Modifiable lifestyle behaviours impact the health‐related quality of life of bladder cancer survivors

Chung, Jiil; Kulkarni, Girish S.; Bender, Jackie; Breau, Rodney H.; Guttman, David; Maganti, Manjula; Matthew, Andrew; Morash, Robin; Papadakos, Janet; Jones, Jennifer

doi:10.1111/bju.15007

Cited by 15 publications

(26 citation statements)

References 29 publications

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“…Although various patient characteristics interacted with time QoL measurements, none of them was an independent QoL affecting factor. Evidence from recent studies, though, suggest that postoperative HRQoL is significantly associated with modifiable behaviors such as physical activity, dietary habits and smoking (6).…”

Section: Discussionmentioning

confidence: 99%

“…Initial diagnosis, the strict surveillance program and the risk of recurrence have a major impact on the patients' physical and mental health (5)(6)(7). Additionally, NIMBC intravesical treatment is associated with several quality of life (QoL) reducing adverse events, mainly lower urinary tract symptoms (LUTS) (8).…”

Section: Introductionmentioning

confidence: 99%

“…Additionally, NIMBC intravesical treatment is associated with several quality of life (QoL) reducing adverse events, mainly lower urinary tract symptoms (LUTS) (8). Several series attempted to evaluate factors of the detrimental effect of the NMIBC therapeutic approaches on the psychological and physical health, with methodological issues (3, 5, 6, 9). The application of generic and widely validated tools, such as SF-36 and STAI-Y, allows for the overall assessment of the QoL and anxiety, respectively (10).…”

Section: Introductionmentioning

confidence: 99%

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Quality of life and anxiety in patients with non-muscle invasive bladder cancer: a prospective study

Vaioulis

Bonotis

Perivoliotis

et al. 2020

Preprint

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Introduction We evaluated anxiety and quality of life (QoL) in patients who were operated for non-muscle invasive bladder cancer (NMIBC) Methods The present study is a prospective analysis of patients with histopathologically confirmed NMIBCs after they were submitted to transurethral resection of the tumour (TURBT). Eligible were all adult patients with a single or multiple NMIBCs. All included patients followed therapy with either BCG or Epirubicin instillations. The SF-36 questionnaire Physical and Mental health aspects were used for QoL assessment. Similarly, the STAI-Y was introduced for the state (STAI-Y1) and trait anxiety (STAI-Y2) evaluation. Results In total, 117 eligible patients were included. Regarding SF-36 Physical a 6 months decrease was followed by an improvement at 12 months. Similarly, an increase of the SF-36 Mental health score was identified. In contrast to STAI-Y2, a long-term reduction of the state anxiety was identified. Preoperative SF-36 Physical was inversely correlated with age, while absence of alcohol was associated with lower mental health. Overall, patient characteristics, habits and the administered treatment did not affect the postoperative QoL and anxiety. Conclusions Patient QoL and anxiety improved during follow up. Although certain characteristics were related to QoL and anxiety, further larger scale studies are required.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Quality of life and anxiety in patients with non-muscle invasive bladder cancer: a prospective study

Vaioulis

Bonotis

Perivoliotis

et al. 2020

Preprint

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“…Chung et al [1] performed a cross-sectional study evaluating health behaviours including physical activity, diet, body mass index, alcohol consumption, and smoking status, as well as health-related quality of life (HRQoL) in patients with bladder cancer at different treatment stages. In their study sample, most of the patients with bladder cancer were overweight or obese, did not adhere to healthy diet recommendations, were unwilling to change their eating habits, and did not meet guidelines for weekly physical activity.…”

Section: How Can We Motivate Patients With Bladder Cancer To Help Thementioning

confidence: 99%

“…Inviting the help of specialists, such as nutritionists and physical therapists, to discuss the importance of diet and exercise early during treatment may be advantageous for patients and more likely to motivate patients to adopt these healthy behaviours. Furthermore, given the paucity of data linking the health behaviours of patients with bladder cancer to HRQoL, studies such as this one [1] could provide much-needed evidence to persuade patients regarding the positive impact that healthy behaviour can have on their HRQoL. If we can successfully motivate patients with bladder cancer to adopt healthy behaviours, then their HRQoL will likely improve.…”

Section: How Can We Motivate Patients With Bladder Cancer To Help Thementioning

confidence: 99%

How can we motivate patients with bladder cancer to help themselves?

2020

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Longitudinal associations of adherence to lifestyle recommendations and health‐related quality of life in patients with non‐muscle invasive bladder cancer

Vidra

Beeren

Zutphen

et al. 2023

Intl Journal of Cancer

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Although the role of lifestyle in health‐related quality of life (HRQoL) outcomes has been increasingly recognized for various types of cancer, evidence in patients with non‐muscle invasive bladder cancer (NMIBC) is very limited. We aimed to evaluate the longitudinal association between adherence to the 2018 World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) lifestyle recommendations and HRQoL in patients with NMIBC. This study included 1029 patients with NMIBC recruited between May 2014 and April 2017 from the Dutch multi‐centre prospective cohort study UroLife. Lifestyle and HRQoL data were collected at 6 weeks (baseline), 3 months and 15 months after diagnosis. Information on body mass index (BMI), physical activity, diet and alcohol was used to compute the standardized WCRF/AICR adherence score (0‐7). HRQoL outcomes were evaluated by the EORTC QLQ‐C30. Linear mixed models were used to assess longitudinal confounder‐adjusted associations between the WCRF/AICR adherence score and HRQoL outcomes. Adherence to each additional WCRF/AICR recommendation was associated with better global quality of life, physical, role and social functioning, and less fatigue. We found stronger inter‐individual than intra‐individual associations, suggesting that associations were mainly driven by between‐subject differences. Higher adherence to the BMI, physical activity and dietary recommendations was associated with better scores for most HRQoL outcomes, while adherence to the alcohol recommendation (ie, non‐consumption) was associated with worse HRQoL. Following the WCRF/AICR lifestyle recommendations may improve HRQoL in patients with NMIBC. Intervention studies are needed to establish whether the association between lifestyle and HRQoL is causal.

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Modifiable lifestyle behaviours impact the health‐related quality of life of bladder cancer survivors

Cited by 15 publications

References 29 publications

Quality of life and anxiety in patients with non-muscle invasive bladder cancer: a prospective study

Quality of life and anxiety in patients with non-muscle invasive bladder cancer: a prospective study

How can we motivate patients with bladder cancer to help themselves?

Longitudinal associations of adherence to lifestyle recommendations and health‐related quality of life in patients with non‐muscle invasive bladder cancer

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