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[根治性泌尿外科盆腔手术后的生活质量及住院康复的影响]

[Quality of life after radical urologic pelvic surgery and impact of inpatient rehabilitation].

作者信息

Dombo O, Otto U

机构信息

Klinik Quellental, Bad Wildungen-Reinhardshausen.

出版信息

Urologe A. 2005 Jan;44(1):11-28. doi: 10.1007/s00120-004-0736-x.

Abstract

Health-related quality of life (QOL) has become a pivotal criterion for assessing quality of specific therapy for prostate and bladder cancer in urology and serves increasingly as a basis for therapeutic decisions reached by urologists and patients. To aid in comprehension, we present the development of QOL research, the accumulated knowledge, and needs for further investigations by offering a broad review of the literature. In Germany, established inpatient rehabilitation has dealt with QOL for decades, but proof of efficacy was lacking. We clearly demonstrated in a prospective study the beneficial effects on QOL achieved with a specific modular urologic inpatient rehabilitation program after radical prostatectomy within 3-4 weeks and stability of these effects over time. Inpatient rehabilitation provides the best generic and disease-specific QOL after radical urologic surgery and completes the surgeon's performance.

摘要

健康相关生活质量(QOL)已成为评估泌尿外科前列腺癌和膀胱癌特定治疗质量的关键标准,并日益成为泌尿外科医生和患者做出治疗决策的依据。为便于理解,我们通过广泛回顾文献,介绍了QOL研究的发展、积累的知识以及进一步研究的需求。在德国,既定的住院康复已经处理QOL问题数十年,但缺乏疗效证据。我们在一项前瞻性研究中清楚地证明,在前列腺癌根治术后3 - 4周内,特定的模块化泌尿外科住院康复计划对QOL有有益影响,且这些影响随时间保持稳定。泌尿外科根治性手术后,住院康复能提供最佳的一般和疾病特异性QOL,并完善外科医生的工作成效。

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