MP65-06 DECISIONAL REGRET AND QUALITY OF LIFE FOLLOWING GENITOURINARY RECONSTRUCTION: COMPARING ACQUIRED AND CONGENITAL NEUROGENIC BLADDER WITH PATIENT-REPORTED OUTCOMES

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP65-06 DECISIONAL REGRET AND QUALITY OF LIFE FOLLOWING GENITOURINARY RECONSTRUCTION: COMPARING ACQUIRED AND CONGENITAL NEUROGENIC BLADDER WITH PATIENT-REPORTED OUTCOMES João Pedro Emrich Accioly, James Bena, Huijun Xiao, Stacy Jeong, Kenneth W. Angermeier, Molly Dewitt-Foy, Gregory Nemunaitis, and Hadley M. Wood João Pedro Emrich AcciolyJoão Pedro Emrich Accioly More articles by this author , James BenaJames Bena More articles by this author , Huijun XiaoHuijun Xiao More articles by this author , Stacy JeongStacy Jeong More articles by this author , Kenneth W. AngermeierKenneth W. Angermeier More articles by this author , Molly Dewitt-FoyMolly Dewitt-Foy More articles by this author , Gregory NemunaitisGregory Nemunaitis More articles by this author , and Hadley M. WoodHadley M. Wood More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003323.06AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Patient expectations and baseline health are important drivers of outcomes following major surgery for neurogenic bladder (NGB). We hypothesize that patients with previously unaffected urinary function (i.e., acquired spinal injury) may have higher expectations for quality of life (QoL) improvement compared with those with congenital NGB. We thus aim to compare decision regret (DR) and QoL in patients undergoing urinary diversion for acquired and congenital NGB. METHODS: We identified patients with spinal cord injury (SCI) or spina bifida (SB) within a NGB cohort and recorded clinical data including Charlson comorbidity index, continence, and bladder management, and obtained PROMIS-10 Global Health® questionnaire answers collected before and after diversion. The Decisional Regret Scale and SF-Qualiveen® (SFQ) forms were distributed and completed postoperatively. We compared groups with non-parametric tests for continuous variables and Fisher's exact test for categorical variables. Analysis of covariance models compared changes in outcomes by group. RESULTS: Thirty-seven patients returned completed surveys. Groups were similar in terms of demographics and clinical characteristics. SCI patients had worse baseline physical health than SB, but postoperative changes in this score, mental health, pain level, and global QoL were not significant after adjusting for baseline scores and follow-up time. SFQ scores showed significantly worse disease-specific QoL in SCI relative to SB when adjusted for other factors. We were unable to demonstrate differences in DR scores between the two groups. CONCLUSIONS: Patients with SCI demonstrate preoperative differences in physical health when compared with those with SB, which may help urologists adequately set expectations in these different groups undergoing urinary diversion. In this small cohort, we failed to demonstrate a difference in DR, but found postoperative, urinary-specific QoL to be higher in patients with SB. Source of Funding: None. © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e892 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information João Pedro Emrich Accioly More articles by this author James Bena More articles by this author Huijun Xiao More articles by this author Stacy Jeong More articles by this author Kenneth W. Angermeier More articles by this author Molly Dewitt-Foy More articles by this author Gregory Nemunaitis More articles by this author Hadley M. Wood More articles by this author Expand All Advertisement PDF downloadLoading ...