Quality of life in bladder cancer: systematic review and meta-analysis (2024)

Quality of life in bladder cancer: systematic review and meta-analysis (1)

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Review

Quality of life in bladder cancer: systematic review and meta-analysis

  1. Sima Rafiei1,
  2. Golnaz Kheradkhah2,
  3. Grigorios Kotronoulas2,
  4. Maryam Doustmehraban3,
  5. Farnoosh Shafiei4,
  6. Maryam Masoumi5,
  7. Elaheh Parnian4,
  8. Elmira Nosrati Sanjabad6 and
  9. http://orcid.org/0000-0002-3607-666XAhmad Ghashghaee1,2
  1. 1Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran (the Islamic Republic of)
  2. 2The School of Medicine, Dentistry & Nursing, University of Glasgow, Glasgow, UK
  3. 3Student Research Committee, Qazvin University of Medical Sciences, Qazvin, Iran (the Islamic Republic of)
  4. 4Student Research Committee, Faculty of Health Management and Information Sciences Branch, Iran University of Medical Sciences, Tehran, Iran
  5. 5Clinical research and development center, Qom University of Medical Sciences, Qom, Iran
  6. 6Student Research Committee, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
  1. Correspondence to Ahmad Ghashghaee, Student Research Committee, Qazvin University of Medical Sciences, Qazvin, Iran (the Islamic Republic of); ahmad.ghashghaee1996{at}gmail.com

Abstract

Background Worldwide, bladder cancer (BC) has been regarded as the tenth most common cancer with more than 573 000 new cases in 2020. This research presents a systematic review and meta-analysis of studies examining the quality of life (QOL) among patients with BC.

Methods The study was designed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A total of 11 articles were extracted from a literature search conducted through electronic databases including PubMed, EMBASE, Scopus and Web of Science from the onset of January 2000 to June 2022. A random-effects model was applied to estimate the pooled QOL in patients with BC.

Results We included 11 primary studies in the final meta-analysis. Based on random effect analysis, total score of QOL was 53.92 (95% CI: 47.84 to 60) representing a moderate level of QOL among patients. Based on the analysis, it was found that physical items with a score of 49.82 (95% CI: 45.8 to 53.84) had a lower score in comparison with mental items at a score of 52 (95% CI: 49.54 to 54.47). In addition, the item of role limitations due to physical health with a score of 46.26 (95% CI: 20.11 to 72.41), and social functioning with a score of 46.25 (95% CI: 18.85 to 73.66), respectively, had the lowest QOL in patients with BC.

Conclusion Generally, the QOL among patients with BC was in a moderate condition, which can be improved through determining the influencing factors on QOL as a crucial strategy to define future treatment procedures in an effective manner.

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    Footnotes

    • Contributors Conception and design of study: GKheradkhah and AG. Acquisition of data: GKotronoulas. Analysis and/or interpretation of data: GKheradkhah and AG. Drafting the manuscript: AG and GKotronoulas. Revising the manuscript critically for important intellectual content: AG. Approval of the version of the manuscript to be published: AG and SR.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

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    Quality of life in bladder cancer: systematic review and meta-analysis (2024)

    FAQs

    What is the quality of life with bladder cancer? ›

    Discussion. In this review, the QOL among patients was estimated at 53.92 (95% CI: 47.84 to 60). We also found that physical domains of QOL were significantly affected by diagnosis or treatment procedures of the disease and were worse in terms of role limitations due to physical health and social functioning.

    What percent of bladder cancer is metastatic? ›

    71% for localized bladder cancer (cancer is in the bladder only) 39% for regional bladder cancer (cancer has spread beyond the bladder to nearby lymph nodes or organs) 8% for metastatic bladder cancer (cancer has spread beyond the bladder to a distant part of the body)

    What is the success rate of immunotherapy for bladder cancer? ›

    BCG was the first FDA-approved immunotherapy and helps reduce the risk of bladder cancer recurrence by stimulating an immune response that targets the bacteria as well as any nearby bladder cancer cells. Approximately 70% of bladder cancer patients go into remission after BCG therapy.

    What is the new hope for bladder cancer? ›

    Enfortumab is a type of treatment known as an antibody–drug conjugate. In both trials, people treated with the new combination treatment lived longer than those who received chemotherapy—a never-before-seen improvement over the standard initial treatments for advanced bladder cancer.

    What is the life expectancy after bladder cancer? ›

    The 5-year relative survival rate of people with bladder cancer that has not spread beyond the inner layer of the bladder wall is 96%. Almost half of people are diagnosed with this stage. If the tumor is invasive but has not yet spread outside the bladder, the 5-year relative survival rate is 70%.

    Does drinking water help with bladder problems? ›

    Bladder Inflammation

    This concentration of wastes can lead to frequent and urgent urination or pelvic pain. Drinking the recommended amount of water can help prevent the buildup of minerals and help flush out toxins from the body.

    What are red flags in urology? ›

    Red-flag symptoms/signs

    Urethral/bladder pain. Recurrent urinary tract infection. Difficulty with bladder emptying. Constant leak suspicious for a urogenital fistula.

    What is the end stage bladder? ›

    “End-stage bladder” is a term that encompasses a bladder with little to no meaningful function and/or the potential for harm.

    Does bladder cancer ever completely go away? ›

    The outlook for people with stage 0a (non-invasive papillary) bladder cancer is very good. These cancers can almost always be cured with treatment. During long-term follow-up care, more superficial cancers are often found in the bladder or in other parts of the urinary system.

    Has anyone survived stage 4 bladder cancer? ›

    If bladder cancer has spread to the regional lymph nodes, the 5-year survival rate is 39.2%. If it has spread to a distant site, the 5-year survival rate is 8.3%. Receiving a diagnosis of stage 4 bladder cancer can feel overwhelming.

    What causes death with bladder cancer? ›

    But researchers also noted that people with bladder cancer had a higher risk of dying from secondary cancers, heart diseases, and COPD than the people who never had bladder cancer. It should be noted that heart disease and COPD are both smoking-related diseases, as is bladder cancer.

    Who is not a good candidate for immunotherapy? ›

    If you have an autoimmune disorder, you may be unable to tolerate immunotherapy even if you would otherwise qualify for treatment. With an autoimmune disease, such as lupus, rheumatoid arthritis, Crohn's disease or ulcerative colitis, your immune system mistakenly attacks healthy cells.

    Is chemo worth it for bladder cancer? ›

    It can lower the risk of bladder cancer coming back in the future. Chemotherapy after surgery may help to stop the cancer coming back.

    Can you beat metastatic bladder cancer? ›

    Treatment for metastatic bladder cancer

    When bladder cancer has spread to another part of the body, treatment is not likely to cure it. But it might control the cancer for some time and help to reduce any symptoms. Possible treatment options include: chemotherapy.

    Can you live a normal life after bladder cancer? ›

    It's common for survivors to worry about their cancer returning, and it takes time for life to feel "normal" again. Managing life after bladder cancer isn't easy, but it's possible.

    Is bladder cancer a big deal? ›

    Bladder cancer can be benign or malignant. Malignant bladder cancer may be life threatening, as it can spread quickly. Without treatment, it can damage tissues and organs.

    How aggressive is bladder cancer? ›

    Bladder cancers are either low-grade or high-grade. Low-grade bladder cancer cells grow more slowly and are less likely to invade the bladder's muscular wall. High-grade bladder cancer cells grow aggressively and may be more likely to spread to the bladder wall and other tissues and organs.

    What is the prognosis for bladder cancer by age? ›

    Survival rates for bladder cancer are generally high, although they vary by age. The five-year relative survival rate for localized bladder cancer is 67% for people age 65 and up, 79% for people age 50-64, and 84% for people under age 50 at diagnosis, according to data from the National Cancer Institute.

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