1151 WHAT DO PATIENTS FEEL ABOUT THE INFORMATION PROVISION AND SUPPORT WITH DECISION MAKING PRIOR TO CYSTECTOMY AND URINARY DIVERSION (UD) SURGERY AND DOES IT CORRELATE WITH THEIR QUALITY OF LIFE (QOL) POST-SURGERY: RESULTS FROM A PROSPECTIVE STUDY

Abstract

You have accessJournal of UrologyUrinary Diversion: Bladder Reconstruction, Augmentation, Substitution, Diversion1 Apr 20111151 WHAT DO PATIENTS FEEL ABOUT THE INFORMATION PROVISION AND SUPPORT WITH DECISION MAKING PRIOR TO CYSTECTOMY AND URINARY DIVERSION (UD) SURGERY AND DOES IT CORRELATE WITH THEIR QUALITY OF LIFE (QOL) POST-SURGERY: RESULTS FROM A PROSPECTIVE STUDY Bhaskar K. Somani, Debra Gimlin, Peter Fayers, and James N'Dow Bhaskar K. SomaniBhaskar K. Somani Aberdeen. United Kingdom More articles by this author , Debra GimlinDebra Gimlin Aberdeen. United Kingdom More articles by this author , Peter FayersPeter Fayers Aberdeen. United Kingdom More articles by this author , and James N'DowJames N'Dow Aberdeen. United Kingdom More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.750AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Urinary diversion is performed on the diseased or malignant bladder by either incontinent or continent diversion method. Our aim was to ask patients about the information provided to them and help/support received towards decision making prior to surgery. We also prospectively evaluate the QoL of these patients undergoing urinary diversion pre and 9–12 months post surgery. METHODS Thirty patients completed the information provision and decision making questionnaire relating to surgery. The questions included the quality of care, consultation time and information provided by the doctor. We also asked who had most influence on the decision of cystectomy and whether they were satisfied with their involvement in making this decision and if all the questions were satisfactorily answered. QoL was measured prospectively using SEIQoL-DW, EORTC QLQ-30, EORTC BLM-30 and SWLS, pre and 9–12 months post surgery. RESULTS All patients were happy with their decision and degree of involvement for UD surgery (Table). Of the 27 patients who had questions regarding the surgery, 25 got a satisfactory answer for all of their questions. Regarding the influence on decision making for surgery, majority (22/30) felt that it was equally shared with the doctor. There was no difference in the QoL pre and post-surgery using SEIQoL-DW, EORTC QLQ- C30 and SWLS questionnaire. CONCLUSIONS Patients felt supported and reassured from the doctor with all necessary information required for the surgery. Pre-operative patient involvement in the informed decision making and in urinary diversion surgery helps in preserving patients' QoL post surgery. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e462 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Bhaskar K. Somani Aberdeen. United Kingdom More articles by this author Debra Gimlin Aberdeen. United Kingdom More articles by this author Peter Fayers Aberdeen. United Kingdom More articles by this author James N'Dow Aberdeen. United Kingdom More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...