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Background: Bladder cancer (BC) is one of the most common malignancies (4.5%of all newly diagnosed cases worldwide). Most of the new BC cases are diagnosed as non-muscle invasive BC (NMIBC), needing continuous follow up after primary endoscopic therapy. Adjuvant bladder therapy with chemo- or immuno- agents, apart from the initial diagnosis, the strict surveillance program and the risk of recurrence, may have a major impact on the patients' physical and mental health.
Objective: We evaluated anxiety and quality of life (QoL) in patients who underwent surgery for NMIBC and followed a bladder instillation programme.
Methods: This is a prospective analysis of patients with histopathologically confirmed NMIBCs. Eligible were all adult patients with a single or multiple NMIBCs who underwent a transurethral tumor resection and followed a therapy with either BCG or Epirubicin instillations. The SF-36 questionnaire Physical and Mental health aspects were used for QoL assessment. Similarly, the STAI-Y was introduced for the state (STAI-Y1) and trait anxiety (STAI-Y2) evaluation.
Results: 117 eligible patients were screened, with 108 entering finally the study; 9 patients were excluded due to disease recurrence. 17 patients (15.7%) received Epirubicin (Ta-T1, Low Grade tumors), whereas 91 patients (84.3%) received BCG (T1, High Grade). Regarding SF-36 Physical a 6 months decrease was followed by an improvement at 12 months ( = 0.008). Similarly, an increase of the SF-36 Mental health score was identified ( = 0.03). In contrast to STAI-Y2 scores ( = 0.945), a long-term reduction of the state anxiety was identified ( = 0.001). Preoperative SF-36 Physical was inversely correlated with age ( = 0.029), while absence of alcohol was associated with lower mental health ( = 0.003). Overall, patient characteristics, habits and the administered treatment did not affect the postoperative QoL and anxiety.
Conclusion: Patient QoL and anxiety improved during follow up. Still, further larger scale studies are required to support our findings.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11181705 | PMC |
| http://dx.doi.org/10.3233/BLC-201524 | DOI Listing |
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