Quality of life in patients, suffering localized reno-cellular cancer after operative treatment
Objective. To rise the efficacy of treatment in patients, suffering localized reno-cellular cancer (LRCC), studying quality of life in patients and determination of optimal procedure of operative treatment. Materials and methods. Of 511 patients, suffering LRCC (T1-T2 N0M0), in whom quality of li...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
Liga-Inform ltd.
2019-12-01
|
| Series: | Клінічна хірургія |
| Subjects: | |
| Online Access: | https://hirurgiya.com.ua/index.php/journal/article/view/770 |
| _version_ | 1797839565417873408 |
|---|---|
| author | O. A. Voylenko O. A. Kononenko S. L. Semko M. V. Pikul O. E. Stakhovskyi Yu. V. Vitruk E. O. Stakhovsky |
| author_facet | O. A. Voylenko O. A. Kononenko S. L. Semko M. V. Pikul O. E. Stakhovskyi Yu. V. Vitruk E. O. Stakhovsky |
| author_sort | O. A. Voylenko |
| collection | DOAJ |
| description | Objective. To rise the efficacy of treatment in patients, suffering localized reno-cellular cancer (LRCC), studying quality of life in patients and determination of optimal procedure of operative treatment.
Materials and methods. Of 511 patients, suffering LRCC (T1-T2 N0M0), in whom quality of life was estimated in accordance to the SF-36 questionnaire, renal resection was performed in 422 (82.6%), nephrectomy - 89 (17.4%). The observation duration median have constituted 28.9 mo (from 3 to 131 mo).
Results. A patient’s cognition of the oncological disease missing have raised the quality of life self-estimation, predominantly in accordance to indices of psychological component of health after nephrectomy and after renal resection. Comparing the quality of life between the patients’ groups, there was obtained a statistically significant advantage of renal resection over nephrectomy in accordance to five indices of quality of life, including: physical functioning - 75 [65; 85] points after nephrectomy and 80 [70; 90] points after renal resection (p < 0.005); general state of health - 65 [57; 72] and 70 [65; 80] (p < 0.001); vital activity - 65 [55; 70] and 70 [60; 75] (p < 0.005); psychological health - 76 [60; 80] and 80 [68; 88] (p < 0.005); the emotionally-role functioning - 66.7 [66.7; 100] and 100 [66,7; 100] (p < 0.05) points, accordingly.
Conclusion. Renal resection has a statistically proven advantage over nephrectomy in accordance to patients’ quality of life, determined, basing on data from the SF-36 questionnaire, predominantly due to better psychological self estimation of the patient’s state of health (p < 0.01). Difference between the investigated groups in accordance to indices of pain intensity, social and physical-role functioning was not established. |
| first_indexed | 2024-04-09T15:58:57Z |
| format | Article |
| id | doaj.art-ea14999d4de6456cb8dd6ae5f7314271 |
| institution | Directory Open Access Journal |
| issn | 0023-2130 2522-1396 |
| language | Russian |
| last_indexed | 2024-04-09T15:58:57Z |
| publishDate | 2019-12-01 |
| publisher | Liga-Inform ltd. |
| record_format | Article |
| series | Клінічна хірургія |
| spelling | doaj.art-ea14999d4de6456cb8dd6ae5f73142712023-04-25T13:54:24ZrusLiga-Inform ltd.Клінічна хірургія0023-21302522-13962019-12-018611-12566210.26779/2522-1396.2019.11-12.56770Quality of life in patients, suffering localized reno-cellular cancer after operative treatmentO. A. Voylenko0O. A. Kononenko1S. L. Semko2M. V. Pikul3O. E. Stakhovskyi4Yu. V. Vitruk5E. O. Stakhovsky6National Cancer Institute, KyivNational Cancer Institute, KyivNational Cancer Institute, KyivNational Cancer Institute, KyivNational Cancer Institute, KyivNational Cancer Institute, KyivNational Cancer Institute, KyivObjective. To rise the efficacy of treatment in patients, suffering localized reno-cellular cancer (LRCC), studying quality of life in patients and determination of optimal procedure of operative treatment. Materials and methods. Of 511 patients, suffering LRCC (T1-T2 N0M0), in whom quality of life was estimated in accordance to the SF-36 questionnaire, renal resection was performed in 422 (82.6%), nephrectomy - 89 (17.4%). The observation duration median have constituted 28.9 mo (from 3 to 131 mo). Results. A patient’s cognition of the oncological disease missing have raised the quality of life self-estimation, predominantly in accordance to indices of psychological component of health after nephrectomy and after renal resection. Comparing the quality of life between the patients’ groups, there was obtained a statistically significant advantage of renal resection over nephrectomy in accordance to five indices of quality of life, including: physical functioning - 75 [65; 85] points after nephrectomy and 80 [70; 90] points after renal resection (p < 0.005); general state of health - 65 [57; 72] and 70 [65; 80] (p < 0.001); vital activity - 65 [55; 70] and 70 [60; 75] (p < 0.005); psychological health - 76 [60; 80] and 80 [68; 88] (p < 0.005); the emotionally-role functioning - 66.7 [66.7; 100] and 100 [66,7; 100] (p < 0.05) points, accordingly. Conclusion. Renal resection has a statistically proven advantage over nephrectomy in accordance to patients’ quality of life, determined, basing on data from the SF-36 questionnaire, predominantly due to better psychological self estimation of the patient’s state of health (p < 0.01). Difference between the investigated groups in accordance to indices of pain intensity, social and physical-role functioning was not established.https://hirurgiya.com.ua/index.php/journal/article/view/770reno-cellular cancer; renal resection; nephrectomy; quality of life |
| spellingShingle | O. A. Voylenko O. A. Kononenko S. L. Semko M. V. Pikul O. E. Stakhovskyi Yu. V. Vitruk E. O. Stakhovsky Quality of life in patients, suffering localized reno-cellular cancer after operative treatment Клінічна хірургія reno-cellular cancer; renal resection; nephrectomy; quality of life |
| title | Quality of life in patients, suffering localized reno-cellular cancer after operative treatment |
| title_full | Quality of life in patients, suffering localized reno-cellular cancer after operative treatment |
| title_fullStr | Quality of life in patients, suffering localized reno-cellular cancer after operative treatment |
| title_full_unstemmed | Quality of life in patients, suffering localized reno-cellular cancer after operative treatment |
| title_short | Quality of life in patients, suffering localized reno-cellular cancer after operative treatment |
| title_sort | quality of life in patients suffering localized reno cellular cancer after operative treatment |
| topic | reno-cellular cancer; renal resection; nephrectomy; quality of life |
| url | https://hirurgiya.com.ua/index.php/journal/article/view/770 |
| work_keys_str_mv | AT oavoylenko qualityoflifeinpatientssufferinglocalizedrenocellularcancerafteroperativetreatment AT oakononenko qualityoflifeinpatientssufferinglocalizedrenocellularcancerafteroperativetreatment AT slsemko qualityoflifeinpatientssufferinglocalizedrenocellularcancerafteroperativetreatment AT mvpikul qualityoflifeinpatientssufferinglocalizedrenocellularcancerafteroperativetreatment AT oestakhovskyi qualityoflifeinpatientssufferinglocalizedrenocellularcancerafteroperativetreatment AT yuvvitruk qualityoflifeinpatientssufferinglocalizedrenocellularcancerafteroperativetreatment AT eostakhovsky qualityoflifeinpatientssufferinglocalizedrenocellularcancerafteroperativetreatment |