Strategies to improve quality of life in bladder cancer patients

Bladder cancer is a heterogeneous disease that includes both tumors with low risk of dissemination as well as highly malignant tumors with a considerable potential to metastasize. The patient's quality of life is closely related to the management of the disease. The challenge for the urologist...

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Bibliographic Details
Published in:Expert review of pharmacoeconomics & outcomes research 2014-08, Vol.14 (4), p.537-544
Main Authors: Roaldsen, Marius, Aarsaether, Erling, Knutsen, Tore, Patel, Hiten RH
Format: Article
Language:English
Subjects:
Bladder cancer
Decision making
Disease
ERAS
evidence-based medicine
guidelines
Health care policy
Medical diagnosis
Medical personnel
Medical profession
oncology
Patient satisfaction
Professionals
Quality of life
shared decision-making
Surveillance
Urological surgery
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Summary:Bladder cancer is a heterogeneous disease that includes both tumors with low risk of dissemination as well as highly malignant tumors with a considerable potential to metastasize. The patient's quality of life is closely related to the management of the disease. The challenge for the urologist is to acknowledge the malignant potential of the cancer and to adjust the approach to the patient accordingly. Patients with low-risk bladder cancer should avoid an exaggerated follow-up, but on the other hand high-risk patients must be sufficiently surveyed to secure that definitive surgical treatment is performed before it's too late. When the decision to perform a cystectomy has been made, it is crucial that the patient understands the consequences of the surgery as well as the possible options for urinary reconstruction. This review focuses on aspects of bladder cancer management that we believe are vital for the quality of life of these patients.
ISSN:1473-7167
1744-8379
DOI:10.1586/14737167.2014.917967