The effect of body mass index on quality of life in modified single stoma cutaneous ureterostomy or ileal conduit after radical cystectomy
Abstract Objective To explore the influence of postoperative body mass index (BMI) change on postoperative quality of life (QOL) in patients undergoing radical cystectomy (RC) plus modified single stoma cutaneous ureterostomy (MSSCU) or ileal conduit (IC). Methods Patients were divided into two grou...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-11-01
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| Series: | Cancer Medicine |
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| Online Access: | https://doi.org/10.1002/cam4.6638 |
| _version_ | 1797398916656791552 |
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| author | Wan‐Jin Zhang Xu‐Yun Huang Bin Lin Wen‐Cai Zheng Zhi‐Bin Ke Xiao‐Dan Lin Jia‐Yin Chen Hai Cai Yun‐Zhi Lin Ye‐Hui Chen Qing‐Shui Zheng Yong Wei Xue‐Yi Xue Xiao‐Dong Li Ning Xu |
| author_facet | Wan‐Jin Zhang Xu‐Yun Huang Bin Lin Wen‐Cai Zheng Zhi‐Bin Ke Xiao‐Dan Lin Jia‐Yin Chen Hai Cai Yun‐Zhi Lin Ye‐Hui Chen Qing‐Shui Zheng Yong Wei Xue‐Yi Xue Xiao‐Dong Li Ning Xu |
| author_sort | Wan‐Jin Zhang |
| collection | DOAJ |
| description | Abstract Objective To explore the influence of postoperative body mass index (BMI) change on postoperative quality of life (QOL) in patients undergoing radical cystectomy (RC) plus modified single stoma cutaneous ureterostomy (MSSCU) or ileal conduit (IC). Methods Patients were divided into two groups according to different BMI change patterns: patients experiencing an elevated postoperative BMI level, along with a clinically significant increase in their BMI (an increase of more than 10%) were categorized as Group 1, while patients experiencing a decrease postoperative BMI level, along with a clinically significant reduction in their BMI (a decrease of more than 5%) were categorized as Group 2. Spearman correlation analysis was used to examine the correlations between quality‐of‐life scores and postoperative clinical parameters. Results Spearman correlation analysis showed that postoperative BMI, late complications and catheter‐free state were significantly associated with postoperative global QoL and symptom scale in MSSCU and postoperative global QoL and physical scale in IC patients. Additionally, postoperative BMI, catheter‐free state and the use of adjuvant therapy were associated with bad performance in many scales of QoL like body image, future perspective, social scale, future perspective (MSSCU), and abdominal bloating (IC) (Table 2, p<0.05). Patients in Group 2 with significant weight loss had a better Global QoL, a lower rate of stomal stricture and a higher catheter‐free state compared with those in Group 1 in both IC and MSSCU patients. MSSCU patients in Group 2 could achieve a comparable Global QoL as to IC patients in Group 1. Conclusion Controlling the substantial increase in body weight after surgery contributes to improving QoL, reducing the occurrence of stomal stricture, and ensuring a postoperative catheter‐free state in BCa patients undergoing MSSCU. |
| first_indexed | 2024-03-09T01:32:27Z |
| format | Article |
| id | doaj.art-9b081f7ef0c5407b934878d042e8e699 |
| institution | Directory Open Access Journal |
| issn | 2045-7634 |
| language | English |
| last_indexed | 2024-03-09T01:32:27Z |
| publishDate | 2023-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cancer Medicine |
| spelling | doaj.art-9b081f7ef0c5407b934878d042e8e6992023-12-09T07:52:06ZengWileyCancer Medicine2045-76342023-11-011222209302093910.1002/cam4.6638The effect of body mass index on quality of life in modified single stoma cutaneous ureterostomy or ileal conduit after radical cystectomyWan‐Jin Zhang0Xu‐Yun Huang1Bin Lin2Wen‐Cai Zheng3Zhi‐Bin Ke4Xiao‐Dan Lin5Jia‐Yin Chen6Hai Cai7Yun‐Zhi Lin8Ye‐Hui Chen9Qing‐Shui Zheng10Yong Wei11Xue‐Yi Xue12Xiao‐Dong Li13Ning Xu14Department of Urology, Urology Research Institute, The First Affiliated Hospital Fujian Medical University Fuzhou ChinaDepartment of Urology, Urology Research Institute, The First Affiliated Hospital Fujian Medical University Fuzhou ChinaDepartment of Urology, Urology Research Institute, The First Affiliated Hospital Fujian Medical University Fuzhou ChinaDepartment of Urology, Urology Research Institute, The First Affiliated Hospital Fujian Medical University Fuzhou ChinaDepartment of Urology, Urology Research Institute, The First Affiliated Hospital Fujian Medical University Fuzhou ChinaDepartment of Urology, Urology Research Institute, The First Affiliated Hospital Fujian Medical University Fuzhou ChinaDepartment of Urology, Urology Research Institute, The First Affiliated Hospital Fujian Medical University Fuzhou ChinaDepartment of Urology, Urology Research Institute, The First Affiliated Hospital Fujian Medical University Fuzhou ChinaDepartment of Urology, Urology Research Institute, The First Affiliated Hospital Fujian Medical University Fuzhou ChinaDepartment of Urology, Urology Research Institute, The First Affiliated Hospital Fujian Medical University Fuzhou ChinaDepartment of Urology, Urology Research Institute, The First Affiliated Hospital Fujian Medical University Fuzhou ChinaDepartment of Urology, Urology Research Institute, The First Affiliated Hospital Fujian Medical University Fuzhou ChinaDepartment of Urology, Urology Research Institute, The First Affiliated Hospital Fujian Medical University Fuzhou ChinaDepartment of Urology, Urology Research Institute, The First Affiliated Hospital Fujian Medical University Fuzhou ChinaDepartment of Urology, Urology Research Institute, The First Affiliated Hospital Fujian Medical University Fuzhou ChinaAbstract Objective To explore the influence of postoperative body mass index (BMI) change on postoperative quality of life (QOL) in patients undergoing radical cystectomy (RC) plus modified single stoma cutaneous ureterostomy (MSSCU) or ileal conduit (IC). Methods Patients were divided into two groups according to different BMI change patterns: patients experiencing an elevated postoperative BMI level, along with a clinically significant increase in their BMI (an increase of more than 10%) were categorized as Group 1, while patients experiencing a decrease postoperative BMI level, along with a clinically significant reduction in their BMI (a decrease of more than 5%) were categorized as Group 2. Spearman correlation analysis was used to examine the correlations between quality‐of‐life scores and postoperative clinical parameters. Results Spearman correlation analysis showed that postoperative BMI, late complications and catheter‐free state were significantly associated with postoperative global QoL and symptom scale in MSSCU and postoperative global QoL and physical scale in IC patients. Additionally, postoperative BMI, catheter‐free state and the use of adjuvant therapy were associated with bad performance in many scales of QoL like body image, future perspective, social scale, future perspective (MSSCU), and abdominal bloating (IC) (Table 2, p<0.05). Patients in Group 2 with significant weight loss had a better Global QoL, a lower rate of stomal stricture and a higher catheter‐free state compared with those in Group 1 in both IC and MSSCU patients. MSSCU patients in Group 2 could achieve a comparable Global QoL as to IC patients in Group 1. Conclusion Controlling the substantial increase in body weight after surgery contributes to improving QoL, reducing the occurrence of stomal stricture, and ensuring a postoperative catheter‐free state in BCa patients undergoing MSSCU.https://doi.org/10.1002/cam4.6638bladder cancerbody mass indexileal conduitmodified single stoma cutaneous ureterostomyquality of life |
| spellingShingle | Wan‐Jin Zhang Xu‐Yun Huang Bin Lin Wen‐Cai Zheng Zhi‐Bin Ke Xiao‐Dan Lin Jia‐Yin Chen Hai Cai Yun‐Zhi Lin Ye‐Hui Chen Qing‐Shui Zheng Yong Wei Xue‐Yi Xue Xiao‐Dong Li Ning Xu The effect of body mass index on quality of life in modified single stoma cutaneous ureterostomy or ileal conduit after radical cystectomy Cancer Medicine bladder cancer body mass index ileal conduit modified single stoma cutaneous ureterostomy quality of life |
| title | The effect of body mass index on quality of life in modified single stoma cutaneous ureterostomy or ileal conduit after radical cystectomy |
| title_full | The effect of body mass index on quality of life in modified single stoma cutaneous ureterostomy or ileal conduit after radical cystectomy |
| title_fullStr | The effect of body mass index on quality of life in modified single stoma cutaneous ureterostomy or ileal conduit after radical cystectomy |
| title_full_unstemmed | The effect of body mass index on quality of life in modified single stoma cutaneous ureterostomy or ileal conduit after radical cystectomy |
| title_short | The effect of body mass index on quality of life in modified single stoma cutaneous ureterostomy or ileal conduit after radical cystectomy |
| title_sort | effect of body mass index on quality of life in modified single stoma cutaneous ureterostomy or ileal conduit after radical cystectomy |
| topic | bladder cancer body mass index ileal conduit modified single stoma cutaneous ureterostomy quality of life |
| url | https://doi.org/10.1002/cam4.6638 |
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