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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00003691naa a2200481 4500
001oai:DiVA.org:liu-47788
003SwePub
008091011s2003 | |||||||||||000 ||eng|
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-477882 URI
0247 a https://doi.org/10.1016/S0302-2838(03)00135-02 DOI
040 a (SwePub)liu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Henningsohn, L4 aut
2451 0a Relative importance of sources of symptom-induced distress in urinary bladder cancer survivors
264 1c 2003
338 a print2 rdacarrier
520 a Objective: The influence of specific symptoms on emotions and social activities in the individual patient vanes. Little is known about this variation in urinary bladder cancer survivors (in other words, about the relative importance of sources of symptom-induced distress). Methods: We attempted to enrol 404 surgical patients treated with cystectomy and a conduit or reservoir in four Swedish towns (Stockholm, Orebro, Jonkoping, Linkoping), 101 surgical patients treated with cystectomy and orthotopic neobladder at the Herlev Hospital in Copenhagen, Denmark, and 71 patients treated with radical radiotherapy for bladder cancer, as well as 581 men and women controls in Stockholm and Copenhagen. An anonymous postal questionnaire was used to collect the information. Results: A total of 503 out of 576 (87%) treated patients and 422 out of 581 (73%) controls participated but 59 patients were excluded. The primary source of self-assessed distress among cystectomised patients was compromised sexual function, reduced intercourse frequency caused great distress in 19% of the conduit patients, 20% of the reservoir patients and 19% of the bladder substitute patients. The primary source of self-assessed distress in patients treated with radical radiotherapy was symptoms from the bowel, 17% reported great distress due to diarrhoea, 16% due to abdominal pain, 14% due to defecation urgency and 14% due to faecal leakage. The highest proportion of subjects being distressed was 93% (substantial: 43%, moderate: 29% and little: 21%) for treated upper or lower urinary retention (indwelling catheter or nephrostomy). Conclusion: The distress caused by a specific symptom varies considerably and the prevalence of symptoms causing great distress differs between treatments in bladder cancer survivors. It is possible that patient care and clinical research can be made more effective by focusing on important sources of symptom-induced distress. (C) 2003 Elsevier Science B.V. All rights reserved.
653 a bladder neoplasm
653 a cystectomy
653 a radiotherapy
653 a distressful symptoms
653 a urinary symptoms
653 a bowel symptoms
653 a urinary diversion
653 a bladder substitute
653 a MEDICINE
653 a MEDICIN
7001 a Wijkstrom, H4 aut
7001 a Steven, K4 aut
7001 a Pedersen, J4 aut
7001 a Ahlstrand, Christeru Östergötlands Läns Landsting,Linköpings universitet,Hälsouniversitetet,Urologi,Urologiska kliniken i Östergötland4 aut0 (Swepub:liu)chrah61
7001 a Aus, G4 aut
7001 a Kallestrup, EB4 aut
7001 a Bergmark, K4 aut
7001 a Onelov, E4 aut
7001 a Steineck, G4 aut
7102 a Linköpings universitetb Hälsouniversitetet4 org
7730 t European Urologyg 43:6, s. 651-662q 43:6<651-662x 0302-2838x 1873-7560
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-47788
8564 8u https://doi.org/10.1016/S0302-2838(03)00135-0

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