Quality of Life in Pediatric Patients with Continent Urinary Diversion—A Single Center Experience
Abstract
:1. Introduction
2. Materials and Methods
- impediments and constraints (9 questions)
- limitations (8 questions)
- concerns (8 questions)
- 0—No effect on quality of life;
- 1—Slight impact on quality of life;
- 2—Moderate impact on quality of life;
- 3—Significant impact on quality of life;
- 4—Significant impact on quality of life.
3. Results
3.1. Patient and Urological Condition Characteristics
3.2. QoL Outcomes
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- World Health Organization. “WHOQOL: Measuring Quality of Life”. Available online: https://www.who.int/tools/whoqol (accessed on 22 May 2020).
- Spieth, L.E.; Harris, C.V. Assessment of health-related quality of life in children and adolescents: An integrative review. J. Pediatr. Psychol. 1996, 21, 175–193. [Google Scholar] [CrossRef]
- Merenda, L.A.; Hickey, K. Key elements of bladder and bowel management for children with spinal cord injuries. SCI Nurs. A Publ. Am. Assoc. Spinal Cord Inj. Nurses 2005, 22, 8–14. [Google Scholar]
- Farrugia, M.K.; Malone, P.S. Educational article: The Mitrofanoff procedure. J. Pediatr. Urol. 2010, 6, 330–337. [Google Scholar] [CrossRef]
- Lapides, J.; Diokno, A.C.; Silber, S.J.; Lowe, B.S. Clean, intermittent self-catheterization in the treatment of urinary tract disease. J. Urol. 2017, 197, S122–S124. [Google Scholar] [CrossRef]
- Cortes, S.T. Nueva tecnica de exclusion de la vejiga utilizando el clego aislado como receptaculo. Rev. Fac. Med. 1947, 15, 577–616. [Google Scholar]
- Mitrofanoff, P. Trans-appendicular continent cystostomy in the management of the neurogenic bladder. Chir. Pediatr. 1980, 21, 297–305. [Google Scholar]
- Gowda, B.D.R.; Agrawal, V.; Harrison, S.C.W. The continent, catheterizable abdominal conduit in adult urological practice. BJU Int. 2008, 102, 1688–1692. [Google Scholar] [CrossRef]
- Harris, C.F.; Cooper, C.S.; Hutcheson, J.C.; Snyder, H.M., 3rd. Appendicovesicostomy: The Mitrofanoff procedure-a 15-year perspective. J. Urol. 2000, 163, 1922–1926. [Google Scholar] [CrossRef]
- Liard, A.; Seguier-Lipszyc, E.; Mathiot, A.; Mitrofanoff, P. The Mitrofanoff procedure: 20 years later. J. Urol. 2001, 165, 2394–2398. [Google Scholar] [CrossRef]
- Costa, P.; Perrouin-Verbe, B.; Colvez, A.; Didier, J.; Marquis, P.; Marrel, A.; Amarenco, G.; Espirac, B.; Leriche, A. Quality of life in spinal cord injury patients with urinary difficulties. Development and validation of qualiveen. Eur. Urol. 2001, 39, 107–113. [Google Scholar] [CrossRef]
- Bonniaud, V.; Parratte, B.; Amarenco, G.; Jackowski, D.; Didier, J.P.; Guyatt, G. Measuring quality of life in multiple sclerosis patients with urinary disorders using the qualiveen questionnaire. Arch. Phys. Med. Rehabil. 2004, 85, 1317–1323. [Google Scholar] [CrossRef]
- Ware, J.E., Jr.; Sherbourne, C.D. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med. Care 1992, 30, 473–483. [Google Scholar] [CrossRef]
- Hackler, R.H. A 25-year prospective mortality study in the spinal cord injured patient: Comparison with the long-term living paraplegic. J. Urol. 1977, 117, 486–488. [Google Scholar] [CrossRef]
- Geisler, W.O.; Jousse, A.T.; Wynne-Jones, M.; Breithaupt, D. Survival in traumatic spinal cord injury. Paraplegia 1983, 21, 364–373. [Google Scholar] [CrossRef]
- Webb, D.R.; Fitzpatrick, J.M.; O’Flynn, J.D. A 15-year follow-up of 406 consecutive spinal cord injuries. Br. J. Urol. 1984, 56, 614–617. [Google Scholar] [CrossRef]
- Kuo, H.C. Clinical outcome and quality of life after enterocystoplasty for contracted bladders. Urol. Int. 1997, 58, 160–165. [Google Scholar] [CrossRef]
- MacNeily, A.E.; Jafari, S.; Scott, H.; Dalgetty, A.; Afshar, K. Health related quality of life in patients with spina bifida: A prospective assessment before and after lower urinary tract reconstruction. J. Urol. 2009, 182, 1984–1991. [Google Scholar] [CrossRef]
- Vajda, P.; Kispal, Z.; Lenart, I.; Farkas, A.; Vastyan, A.M.; Pinter, A.B. Quality of life: Urinary bladder augmentation or substitution in children. Pediatr. Surg. Int. 2009, 25, 195–201. [Google Scholar] [CrossRef]
- Smith, G.M.; Carroll, D.; Mukherjee, S.; Aldridge, R.; Jayakumar, S.; McCarthy, L.; Chandran, H.; Parashar, K. Health-related quality of life in patients reliant upon Mitrofanoff catheterisation. Eur. J. Pediatr. Surg. 2011, 21, 263–265. [Google Scholar] [CrossRef]
- Fumincelli, L.; Mazzo, A.; Martins, J.C.A.; Henriques, F.M.D.; Cardoso, D.; Rodrigues, M.A. Quality of life of intermittent urinary catheterization users and their caregivers: A scoping review. Worldviews Evid.-Based Nurs. 2017, 14, 324–333. [Google Scholar] [CrossRef]
- Lima, D.X.; Pires, C.R.; Santos, A.C.; Mendes, R.G.; Fonseca, C.E.; Zocratto, O.B. Quality of life evaluation of patients with neurogenic bladder submitted to reconstructive urological surgeries preserving the bladder. Int. Braz. J. Urol. 2015, 41, 542–546. [Google Scholar] [CrossRef] [Green Version]
- Chavarriaga, J.; Fernández, N.; Campo, A.O.; Bolivar, J.; Patiño, G.; Perez, J. Self-perception, quality of life and ease of catheterization in patients with continent urinary diversion with the Mitrofanoff principle. Int. Braz. J. Urol. 2020, 46, 743–751. [Google Scholar] [CrossRef]
- Cain, M.P.; Casale, A.J.; King, S.J.; Rink, R.C. Appendicovesicostomy and newer alternatives for the Mitrofanoff procedure: Results in the last 100 patients at Riley Children’s Hospital. J. Urol. 1999, 162, 1749–1752. [Google Scholar] [CrossRef]
- Jacobson, D.L.; Thomas, J.C.; Pope, J., 4th; Tanaka, S.T.; Clayton, D.B.; Brock, J.W., 3rd; Adams, M.C. Update on continent catheterizable channels and the timing of their complications. J. Urol. 2017, 197, 871–876. [Google Scholar] [CrossRef]
- Leslie, B.; Lorenzo, A.J.; Moore, K.; Farhat, W.A.; Bägli, D.J.; Pippi Salle, J.L. Long-term followup and time to event outcome analysis of continent catheterizable channels. J. Urol. 2011, 185, 2298–2302. [Google Scholar] [CrossRef]
- Polm, P.D.; de Kort, L.M.O.; de Jong, T.P.V.M.; Dik, P. Techniques used to create continent catheterizable channels: A comparison of long-term results in children. Urology 2017, 110, 192–195. [Google Scholar] [CrossRef]
- Bîcă, O.; Sârbu, I.; Ciongradi, C.I. Pediatric and adolescent oncofertility in male patients—From alpha to omega. Genes 2021, 12, 701. [Google Scholar] [CrossRef]
- Mahony, C. The impact of continence problems on self-esteem. Nurs. Times 1998, 93, 58–60. [Google Scholar]
- Gerharz, E.W.; Eiser, C.; Woodhouse, C.R. Current approaches to assessing the quality of life in children and adolescents. BJU Int. 2003, 91, 150–154. [Google Scholar] [CrossRef]
Meaning of Scores | ||||
---|---|---|---|---|
Concepts | No. of Items | No. of Levels | Low | High |
Physical functioning | 10 | 21 | Limited a lot in performing all physical activities including bathing or dressing | Performs all types of physical activities, including the most vigorous, without limitations due to health |
Role limitations due to physical problems | 4 | 5 | Problems with work or other daily activities as a result of physical health | No problems with work or other daily activities as a result of physical health in the past 4 weeks |
Social Functioning | 2 | 9 | Extreme and frequent interference with normal social activities due to physical and emotional problems | Performs normal social activities without interference due to physical or emotional problems over the past 4 weeks |
Bodily pain | 2 | 11 | Very severe and extremely limiting pain | No pain or limitations due to pain over the past 4 weeks |
General mental health | 5 | 26 | Feelings of nervousness and depression all of the time | Feels peaceful, happy, and calm all of the time over the past 4 weeks |
Role limitations due to emotional problems | 3 | 4 | Problems with work or other daily activities as a result of emotional problems | No problems with work or other daily activities as a result of emotional problems over the past 4 weeks |
Vitality | 4 | 21 | Feels tired and worn out all of the time | Feels full of pep and energy all of the time over the past 4 weeks |
General health perceptions | 5 | 21 | Believes personal health is poor and likely to get worse | Believes personal health is excellent |
Age | |
---|---|
Age when CUD was performed | Median 6.5 (4–13) |
Age at the moment of the study | Median 13.5 (8–23) |
Male/Female ratio | 1.6:1 |
Primary diagnosis and indication for CUD | |
Neurogenic bladder | 2 |
Neurogenic-like bladder | 1 |
Bladder exstrophy | 2 |
Posterior urethral valves | 2 |
Post-traumatic urethral stenosis | 1 |
Complications | |
stenosis | 5 |
Urinary tract infection | 4 |
Incontinence | 1 |
Bladder stones | 2 |
Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. |
© 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Ciongradi, C.I.; Benchia, D.; Stupu, C.A.; Iliescu Halițchi, C.O.; Sârbu, I. Quality of Life in Pediatric Patients with Continent Urinary Diversion—A Single Center Experience. Int. J. Environ. Res. Public Health 2022, 19, 9628. https://doi.org/10.3390/ijerph19159628
Ciongradi CI, Benchia D, Stupu CA, Iliescu Halițchi CO, Sârbu I. Quality of Life in Pediatric Patients with Continent Urinary Diversion—A Single Center Experience. International Journal of Environmental Research and Public Health. 2022; 19(15):9628. https://doi.org/10.3390/ijerph19159628
Chicago/Turabian StyleCiongradi, Carmen Iulia, Diana Benchia, Cătălina Alexandra Stupu, Codruța Olimpiada Iliescu Halițchi, and Ioan Sârbu. 2022. "Quality of Life in Pediatric Patients with Continent Urinary Diversion—A Single Center Experience" International Journal of Environmental Research and Public Health 19, no. 15: 9628. https://doi.org/10.3390/ijerph19159628