Distressful symptoms after radical radiotherapy for urinary bladder cancer.
Identifieur interne : 004622 ( PubMed/Curation ); précédent : 004621; suivant : 004623Distressful symptoms after radical radiotherapy for urinary bladder cancer.
Auteurs : Lars Henningsohn [Suède] ; Hans Wijkström ; Paul W. Dickman ; Karin Bergmark ; Gunnar SteineckSource :
- Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology [ 0167-8140 ] ; 2002.
Descripteurs français
- KwdFr :
- Attribution aléatoire, Cystectomie (effets indésirables), Enquêtes et questionnaires, Femelle, Humains, Incontinence anale (physiopathologie), Incontinence anale (étiologie), Invasion tumorale, Lymphoedème (étiologie), Maladies intestinales (physiopathologie), Maladies intestinales (étiologie), Mâle, Radiothérapie adjuvante (effets indésirables), Radiothérapie adjuvante (psychologie), Récupération fonctionnelle (effets des radiations), Sujet âgé, Sujet âgé de 80 ans ou plus, Troubles sexuels d'origine physiologique (physiopathologie), Troubles sexuels d'origine physiologique (étiologie), Tumeurs de la vessie urinaire (), Tumeurs de la vessie urinaire (anatomopathologie), Tumeurs de la vessie urinaire (radiothérapie).
- MESH :
- anatomopathologie : Tumeurs de la vessie urinaire.
- effets des radiations : Récupération fonctionnelle.
- effets indésirables : Cystectomie, Radiothérapie adjuvante.
- physiopathologie : Incontinence anale, Maladies intestinales, Troubles sexuels d'origine physiologique.
- psychologie : Radiothérapie adjuvante.
- radiothérapie : Tumeurs de la vessie urinaire.
- étiologie : Incontinence anale, Lymphoedème, Maladies intestinales, Troubles sexuels d'origine physiologique.
- Attribution aléatoire, Enquêtes et questionnaires, Femelle, Humains, Invasion tumorale, Mâle, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs de la vessie urinaire.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Cystectomy (adverse effects), Fecal Incontinence (etiology), Fecal Incontinence (physiopathology), Female, Humans, Intestinal Diseases (etiology), Intestinal Diseases (physiopathology), Lymphedema (etiology), Male, Neoplasm Invasiveness, Radiotherapy, Adjuvant (adverse effects), Radiotherapy, Adjuvant (psychology), Random Allocation, Recovery of Function (radiation effects), Sexual Dysfunction, Physiological (etiology), Sexual Dysfunction, Physiological (physiopathology), Surveys and Questionnaires, Urinary Bladder Neoplasms (complications), Urinary Bladder Neoplasms (pathology), Urinary Bladder Neoplasms (radiotherapy), Urinary Bladder Neoplasms (surgery).
- MESH :
- adverse effects : Cystectomy, Radiotherapy, Adjuvant.
- complications : Urinary Bladder Neoplasms.
- etiology : Fecal Incontinence, Intestinal Diseases, Lymphedema, Sexual Dysfunction, Physiological.
- pathology : Urinary Bladder Neoplasms.
- physiopathology : Fecal Incontinence, Intestinal Diseases, Sexual Dysfunction, Physiological.
- psychology : Radiotherapy, Adjuvant.
- radiation effects : Recovery of Function.
- radiotherapy : Urinary Bladder Neoplasms.
- surgery : Urinary Bladder Neoplasms.
- Aged, Aged, 80 and over, Female, Humans, Male, Neoplasm Invasiveness, Random Allocation, Surveys and Questionnaires.
Abstract
Radical radiotherapy for muscle-invasive urinary bladder cancer can sterilize the tumour with preserved organ function. Here we studied symptoms, symptom distress and trade-off among long-term survivors and compared figures to those of population controls and patients who had undergone cystectomy.
PubMed: 11937249
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pubmed:11937249Le document en format XML
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<affiliation wicri:level="1"><nlm:affiliation>Clinical Cancer Epidemiology, Department of Oncology and Pathology, Radiumhemmet, Karolinska Institutet, Stockholm, Sweden.</nlm:affiliation>
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<author><name sortKey="Wijkstrom, Hans" sort="Wijkstrom, Hans" uniqKey="Wijkstrom H" first="Hans" last="Wijkström">Hans Wijkström</name>
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<author><name sortKey="Dickman, Paul W" sort="Dickman, Paul W" uniqKey="Dickman P" first="Paul W" last="Dickman">Paul W. Dickman</name>
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<term>Fecal Incontinence (physiopathology)</term>
<term>Female</term>
<term>Humans</term>
<term>Intestinal Diseases (etiology)</term>
<term>Intestinal Diseases (physiopathology)</term>
<term>Lymphedema (etiology)</term>
<term>Male</term>
<term>Neoplasm Invasiveness</term>
<term>Radiotherapy, Adjuvant (adverse effects)</term>
<term>Radiotherapy, Adjuvant (psychology)</term>
<term>Random Allocation</term>
<term>Recovery of Function (radiation effects)</term>
<term>Sexual Dysfunction, Physiological (etiology)</term>
<term>Sexual Dysfunction, Physiological (physiopathology)</term>
<term>Surveys and Questionnaires</term>
<term>Urinary Bladder Neoplasms (complications)</term>
<term>Urinary Bladder Neoplasms (pathology)</term>
<term>Urinary Bladder Neoplasms (radiotherapy)</term>
<term>Urinary Bladder Neoplasms (surgery)</term>
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<term>Humains</term>
<term>Incontinence anale (physiopathologie)</term>
<term>Incontinence anale (étiologie)</term>
<term>Invasion tumorale</term>
<term>Lymphoedème (étiologie)</term>
<term>Maladies intestinales (physiopathologie)</term>
<term>Maladies intestinales (étiologie)</term>
<term>Mâle</term>
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<term>Radiothérapie adjuvante (psychologie)</term>
<term>Récupération fonctionnelle (effets des radiations)</term>
<term>Sujet âgé</term>
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<term>Troubles sexuels d'origine physiologique (physiopathologie)</term>
<term>Troubles sexuels d'origine physiologique (étiologie)</term>
<term>Tumeurs de la vessie urinaire ()</term>
<term>Tumeurs de la vessie urinaire (anatomopathologie)</term>
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<term>Radiotherapy, Adjuvant</term>
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</keywords>
<keywords scheme="MESH" qualifier="effets des radiations" xml:lang="fr"><term>Récupération fonctionnelle</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Cystectomie</term>
<term>Radiothérapie adjuvante</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Fecal Incontinence</term>
<term>Intestinal Diseases</term>
<term>Lymphedema</term>
<term>Sexual Dysfunction, Physiological</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Urinary Bladder Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Incontinence anale</term>
<term>Maladies intestinales</term>
<term>Troubles sexuels d'origine physiologique</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Fecal Incontinence</term>
<term>Intestinal Diseases</term>
<term>Sexual Dysfunction, Physiological</term>
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<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Radiothérapie adjuvante</term>
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<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Radiotherapy, Adjuvant</term>
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<keywords scheme="MESH" qualifier="radiation effects" xml:lang="en"><term>Recovery of Function</term>
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<keywords scheme="MESH" qualifier="radiotherapy" xml:lang="en"><term>Urinary Bladder Neoplasms</term>
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<keywords scheme="MESH" qualifier="radiothérapie" xml:lang="fr"><term>Tumeurs de la vessie urinaire</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Urinary Bladder Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Incontinence anale</term>
<term>Lymphoedème</term>
<term>Maladies intestinales</term>
<term>Troubles sexuels d'origine physiologique</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Neoplasm Invasiveness</term>
<term>Random Allocation</term>
<term>Surveys and Questionnaires</term>
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<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Invasion tumorale</term>
<term>Mâle</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
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<front><div type="abstract" xml:lang="en">Radical radiotherapy for muscle-invasive urinary bladder cancer can sterilize the tumour with preserved organ function. Here we studied symptoms, symptom distress and trade-off among long-term survivors and compared figures to those of population controls and patients who had undergone cystectomy.</div>
</front>
</TEI>
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<DateCreated><Year>2002</Year>
<Month>04</Month>
<Day>08</Day>
</DateCreated>
<DateCompleted><Year>2002</Year>
<Month>08</Month>
<Day>01</Day>
</DateCompleted>
<DateRevised><Year>2015</Year>
<Month>11</Month>
<Day>19</Day>
</DateRevised>
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<JournalIssue CitedMedium="Print"><Volume>62</Volume>
<Issue>2</Issue>
<PubDate><Year>2002</Year>
<Month>Feb</Month>
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<Title>Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology</Title>
<ISOAbbreviation>Radiother Oncol</ISOAbbreviation>
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<ArticleTitle>Distressful symptoms after radical radiotherapy for urinary bladder cancer.</ArticleTitle>
<Pagination><MedlinePgn>215-25</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Radical radiotherapy for muscle-invasive urinary bladder cancer can sterilize the tumour with preserved organ function. Here we studied symptoms, symptom distress and trade-off among long-term survivors and compared figures to those of population controls and patients who had undergone cystectomy.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">We identified 71 patients who had had urinary bladder cancer treated with radical radiotherapy before 1995. For comparison, 325 patients treated with radical cystectomy and urostomy, continent or non-continent, during the same period and 460 individuals randomly selected from the general population were included. Information was collected by means of an anonymously answered postal questionnaire to avoid investigator-related bias.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Answers were obtained from 58 (82%) radiated patients, 251 (85%) cystectomized patients and 310 (71%) population controls. Of the radiated patients, 74% reported little or no distress from symptoms from the urinary tract, 38% had had intercourse the previous month and 57% (men) reported they had ejaculated. Among the cystectomized patients, 13% had had intercourse and 0% (men) had ejaculated. Moderate or much distress from symptoms from the gastrointestinal tract was reported by 32% of the radiated patients, 24% of the cystectomized patients and 9% of the population controls. After radical radiotherapy, 46% of the patients were willing to accept some risk of decreased survival to become symptom-free.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">About 3/4 of these long-term survivors after radical radiotherapy for bladder cancer had a functioning urinary bladder with little or no distress from the urinary tract. The prevalence of sexual dysfunction was lower than after cystectomy and the prevalence of distress from the gastrointestinal tract was comparable.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Henningsohn</LastName>
<ForeName>Lars</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Clinical Cancer Epidemiology, Department of Oncology and Pathology, Radiumhemmet, Karolinska Institutet, Stockholm, Sweden.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Wijkström</LastName>
<ForeName>Hans</ForeName>
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</Author>
<Author ValidYN="Y"><LastName>Dickman</LastName>
<ForeName>Paul W</ForeName>
<Initials>PW</Initials>
</Author>
<Author ValidYN="Y"><LastName>Bergmark</LastName>
<ForeName>Karin</ForeName>
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<Author ValidYN="Y"><LastName>Steineck</LastName>
<ForeName>Gunnar</ForeName>
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<QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName>
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<MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
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<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D009361" MajorTopicYN="N">Neoplasm Invasiveness</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D018714" MajorTopicYN="N">Radiotherapy, Adjuvant</DescriptorName>
<QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName>
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<MeshHeading><DescriptorName UI="D011897" MajorTopicYN="N">Random Allocation</DescriptorName>
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<MeshHeading><DescriptorName UI="D020127" MajorTopicYN="N">Recovery of Function</DescriptorName>
<QualifierName UI="Q000528" MajorTopicYN="N">radiation effects</QualifierName>
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<MeshHeading><DescriptorName UI="D012735" MajorTopicYN="N">Sexual Dysfunction, Physiological</DescriptorName>
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<QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName>
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<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
<QualifierName UI="Q000532" MajorTopicYN="N">radiotherapy</QualifierName>
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