MP19-02 IMPAIRED EMOTIONAL, PHYSICAL AND SOCIAL WELL-BEING IN RADICAL CYSTECTOMY PATIENTS
Bibliographic record
Abstract
You have accessJournal of UrologyHealth Services Research: Practice Patterns, Quality of Life and Shared Decision Making II (MP19)1 Sep 2021MP19-02 IMPAIRED EMOTIONAL, PHYSICAL AND SOCIAL WELL-BEING IN RADICAL CYSTECTOMY PATIENTS Julie Trudel, and Conrad Maciejewski Julie TrudelJulie Trudel More articles by this author , and Conrad MaciejewskiConrad Maciejewski More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002004.02AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Radical cystectomy (RC) can have a negative impact on the patients emotional, physical and social well-being along the illness trajectory. There is a paucity of studies examining the Health-related Quality of life (HRQOL) of bladder cancer patients before RC. This study evaluated the HRQOL of RC patients before and after surgery. METHODS: RC patients were enrolled in the Diana Wood Cancer Survivorship Clinic at the Ottawa Hospital from January 2019. Questionnaires were completed prior to and 2-3 months post RC. Validated HRQOL instruments were used: FACT-Bl, SF-36 and Distress Thermometer (DT). Wilcoxon matched-pairs signed Rank Tests were performed to determine changes in HRQOL scores. RESULTS: 54 RC patients completed HRQOL measures before and after RC. Mean age was 67 years (SD: 9.7 years); 67% were men, 61% underwent an ileal conduit diversion. Clinically significant pre-post differences were seen in medians for four SF-36 scale scores. Lower post-cystectomy scores were obtained in: Physical Functioning” (p=0.00), “Role limitations due to Physical Health” (p=0.00), “Energy/Fatigue” (p=0.01) and “Social Well-Being” (p=0.02). Clinically significant differences were also found for DT scores. Patients exhibited more emotional distress before RC (p=0.005) and more physical concerns after RC (p=0.007). FACT-Bl results correspond with those obtained with SF-36 and DT. Moreover, after RC, younger patients (<65 years) were less content with their social life and the older ones (≥65 years) exhibited more fatigue. Neo-bladder patients cited more physical problems after RC including urinary, sexual, gastro-intestinal concerns and fatigue. CONCLUSIONS: Emotional distress is often reported before RC and physical concerns are frequently identified after RC. Older patients and neo-bladder diversions encountered more physical problems after RC. Cancer survivorship needs in RC patients must be tailored to patients age and urinary diversion to optimize HRQOL outcomes. Source of Funding: The Diana Wood Bladder Cancer Survivorship Program © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e327-e327 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Julie Trudel More articles by this author Conrad Maciejewski More articles by this author Expand All Advertisement Loading ...
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.018 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".