+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Factors predicting health-related quality of life recovery in patients undergoing surgical treatment for renal tumors: prospective evaluation using the RAND SF-36 Health Survey

, : Factors predicting health-related quality of life recovery in patients undergoing surgical treatment for renal tumors: prospective evaluation using the RAND SF-36 Health Survey. European Urology 57(1): 112-120

Most newly diagnosed kidney cancers present at localized stages. With appropriate treatments, the cancer-specific survival rates of such patients are extremely high, which makes patients' health-related quality of life (HRQoL) a relevant issue. To date, most of the available studies on HRQoL have been biased by the absence of baseline HRQoL assessments and by retrospective designs. To evaluate the baseline HRQoL of patients with kidney cancer, comparative HRQoL during the first year after surgery, and the prognostic factors predictive of HRQoL recovery. We prospectively collected the data of all patients undergoing surgery for kidney tumors at a tertiary academic referral center from February 2006 to September 2007. Patients underwent nephron-sparing surgery (NSS) or radical nephrectomy (RN). Patients were invited to self-complete the validated, Italian version of the RAND 36-Item Health Survey 1.0 (SF-36) before surgery, 6 mo after surgery, and 12 mo after surgery. Overall, 129 consecutive patients were evaluated. No significant differences were found between the baseline scores of our patients and age- and sex-matched normative data for the Italian general population. Comparing the baseline SF-36 scores to those at 6 mo and 12 mo, there was statistically significant worsening in the physical domains and improvement in the emotional domains (all p<0.05). About 50-80% of patients returned to baseline scores 6 mo and 12 mo after surgery. Age, body mass index (BMI), educational level, occupational status, New York Heart Association (NYHA) functional class, tumor mode of presentation, pathologic stage, size, and histologic subtype were associated with 6-mo and 12-mo return to the baseline HRQoL scores. The main limitation of the study was the lack of a disease-specific questionnaire. Most patients returned to preoperative HRQoL within 12 mo after RN or NSS. Several patient features, clinical variables, and pathologic tumor variables predict the return of HRQoL.


PMID: 19406562

DOI: 10.1016/j.eururo.2009.04.023

Other references

Kershman, J., 1949: The borderland of epilepsy; a reconsideration. Archives of Neurology and Psychiatry 62(5): 551-559

Oblogina T.I.; Efimova E.A. (Yefimova Y.A.; Lyakhovitskii F.M. (Lyakhovitskiy F.M.; Piip V.B., 1984: Expansion of interpretation models in seismics. Moscow University Geology Bulletin 39(2): 18-23

Durante-Mangoni, E.; Parrella, A.; Iossa, D.; Andini, R.; Molaro, R.; Battimelli, C.; Sodano, G.; Utili, R., 2015: Differential antiviral effects of pegylated interferon-α2a and pegylated interferon-α2b in chronic hepatitis C. Pegylated interferon (peg-IFN)-α2a and -α2b show different pharmacokinetic properties but are used interchangeably for hepatitis C treatment in traditional dual combinations and with newer agents. We assessed whether peg-IFN antiviral effects va...

Wang, Y-sheng.; Ou-yang, T.; Wu, J.; Liu, Y-hui.; Cao, X-chen.; Sun, X.; Fu, L.; Liao, N.; Yang, W-tao.; Zhong, W-xia.; Lu, A-ping., 2013: Comparative study of one-step nucleic acid amplification assay, frozen section, and touch imprint cytology for intraoperative assessment of breast sentinel lymph node in Chinese patients. Conventional procedures for the intraoperative assessment of breast cancer sentinel lymph nodes (SLNs) are frozen section (FS) and touch imprint cytology (TIC). The one-step nucleic acid amplification (OSNA) assay is a novel molecular technique. T...

Zaidat, O.O., 2010: Periprocedural management of patients with endovascular treatment of intracranial atherosclerotic disease. Clinical outcome in endovascular therapy of intracranial atherosclerosis with stenting and angioplasty or angioplasty alone is dependent on multiple other factors beside the procedure itself. Preprocedure combined antiplatelet administration of as...

Bogoiavlenskaia, A.G., 1956: Acid and alkaline phosphatases in blood serum in normal patients and in precancer and cancer of the breast. Voprosy Kliniki i Lecheniia Zlokachestvennykh Novoobrazovanii 4: 97-103

Homandberg G.A.; Erickson J.W., 1986: Model of fibronectin tertiary structure based on studies of interactions between fragments. Human plasma fibronectin aggregates in solution and is thought to form fibrils on cell surfaces, perhaps by self-associating and by interacting with other components such as proteoglycans. We have localized the self-association domains by testing...

Hufford, DC., 1980: Partial characterization of the in vitro interaction of Loxosceles reclusa venom with human erythrocytes. Dissertation Abstracts International B Sciences and Engineering, 413: 887

Petsko, G.A., 2001: Model behavior. Genome Biology 2(7): Comment1009-Comment1009

Cornblath M., 1976: Hypo ketonemic effect of l alanine. Federation Proceedings: 246