Abstract
Introduction: We analyze patient-physician dialogue prior to radical cystectomy (RC) when choosing the type of urinary diversion (UD). Methods: 132 patients operated by one surgical team between 2003 and 2005 were included. Physician's recommendation, patient's decision and UD (neobladder (NB) or ileal conduit (IC)) performed were analyzed. Patients were grouped based on age, considering that age is often a limiting factor for NB. Results: When offered either NB or IC, 85% (49/58) in group I (<70 years) and 55% (12/22) in group II (≥70 years) elected NB. An IC was suggested for 16% (11/69) in group I and 65% (41/63) in group II. Six patients (2 in group I, 4 in group II) wanted a NB even though an IC was suggested. Conclusions: Counseling patients is important. When an IC was suggested, over 80% accepted this advice. When both were offered, younger patients usually elected a NB. Older patients preferred an IC.
| Original language | English |
|---|---|
| Pages (from-to) | 40-44 |
| Number of pages | 5 |
| Journal | Urologia Internationalis |
| Volume | 84 |
| Issue number | 1 |
| DOIs | |
| State | Published - Feb 1 2010 |
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Keywords
- Patient counseling
- Physician-patient dialogue
- Urinary diversion, patient's choice
- Urinary diversion, type
ASJC Scopus subject areas
- Urology
Cite this
Role of patient-physician dialogue in selecting the type of urinary diversion. / Katkoori, Devendar; Manoharan, Murugesan; Araki, Motoo; Soloway, Mark S.
In: Urologia Internationalis, Vol. 84, No. 1, 01.02.2010, p. 40-44.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Role of patient-physician dialogue in selecting the type of urinary diversion
AU - Katkoori, Devendar
AU - Manoharan, Murugesan
AU - Araki, Motoo
AU - Soloway, Mark S.
PY - 2010/2/1
Y1 - 2010/2/1
N2 - Introduction: We analyze patient-physician dialogue prior to radical cystectomy (RC) when choosing the type of urinary diversion (UD). Methods: 132 patients operated by one surgical team between 2003 and 2005 were included. Physician's recommendation, patient's decision and UD (neobladder (NB) or ileal conduit (IC)) performed were analyzed. Patients were grouped based on age, considering that age is often a limiting factor for NB. Results: When offered either NB or IC, 85% (49/58) in group I (<70 years) and 55% (12/22) in group II (≥70 years) elected NB. An IC was suggested for 16% (11/69) in group I and 65% (41/63) in group II. Six patients (2 in group I, 4 in group II) wanted a NB even though an IC was suggested. Conclusions: Counseling patients is important. When an IC was suggested, over 80% accepted this advice. When both were offered, younger patients usually elected a NB. Older patients preferred an IC.
AB - Introduction: We analyze patient-physician dialogue prior to radical cystectomy (RC) when choosing the type of urinary diversion (UD). Methods: 132 patients operated by one surgical team between 2003 and 2005 were included. Physician's recommendation, patient's decision and UD (neobladder (NB) or ileal conduit (IC)) performed were analyzed. Patients were grouped based on age, considering that age is often a limiting factor for NB. Results: When offered either NB or IC, 85% (49/58) in group I (<70 years) and 55% (12/22) in group II (≥70 years) elected NB. An IC was suggested for 16% (11/69) in group I and 65% (41/63) in group II. Six patients (2 in group I, 4 in group II) wanted a NB even though an IC was suggested. Conclusions: Counseling patients is important. When an IC was suggested, over 80% accepted this advice. When both were offered, younger patients usually elected a NB. Older patients preferred an IC.
KW - Patient counseling
KW - Physician-patient dialogue
KW - Urinary diversion, patient's choice
KW - Urinary diversion, type
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U2 - 10.1159/000273464
DO - 10.1159/000273464
M3 - Article
C2 - 20173367
AN - SCOPUS:77649175112
VL - 84
SP - 40
EP - 44
JO - Urologia Internationalis
JF - Urologia Internationalis
SN - 0042-1138
IS - 1
ER -