Work

Pd15-05 External Validation of a Decision-support Tool for Borderline Operable Muscle-invasive Bladder Cancer (mibc) Patients Choosing Between Radical Cystectomy and Chemo-radiotherapy

Year: 2018

Type: article

Abstract: educational and training (ETE) intervention is the first intervention to address the need among patients and the first to provide a hands-on experience with potential MIBC treatment options to enhance patient health care and adjustment following treatment.METHODS: Eligible MIBC patients (N ¼ 25) were recruited from Mount Sinai Hospital between 2014-and 2016 and were randomized into control or intervention groups.All patients were consented and completed a baseline questionnaire.Intervention group then received an educational session about MIBC treatments and were provided with detailed BC treatment information.Patients from both groups were asked to complete an additional questionnaire at 1 month after treatment.RESULTS: Patients in intervention group (n ¼ 17) showed significant improvement in MIBC knowledge (baseline vs. 1 month: 35Æ6.6 vs. 29Æ5.0,p<0.01) but not in the control group (n¼ 8).Most of the MIBC patients (84%) in the intervention group agreed that the intervention increased their knowledge about bladder cancer and its treatment and, importantly, 64% of the patients claimed that the intervention helped them make treatment decision.Most patients (73%) also agreed that the intervention helped them talk to their doctors about their treatment and made them feel less anxious or upset.Ninety-one percent of the patients in the intervention group stated that they would recommend the educational materials to other MIBC patients CONCLUSIONS: This pilot study suggested that the ETE intervention provide MIBC patients with useful treatment information and give them confidence in treatment decision making.It is worth to further investigate the application of ETE intervention in BC patients on the health-related quality of life after treatment.

Source: The Journal of Urology

DOI: 10.1016/j.juro.2018.02.804