Year: 2021
Type: article
Study design: Observational Study
Abstract: was administered twice: before RC and 2-3 months after RC.Higher scores (0 to 44) represent less FT and they are presented as medians.Wilcoxon matched-pairs signed rank tests were utilized to compare pre-post RC COST scores.RESULTS: 54 patients completed the COST questionnaire at both time points.The mean age was 67 years (SD: 9.7 years), 67% were male and 61% underwent an ileal conduit urinary diversion.There was a clinically significant difference between pre and post RC COST scores, with lower post RC scores (p[0.001;Medians: 37.2 vs 30.4).This difference was maintained regardless of the patients' gender and type of urinary diversion (p-values <0.05).As for the patients' age, a clinically significant difference in COST scores was only found for older patients (!65 years) (p[0.001;Medians: 38.8 vs 32.0).Younger patients' (<65 years) pre-post COST scores didn't differ significantly (p[0.28;Medians: 32.5 vs 25.0).CONCLUSIONS: This is the first study to report changes in COST scores for patients undergoing RC.RC patients experience more FT after surgery, except for younger patients who tend to display more FT both before and after surgery.These findings provide useful information for implementing patient-centered financial assessment and counselling in patients undergoing RC.Further studies are required to better understand FT after RC and in younger patients.
Source: The Journal of Urology
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W3191040063