This is a prospective cross-sectional survey-based study composed of both a retrospective chart review and 3-series patient survey. This study will help elicit potential areas throughout the perioperative course of radical cystectomy to improve patient resilience and quality of life, providing opportunity for future interventional studies.
This is a prospective cross-sectional survey-based study composed of both a retrospective chart review and 3-series patient survey. This study will help elicit potential areas throughout the perioperative course of radical cystectomy to improve patient resilience and quality of life, providing opportunity for future interventional studies. Primarily, the study will evaluate health related quality of life and resiliency in patients throughout the perioperative course of a radical cystectomy for bladder cancer. The primary objective will be the correlation of the Connor-Davidson Resilience Scale (CD-RISC-25) and the Functional Assessment of Cancer Therapy-Bladder-Cystectomy (FACT-BL-Cys) score. Patients will be identified and undergo consent and baseline assessments, including completion of surveys prior to their cystectomy. A retrospective chart review will also be completed to record information regarding patient's cancer stage, treatment status, diagnosis date, insurance type, and related medical conditions and medications. Data from retrospective chart review will be collected and recorded in a secure REDCap database for all eligible patients. Subsequent surveys will be administered again at approximately 10-30 days postoperatively, as well as 60-120 days postoperatively.
Study Type
OBSERVATIONAL
Enrollment
74
University of Kansas Medical Center
Kansas City, Kansas, United States
Change in resiliency as measured by the Connor-Davidson Resilience Scale (CD-RISC-25).
The Connor-Davidson Resilience scale is a 25-item self-administered instrument for assessing resilience that is consistent in a variety of populations, including clinical and community. Scoring: 0-100 (sum total of all items, each of which is scored 0-4). Higher score reflects greater resilience.
Time frame: Prior to radical cystectomy, 10-30-days post-operative, and 90-days (+/-30-days) post-operative
Change in quality of life in patients undergoing radical cystectomy as measured by the Functional Assessment of Cancer Therapy-Bladder-Cystectomy (FACT-Bl-Cys).
The FACT-BL-Cys is a condition-specific instrument for patients undergoing radical cystectomy to measure quality of life. Scoring: 0-168 (sum total of all items). Higher score reflects better health-related quality of life.
Time frame: Prior to radical cystectomy, 10-30-days post-operative, and 90-days (+/-30-days) post-operative
Change in quality of life in patients undergoing radical cystectomy as measured by the PROMIS-29.
The PROMIS-29 is a disease non-specific measure of pain intensity using a 1-5 rating and seven health domains (physical function, fatigue, pain interference, depressive symptoms, anxiety, ability to participate in social roles and activities, and sleep disturbance). Scoring: High scores mean more of the concept being measured.
Time frame: Prior to radical cystectomy, 10-30-days post-operative, and 90-days (+/-30-days) post-operative
Identification of clinical and demographic factors in bladder cancer patients
Identify clinical and demographic factors related to higher post-cystectomy resiliency in patients with bladder cancer.
Time frame: Baseline to 90-days (+/-30 days) post-operative
Demographics
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Characterize trends that correspond with greater levels of resiliency and quality of life
Time frame: Baseline to 90-days (+/-30 days) post-operative