Twelve‐month self‐reported quality of life after retropubic radical prostatectomy: a prospective study with Rand 36‐Item Health Survey (Short Form‐36)

Abstract

OBJECTIVES To evaluate the health‐related quality of life (HRQoL) in patients undergoing retropubic radical prostatectomy (RRP) for clinically localized prostate cancer. PATIENTS AND METHODS From February 2002 to September 2003 all patients undergoing RRP in our department were invited to participate in the study; the data from 75 of them comprised the present analysis. For evaluating HRQoL the RAND 36‐Item Health Survey (SF‐36) was used. RESULTS Comparing the baseline scores of the SF‐36 domains to those at 3, 6 and 12 months, there was a statistically significant difference in ‘physical function’, ‘role limitations due to physical health problems’, ‘role limitations due to emotional problems’, and ‘energy/fatigue’. There were no statistically significant changes in the follow‐up values for the other scales of the questionnaire. However, the baseline scores overlapped the 12‐month follow‐up values for all the SF‐36 scales. The mean SF‐36 scores reported by incontinent patients were lower than those of the continent patients, although this trend was not statistically significant. At the 12‐month follow‐up some variables were independent predictors of lower mean scores of some SF‐36 scales, i.e. age >65 years, education level less than secondary school, pathological extracapsular extension of cancer and erectile dysfunction. CONCLUSION At 1 year after RRP, HRQoL levels in each of the SF‐36 domains overlapped those of the baseline in >80% of patients. The age, educational level of patients, local extension of the tumour, and erectile dysfunction could significantly affect the HRQoL scores.

Long-term Health-related Quality of Life After Primary Treatment for Localized Prostate Cancer: Results from the CaPSURE Registry

“…HRQOL was reassessed at regular intervals using well-validated, self-reported questionnaires every 6 to 12 mo. We used the Medical Outcomes Studies Short Form-36 (SF-36) to provide measures of physical function and mental health [8], and the University of California, Los Angeles (UCLA) Prostate Cancer Index (PCI) to provide measures of sexual, urinary, and bowel function and bother [9,10]. Both instruments yield scores from 0 to 100, with higher scores denoting better function or less bother.…”

The influence of developmental life stage on quality of life in survivors of prostate cancer and their partners

“…Old-old men may already be experiencing stress related to aging and other co-existing health conditions so that the diagnosis of prostate cancer and its treatment is seen as one more stress to manage which in turn negatively affects their appraisal of illness. Ficarra and colleagues found that older men had more emotional limitations following prostate cancer treatment, difficulty with role performance and lower energy/fatigue status [68].…”

“…In other words, patients in the young-old group (65)(66)(67)(68)(69)(70)(71)(72)(73)(74) found the diagnosis of prostate cancer less threatening than either the middle age or old-old groups of men. These findings were consistent with those of other researches who have found that younger age was associated with more stressful appraisal of the cancer experience [38].…”

Robotic Prostatectomy: Is it More Advantageous Regarding Quality of Life?

“…Bunlardan en yaygın kullanılanları genel yaşam kalitesi ölçeği olarak Medical Outcomes Studies Short Form-36 (SF-36) ve hastalığa özgü bir ölçek olarak University of California, Los Angeles (UCLA) Prostate Cancer Index'dir (PCI). SF-36 daha çok fiziksel ve mental fonksiyonları değerlendirirken, PCI seksüel veüriner sistem fonksiyonlarını değerlendirmeyi amaçlamaktadır (9,10). Aslında EORTC'nin genel kanser ölçeği (QLQ-C-30) ve bunun prostat kanseri modülü de son derece ideal ölçeklerdir.…”

“…Ficarra ve ark. RRP yapılan hastaları 12 aylık SF-36 formu kullanarak değerlendirdikleri çalışma sonucunda yaşam kalitesi skorlarının 1 yılın sonunda %80'den fazla hastada bazal değerlere döndüğü sonucunu bulmuşlardır (9). Buna karşın Tseng ve ark.…”