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Quality of Life Measures

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Management of Bladder Cancer

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Abstract

Although objective survival endpoints are important, they may not fully capture the impact of treatment for bladder cancer. Health-related quality of life (HRQOL) is a subjective, patient-centric outcome that provides a more complete assessment of the impact of a disease or its treatment. HRQOL is a vital component when counseling and treating bladder cancer patients, and is also an important comparative-effectiveness research outcome. Although there is no gold-standard method for measuring HRQOL in bladder cancer, the use of reliable, valid and responsive disease-specific instruments is mandatory. Studies to date have not consistently demonstrated the superiority of any diversion type after radical cystectomy, however with proper patient selection and preoperative counseling, postoperative HRQOL can be comparable between diversions. With ongoing study of HRQOL in bladder cancer, we will continue to improve cancer survivorship and refine patient treatment.

Everything that can be counted does not necessarily count; everything that counts cannot necessarily be counted

—Albert Einstein

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Authors and Affiliations

  1. Department of Surgery, Urology Service, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA

    Christopher B. Anderson M.D.

  2. Department of Urologic Surgery, Vanderbilt University Medical Center, Nashville, TN, 37232-2765, USA

    Christopher B. Anderson M.D.

  3. Department of Urologic Surgery, Center for Surgical Quality and Outcomes Research, Vanderbilt University Medical Center, 2525 West End Avenue, Suite 1200, Nashville, TN, 37203, USA

    David F. Penson M.D., M.P.H.

  4. Department of Urologic Surgery, Center for Surgical Quality and Outcomes Research, Vanderbilt University Medical Center, A-1302 Medical Center North, Nashville, TN, 37232-2765, USA

    Daniel A. Barocas M.D., M.P.H.

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  1. Christopher B. Anderson M.D.
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  2. David F. Penson M.D., M.P.H.
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  3. Daniel A. Barocas M.D., M.P.H.
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Correspondence to Christopher B. Anderson M.D. .

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Editors and Affiliations

  1. Masonic Cancer Center, University of Minnesota, Minneapolis, Minnesota, USA

    Badrinath R. Konety

  2. Department of Urologic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA

    Sam S. Chang

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Anderson, C.B., Penson, D.F., Barocas, D.A. (2015). Quality of Life Measures. In: Konety, B., Chang, S. (eds) Management of Bladder Cancer. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1881-2_8

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