Psychological, social well-being and general health status after surgical treatment for localised renal cell carcinoma

Ficarra, Vincenzo; Cerruto, Maria Angela; Novella, Giovanni; Ballario, R; Sarti, A.; Artibani, Walter

doi:10.1016/s1569-9056(02)80434-1

Cited by 10 publications

(20 citation statements)

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“…A literature review yielded a total of five studies that have investigated the psychological functioning or QOL of individuals with RCC (Capuron, Ravaud, Miller, & Dantzer, 2004;Clark et al, 2001;Cohen, de Moor, Parker, & Amato, 2002;Ficarra et al, 2002;Heinzer, Mir, Huland, & Huland, 1999). The strengths of these studies notwithstanding, all five investigations focused exclusively on psychological or QOL differences between patients receiving different forms of treatment for either localized or metastatic RCC.…”

Section: Introductionmentioning

confidence: 99%

Quality of Life of Patients Undergoing Surgical Treatment for Newly-Diagnosed, Clinically Localized Renal Cell Carcinoma

Ames

Parker

Crook

et al. 2011

Journal of Psychosocial Oncology

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This investigation sought to evaluate the psychological needs of individuals (N = 28) undergoing nephrectomy for newly diagnosed, localized renal cell carcinoma (RCC) using a mixed qualitative-quantitative approach. The qualitative component consisted of individual semi-structured interviews ≥4 weeks postnephrectomy. The quantitative component involved standardized measures assessing anxiety, depressive symptoms, psychological distress, and general and disease specific quality of life (QOL) prior to nephrectomy and at 4, 12, and 24 weeks postnephrectomy. This investigation provides a unique view of the experiences and needs of persons undergoing surgery for newly diagnosed, localized RCC and reveals that these individuals experience fatigue, anxiety, and depressive symptoms.

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Section: Introductionmentioning

confidence: 99%

Quality of Life of Patients Undergoing Surgical Treatment for Newly-Diagnosed, Clinically Localized Renal Cell Carcinoma

Ames

Parker

Crook

et al. 2011

Journal of Psychosocial Oncology

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“…Researchers submit proposals based on their own perceived priorities, but these may not be shared, even by other clinicians [9][10][11][12][13]. The James Lind Alliance (JLA), an international leader in setting research priorities [6], recommends bringing patients, caregivers, and clinicians together with their representative organizations to reach consensus on the top research priorities [14]. There has been a vigorous renaissance of research in kidney cancer.…”

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confidence: 99%

Setting Research Priorities for Kidney Cancer

et al. 2017

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“…Of these, three provided analysis directly comparing QoL outcomes between NSS and RN patients. Interestingly, while Poulakis et al [5] concluded that there was no difference in follow-up QoL measures between the NSS and RN groups, both Clark and Ficarra present data suggesting that QoL outcomes may be better among the NSS group [6,8]. The strengths of these two studies aside, it is worth noting that neither team conducted prospective enrollment of patients, the time to follow-up QoL measures varied considerably across participants in each study and most importantly, neither provided direct comparisons of preexisting comorbidities, symptoms at presentation or baseline measures of QoL between the RN and NSS groups.…”

Section: Discussionmentioning

confidence: 69%

“…To date, a handful of investigators have addressed the question of QoL outcomes in RCC patients [4][5][6][7][8][9][10]; however only three have directly addressed the direct comparison of QoL measures between patients undergoing NSS and RN [5,6,8]. Interestingly, while one study reported no difference in QoL-related outcomes between the two surgical groups [5], two of the studies presented evidence suggesting improved QoL outcomes for the NSS versus RN group [6,8].…”

Section: Introductionmentioning

confidence: 99%

“…Interestingly, while one study reported no difference in QoL-related outcomes between the two surgical groups [5], two of the studies presented evidence suggesting improved QoL outcomes for the NSS versus RN group [6,8]. A key limitation in each of these investigations is the absence of information on baseline measures of QoL prior to surgery.…”

Section: Introductionmentioning

confidence: 99%

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825 Comparison of Baseline Quality of Life Measures Between Renal Cell Carcinoma Patients Undergoing Partial Versus Radical Nephrectomy

et al. 2010

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Background: To compare demographics, pathologic features, performance scores, comorbidities, symptoms and responses to quality of life (QoL) surveys between nephron-sparing surgery (NSS) and radical nephrectomy (RN) patients prior to surgical intervention. Previous investigators have compared QoL outcomes for patients undergoing RN and NSS; however, there are limited data comparing QoL-related characteristics at baseline between these groups. Methods: We identified 144 patients with localized RCC who underwent either NSS (n = 71) or RN (n = 73) between May '07-November '12. We abstracted baseline data on demographic and clinic-pathologic variables as well as responses to the SF-36 and FACT-G surveys from our prospective registry. We amended the FACT-G with 8 additional questions designed to address RCC-specific QoL. For comparisons between the two groups, we employed Wilcoxon rank-sum and Fisher's Exact tests where appropriate. Results: We observed RN patients to have more aggressive pathology. We noted no difference in performance scores between the two groups; however, RN patients were more likely to have higher Charlson scores (p = 0.022) and various symptoms at presentation (all p <0.001). For the QoL surveys, we did not observe differences on the FACT-G; however, we noted evidence of differential scores between the two groups on specific domains of the SF-36 (e.g. Mental Health; p 0.022) and the RCC-specific QoL questions added to the FACT-G. Conclusions: We report baseline differences between RN and NSS patients on clinico-pathologic as well as QoL-related metrics. As issues of survivorship become increasingly important, our results underscore the need to consider baseline status in evaluations of QoL-related outcomes for patients undergoing surgery for RCC.

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Psychological, social well-being and general health status after surgical treatment for localised renal cell carcinoma

Cited by 10 publications

References 0 publications

Quality of Life of Patients Undergoing Surgical Treatment for Newly-Diagnosed, Clinically Localized Renal Cell Carcinoma

Quality of Life of Patients Undergoing Surgical Treatment for Newly-Diagnosed, Clinically Localized Renal Cell Carcinoma

Setting Research Priorities for Kidney Cancer

825 Comparison of Baseline Quality of Life Measures Between Renal Cell Carcinoma Patients Undergoing Partial Versus Radical Nephrectomy

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