hälsovetenskaper,Medicinska fakulteten,Department of Health Sciences,Faculty of Medicine (author)

Patient-assessed outcomes in Swedish and Egyptian men undergoing radical cystectomy and orthotopic bladder substitution--a prospective comparative study.

Article/chapterEnglish2007

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Elsevier BV,2007

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LIBRIS-ID:oai:lup.lub.lu.se:fbd8e8bd-e9ea-464f-8248-b7be0f7043ed
https://lup.lub.lu.se/record/1034940URI
https://doi.org/10.1016/j.urology.2007.07.071DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-15347URI

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Language:English
Summary in:English

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SwePubSwePub

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Subject category:art swepub-publicationtype
Subject category:ref swepub-contenttype

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OBJECTIVES: To compare two patient populations with assumed cultural differences undergoing radical cystectomy and orthotopic bladder substitution to determine whether these translate into differences in the answers to self-report instruments. METHODS: The questionnaires Functional Assessment of Cancer Therapy-Bladder Cancer (FACT-BL), consisting of a general version (FACT-G) and a bladder cancer specific module, and Hospital Anxiety and Depression Scale (HADS) were used preoperatively and 3 and 12 months postoperatively to assess patient well-being, urologic symptoms, depression, and anxiety in 29 and 32 Swedish and Egyptian male patients, respectively. RESULTS: Significant differences were found between the two groups. Higher FACT-G scores (ie, better outcomes) were obtained in the Swedish patients, both preoperatively and 3 months postoperatively, but not after 12 months. Differences were also seen in the urogenital assessment provided by the FACT-BL module. HADS revealed more depression among the Egyptian patients throughout the study period. Also, anxiety was more common preoperatively and 3 months postoperatively in the Egyptian patients, but not after 12 months. CONCLUSIONS: Swedish men scored better than Egyptian men on the FACT-BL and HADS, although the latter improved with time after surgery. These results show that patient-assessed outcomes differ in patients from different sociocultural backgrounds. This should be recognized when analyzing results from comparative studies. Also, the use of culture-fair instruments is important when assessing patients with different sociocultural backgrounds.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Urologi och njurmedicin hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Urology and Nephrology hsv//eng
Cystectomy: psychology
Anxiety: etiology
Urination Disorders: etiology
Urinary Bladder Neoplasms: surgery
Urinary Diversion: psychology
Urinary Diversion: adverse effects
Cystectomy: adverse effects
Urinary Bladder Neoplasms: psychology
Depression: etiology
MEDICINE

Added entries (persons, corporate bodies, meetings, titles ...)

Al Amin Al Khalifa, MaazLund University,Lunds universitet,Urologi,Forskargrupper vid Lunds universitet,Urology,Lund University Research Groups(Swepub:lu)uro-mal (author)
Malmström, Per-UnoUppsala universitet,Urologkirurgi(Swepub:uu)perunoms (author)
Wijkström, Hans (author)
Abol Enein, Hassan (author)
Månsson, WikingLund University,Lunds universitet,Urologi,Forskargrupper vid Lunds universitet,Urology,Lund University Research Groups(Swepub:lu)uro-wma (author)
Institutionen för hälsovetenskaperMedicinska fakulteten (creator_code:org_t)

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In:Urology: Elsevier BV70:6, s. 1086-10901527-99950090-4295

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