Quality of life and the prevalence of urinary incontinence after surgical treatment for gynecologic cancer: A questionnaire survey

Abstract Background Although there have been a number of reports on urinary voiding symptoms associated with surgical interventions for gynecologic cancer and post-voiding symptoms, there have been few reports on urinary storage symptoms such as urinary incontinence (UI) and overactive bladder (OAB). The purpose of this study was to examine the rates and impact on quality of life (QOL) of urinary storage symptoms after gynecologic cancer surgery. Methods A questionnaire survey, including Japanese-language versions of the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), Overactive Bladder Symptom Score (OABSS), and Incontinence Impact Questionnaire-7 (IIQ-7), was distributed to gynecologic cancer patients who underwent hysterectomy between 2008 and 2013. Results Of the 145 patients analyzed, 49 (33.8%) had UI pre-surgery and 76 (52.4%) had UI post-surgery, including 34 (35.4%) first-time UI patients, with a significant difference between pre- and post-surgery. Of the 49 subjects with UI pre-surgery, 43 (87.7%) had stress incontinence, while of the 76 patients with UI post-surgery, 44 (57.1%) had stress incontinence, and 24 (31.2%) had mixed incontinence. Seven (4.8%) subjects had OAB pre-surgery, whereas 19 (13.1%) had OAB symptoms post-surgery (including 15 first-time OAB patients), with a significant difference between pre- and post-surgery. IIQ-7 scores were markedly higher for patients with mixed incontinence post-surgery than for those with stress incontinence, indicating a lower QOL. Logistic regression analysis identified the number of Cesarean sections and days of urinary bladder catheterization as risk factors for postoperative UI. Conclusions UI and OAB rates were higher after gynecologic cancer surgery than in the general female population. The mixed incontinence rate was markedly higher post-surgery; QOL was low for such patients due to the combination of urgency and stress incontinence. Multiple Cesarean sections and urinary bladder catheterization post-surgery were risk factors for post-surgical UI.

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Quality of life and the prevalence of urinary incontinence after surgical treatment for gynecologic cancer: A questionnaire survey

10.21203/rs.2.11879/v2 ◽

2019 ◽

Author(s):

Noriko Nakayama ◽

Tetsuya Tsuji ◽

Makoto Aoyama ◽

Takafumi Fujino ◽

Meigen Liu

Keyword(s):

Quality Of Life ◽

Stress Incontinence ◽

Gynecologic Cancer ◽

Cesarean Sections ◽

Mixed Incontinence ◽

Post Surgery ◽

Voiding Symptoms ◽

Significant Difference ◽

First Time

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Quality of life and the prevalence of urinary incontinence after surgical treatment for gynecologic cancer: A questionnaire survey

10.21203/rs.2.11879/v4 ◽

2020 ◽

Author(s):

Noriko Nakayama ◽

Tetsuya Tsuji ◽

Makoto Aoyama ◽

Takafumi Fujino ◽

Meigen Liu

Keyword(s):

Quality Of Life ◽

Stress Incontinence ◽

Gynecologic Cancer ◽

Cesarean Sections ◽

Mixed Incontinence ◽

Post Surgery ◽

Voiding Symptoms ◽

Significant Difference ◽

First Time

Abstract Background Although there have been a number of reports on urinary voiding symptoms associated with surgical interventions for gynecologic cancer and post-voiding symptoms, there have been few reports on urinary storage symptoms such as urinary incontinence (UI) and overactive bladder (OAB). The purpose of this study was to examine the rates and impact on quality of life (QOL) of urinary storage symptoms after gynecologic cancer surgery.Methods A questionnaire survey, including Japanese-language versions of the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), Overactive Bladder Symptom Score (OABSS), and Incontinence Impact Questionnaire-7 (IIQ-7), was distributed to gynecologic cancer patients who underwent hysterectomy between 2008 and 2013.Results Of the 145 patients analyzed, 49 (33.8%) had UI pre-surgery, and 76 (52.4%) had UI post-surgery, including 34 (35.4%) first-time UI patients, with a significant difference between pre- and post-surgery. Of the 49 subjects with UI pre-surgery, 43 (87.7%) had stress incontinence, while of the 76 patients with UI post-surgery, 44 (57.1%) had stress incontinence, and 24 (31.2%) had mixed incontinence. Seven (4.8%) subjects had OAB pre-surgery, whereas 19 (13.1%) had OAB symptoms post-surgery (including 15 first-time OAB patients), with a significant difference between pre- and post-surgery. IIQ-7 scores were markedly higher for patients with mixed incontinence post-surgery than for those with stress incontinence, indicating a lower QOL. Logistic regression analysis identified the number of Cesarean sections and days of urinary bladder catheterization as risk factors for postoperative UI.Conclusions UI and OAB rates were higher after gynecologic cancer surgery than in the general female population. The mixed incontinence rate was markedly higher post-surgery; QOL was low for such patients due to the combination of urge and stress incontinence. Multiple Cesarean sections and urinary bladder catheterization post-surgery were risk factors for post-surgical UI.

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Quality of life and the prevalence of urinary incontinence after surgical treatment for gynecologic cancer

10.21203/rs.2.11879/v1 ◽

2019 ◽

Author(s):

Noriko Nakayama ◽

Tetsuya Tsuji ◽

Makoto Aoyama ◽

Takafumi Fujino ◽

Meigen Liu

Keyword(s):

Quality Of Life ◽

Risk Factors ◽

Stress Incontinence ◽

Gynecologic Cancer ◽

Cesarean Sections ◽

Mixed Incontinence ◽

Post Surgery ◽

Significant Difference ◽

First Time

Abstract Purpose To examine the rates, causes, and impact on quality of life (QOL) of urinary storage symptoms after gynecologic cancer surgery. Methods A questionnaire survey, including Japanese-language versions of the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), Overactive Bladder Symptom Score (OABSS), and Incontinence Impact Questionnaire-7 (IIQ-7), was distributed to gynecologic cancer patients who underwent hysterectomy between 2008 and 2013. Results Of the 145 patients analyzed, 49 (33.8%) had urinary incontinence (UI) pre-surgery and 76 (52.4%) had UI post-surgery, including 34 (35.4%) first-time UI patients, with a significant difference between pre- and post-surgery. Of the 49 subjects with UI pre-surgery, 43 (87.7%) had stress incontinence, while of the 76 patients with UI post-surgery, 44 (57.1%) had stress incontinence, and 24 (31.2%) had mixed incontinence. Seven (4.8%) subjects had overactive bladder (OAB) pre-surgery, whereas 19 (13.1%) had OAB symptoms post-surgery (including 15 first-time OAB patients), with a significant difference between pre- and post-surgery. IIQ-7 scores were markedly higher for patients with mixed incontinence post-surgery than for those with stress incontinence, indicating a lower QOL. Logistic regression analysis identified the number of Cesarean sections and days of urinary bladder catheterization as risk factors for postoperative UI. Conclusions UI and OAB rates were higher after gynecologic cancer surgery than in the general female population. The mixed incontinence rate was markedly higher post-surgery; QOL was low for such patients due to the combination of urgency and stress incontinence. Multiple Cesarean sections and urinary bladder catheterization post-surgery were risk factors for post-surgical UI.

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Quality of life in adolescents and young adults with CHD is not reduced: a systematic review and meta-analysis

Cardiology in the Young ◽

10.1017/s104795111500181x ◽

2015 ◽

Vol 26 (3) ◽

pp. 415-425 ◽

Cited By ~ 12

Author(s):

Morten Schrøder ◽

Kirsten A. Boisen ◽

Jesper Reimers ◽

Grete Teilmann ◽

Jesper Brok

Keyword(s):

Quality Of Life ◽

Systematic Review ◽

Young Adults ◽

Meta Analysis ◽

Adolescents And Young Adults ◽

Analysis Model ◽

Significant Difference ◽

Newcastle Ottawa Scale ◽

First Time

AbstractPurposeWe performed a systematic review and meta-analysis of observational studies assessing quality of life in adolescents and young adults born with CHD compared with age-matched controls.MethodsWe carried out a systematic search of the literature published in Medline, Embase, PsychINFO, and the Cochrane Library’s Database (1990–2013); two authors independently extracted data from the included studies. We used the Newcastle–Ottawa scale for quality assessment of studies. A random effects meta-analysis model was used. Heterogeneity was assessed using the I2-test.ResultsWe included 18 studies with 1786 patients. The studies were of acceptable-to-good quality. The meta-analysis of six studies on quality of life showed no significant difference – mean difference: −1.31; 95% confidence intervals: −6.51 to +3.89, I2=90.9% – between adolescents and young adults with CHD and controls. Similar results were found in 10 studies not eligible for the meta-analysis. In subdomains, it seems that patients had reduced physical quality of life; however, social functioning was comparable or better compared with controls.ConclusionFor the first time in a meta-analysis, we have shown that quality of life in adolescents and young adults with CHD is not reduced when compared with age-matched controls.

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Effectiveness analysis of the new method of antireflux surgery in patients with hiatal hernia

Acta Medica Leopoliensia ◽

10.25040/aml2020.04.050 ◽

2020 ◽

Vol 26 (4) ◽

pp. 50-55

Author(s):

A.R. Stasyshyn ◽

◽

A.A. Hurayevskyy ◽

Yu.Y. Holyk ◽

◽

...

Keyword(s):

Quality Of Life ◽

Los Angeles ◽

Hiatal Hernia ◽

Antireflux Surgery ◽

New Method ◽

Life Questionnaire ◽

Post Surgery ◽

Group I ◽

Significant Difference

Aim. To analyze the effectiveness of a new method of antireflux surgery in patients with hiatal hernia. Materials and Methods. The results of treatment of 157 patients with hiatal hernia from 2016 to 2020 are analyzed. The patients were divided into 3 groups: group I, N=59, underwent laparoscopic antireflux operation modified by the authors (Patent of Ukraine № 59772); group II (N=77), underwent laparoscopic Nissen fundoplication; and group III (N=21) - laparoscopic Toupet fundoplication. Results and Discussion. At 36 months post-surgery follow-up, there was a statistically significant difference in favor of group I on the average scores of the visual analog scale for reflux symptoms, dysphagia and extraesophageal symptoms; the average quality of life questionnaire scores; the average DeMeester index; distribution of the patients by satisfaction; distribution of the patients by degree of reflux esophagitis according to the Los Angeles classification; and distribution by gas-bloat syndrome. Conclusions. Clinical application of the developed new method of laparoscopic surgery for hiatal hernia reduces the number of relapses and complications after surgery, and improves the quality of life of patients. Key words: hiatal hernia, antireflux surgery, new methods of treatment

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Does Thyroidectomy Impact Quality of Life: Retrospective Case–Control Study of Post-Thyroidectomy Patients and Matched Individuals from the General Population

Medicina ◽

10.3390/medicina56110603 ◽

2020 ◽

Vol 56 (11) ◽

pp. 603

Author(s):

Hyeong Won Yu ◽

Ah Reum An ◽

Hye In Kang ◽

Yong Joon Suh ◽

Hyungju Kwon ◽

...

Keyword(s):

Quality Of Life ◽

General Population ◽

Short Form ◽

Subjective Health ◽

Retrospective Case ◽

Post Surgery ◽

Significant Difference ◽

Independent Risk Factors

Background and objectives: The study assesses quality of life (QoL) in patients who underwent thyroidectomy compared to the general population. Materials and Methods: QoL data from post-thyroidectomy patients and individuals with no subjective health concerns, who had attended a routine health screening visit, were evaluated. QoL was assessed using the modified version of Korean Short Form 12 questionnaire (SF-12). Patients and controls were matched using the propensity score approach and a ratio of 1:4. Results: Data from a total of 105 patients and 420 controls were analyzed. For five SF-12 items, lower QoL was found in patients (p < 0.05). Multivariate analysis revealed that a follow-up duration of <1-year, female sex, and an age of >50 years were independent risk factors. No significant difference was found between controls and patients who were >1-year post-surgery. Conclusions: For specific SF-12 items, QoL was lower in post-thyroidectomy patients than in controls. No intergroup difference in QoL was found >1-year post-surgery.

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CORRELATION BETWEEN OVERACTIVE BLADDER (OAB) AND QUALITY OF LIFE (QoL).

Urogynaecologia ◽

10.4081/uij.2008.3.25 ◽

2010 ◽

Vol 22 (3) ◽

pp. 25

Author(s):

V. Leanza ◽

S. Dati ◽

A.A. Cavallaro ◽

M. Bologna

Keyword(s):

Quality Of Life ◽

Overactive Bladder ◽

Stress Incontinence ◽

Medical Condition ◽

Chronic Medical Condition ◽

Health Related Quality ◽

Mixed Incontinence ◽

Related Quality ◽

Health Related

The primary symptoms of overactive bladder (OAB) include urinary urgency and frequency, with or without urge incontinence. OAB is urodynamically characterised by involuntary contractions of the detrusor muscles of the bladder. Despite the growing awareness of OAB as a chronic medical condition, little is known about the disease’s economic burden. Urodynamic diagnoses of detrusor overactivity, mixed incontinence, and stress incontinence with OAB are associated with significantly worse incontinence related bother and health related quality of life (QL) compared to those with stress incontinence without OAB [1,2,3].

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The effect of spiritual counseling on improving of the quality of life among pregnant women: a randomized control trials

10.21203/rs.3.rs-110055/v1 ◽

2020 ◽

Author(s):

Masomeh MonfaredKashki ◽

Azam Maleki ◽

Kourosh Amini

Keyword(s):

Quality Of Life ◽

Pregnant Women ◽

Block Design ◽

Intervention Group ◽

Control Group ◽

Significant Difference ◽

Randomized Control ◽

Spiritual Counseling ◽

First Time

Abstract Background: To examine the effect of spiritual counseling on the quality of life (QoL) of women with the first time pregnancy.Methods: This randomized control trial was carried out on 60 pregnant women who recruited at two childbirth preparation centers of Zanjan (Iran) in 2018. The eligible women were allocated into two intervention and control groups according to the 4-block design. The spiritual counseling was carried out in eight sessions, two times per week at 20 -32 weeks of gestation. The control group only received routine cares. The quality of life were measured before and two months after intervention.Results: Overall in pre intervention phase, the quality of life did not show a statistically significant difference between the two groups (p>0.05). In Post the intervention, the overall QoL showed a statistically significant difference between the two groups (p<0.05). But the physical functioning, body pain, and social functioning domains were not statistically significant (p>0.05). According to the linear regression, the risk of poor quality of life in the intervention group was 0.78 times less than of the control group (p= 0.0001).Conclusion: Spiritual counseling had a positive impact on improving of QoL in the first time pregnant women. The integration of spiritual counseling in the childbirth education package could be improved the psychological aspect of quality of life more than the physical aspect of quality of life. It can be considered used by healthcare providers for planning childbirth interventions.Trial registration: The study was registered at the Iranian Registry of Clinical Trials under the number IRCT20150731023423N12 , 2018-11-06

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Effect of Bariatric Surgery on Psychosomatic Condition and Quality of Life of Patients with Morbid Obesity: A Study at Dr. RMLIMS, Lucknow

International Journal of Indian Psychology ◽

10.25215/0403.014 ◽

2017 ◽

Vol 4 (3) ◽

Author(s):

Anshuman Pandey ◽

Sudhi Kulshrestha ◽

Shakeel Masood ◽

Smita Chauhan

Keyword(s):

Quality Of Life ◽

Bariatric Surgery ◽

Rank Test ◽

First Year ◽

Post Surgery ◽

Sf 36 ◽

Significant Difference ◽

Role Limitation ◽

Signed Rank Test

Bariatric surgery results in significant weight loss, improvement or cure of accompanying illnesses, and may lead to important changes in psychological conditions. The aim of this paper is to study the changes in the psychological and emotional lives of patients as well as quality of life during the first year after bariatric surgery. The study population comprised 30 patients, 17 women (56.67%) and 13 men, between 28 and 60 years old. laparoscopic gastric sleeve procedure was adopted for bariatric surgery. Patients were asked to complete SF-36 questionnaire before surgery. One year after surgery, patients were again asked to complete an SF-36. Comparisons were made between loss of weight, alteration in the psychological condition and quality of life postoperatively, within the parameters of sex, age, marital status, clinical condition, duration of obesity and family history of obesity. Outcomes obtained from Wilcoxon signed rank test of SF-36 parameters revealed that there is significant difference between pre surgery and post surgery SF-36 parameters except emotional role limitation. The bariatric surgery most satisfactorily improved the patients’ psychosomatic condition, as well as their quality of life, during the first year after surgery.

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Post-surgery Quality of Life in Patients with Acromegaly Using SF36 Quality of Life Questionnaire-prospective Study

Journal of Endocrinology Research ◽

10.30564/jer.v3i2.3531 ◽

2021 ◽

Vol 3 (2) ◽

pp. 34

Author(s):

Manoj Gedam ◽

Dipti Sarma

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Complete Remission ◽

Life Questionnaire ◽

Quality Of Life Questionnaire ◽

Role Physical ◽

Post Surgery ◽

Sf 36 ◽

Significant Difference

Introduction: Acromegaly is chronic progressive disease with multisystem involvement characterised by an excess secretion of growth hormone and increased circulating insulin like growth factor 1 concentration.Aims and Objectives: To assess surgical outcome of acromegaly patients at tertiary care institute using SF 36 quality of life questionnaire. SF-36 scores comprise 3 components: the physical component summary (PCS), the mental component summary (MCS) and role-social component summary (RCS).30 acromegaly patients admitted in Guwahati medical college were enrolled in study and followed up post operatively for surgical remission. All participants completed the SF-36 preoperatively, 1 year and 2 years postoperatively.Material and Method: Out of 30 patients 6 patients had surgical remission post operatively on the basis of postoperative glucose suppressed GH Level done after 12 weeks. Preoperatively subscale scores (physical functioning, role physical, general health) which were below the set standards for the normal population show significant postoperative improvements along with mental health (MH) scores. Similarly, PCS, MCS and RCS scores changed significantly after surgery. We also compared the QOL of 6 patients whose peak GH level was < 0.4 µg/L during postoperative oral glucose tolerance testing with those patients whose nadir GH level was ≥ 0.4 µg/L. There was significant difference between partial and complete remission group in subscale score role physical, social function and mental health. Similarly, PCS and RCS score significantly different in partial and complete remission group than MCS score.Conclusions: QOL is considerably reduced in patients with acromegaly compared to general population which improves significantly after surgical treatment. Patients achieving the new remission criteria had significant improvement in physical and social components than those who did not.

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