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Time after surgery, symptoms and well-being in survivors of urinary bladder cancer
Linköping University, Faculty of Health Sciences. Linköping University, Department of Biomedicine and Surgery, Urology. Östergötlands Läns Landsting, Centre of Surgery and Oncology, Department of Urology in Östergötland.
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2003 (English)In: BJU International, ISSN 1464-4096, Vol. 91, no 4, 325-330 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To evaluate how an increasing burden of symptoms influences well-being, anxiety and depression at different intervals after a radical cystectomy with urostomy for bladder cancer, as this therapy can induce long-term distressful symptoms. PATIENTS AND METHODS: Patients with bladder cancer undergoing radical cystectomy in Stockholm between 1969 and 1995 were matched with 434 controls from the normal population, all 404 patients operated on between 1985 and 1995 at three other hospitals in Sweden were invited to enter the study. The final analysis included 306 patients and 310 controls, all assessed for symptoms and well-being. RESULTS: A low or moderate level of well-being was reported by 35% of the patients having none or one of the symptoms studied, by 39% with two symptoms, by 45% with three symptoms and by 66% of those with four or more symptoms. The values, irrespective of symptom burden, were 45% after 2-5 years of follow-up, 58% after 6-10 years and 38% at > 10 years after surgery. The total symptom burden also influenced the risk of anxiety and depression. Symptom prevalence remained largely unaffected by the duration of follow-up, except for defecation urgency. CONCLUSIONS: The number of long-term symptoms after radical surgery with a urostomy for urinary bladder cancer affects the risk of anxiety, depression and low or moderate well-being.

Place, publisher, year, edition, pages
2003. Vol. 91, no 4, 325-330 p.
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-24835DOI: 10.1046/j.1464-410X.2003.04101.xLocal ID: 9233OAI: diva2:245157
Available from: 2009-10-07 Created: 2009-10-07 Last updated: 2011-01-13

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Ahlstrand, Christer
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Faculty of Health SciencesUrologyDepartment of Urology in Östergötland
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