Cognitive Status and Functional Dexterity as Outcome Predictors Following Urinary Diversion: A Combined Retrospective
Charis Kalogirou1, Svenja Breshnev2, Markus Krebs2
1Department of Urology and Paediatric Urology, Julius Maximilians University Medical Center of Würzburg, Würzburg, Germany, kalogirou_c@ukw.de.
Urologia Internationalis
|November 22, 2018
Summary
Assessing functional dexterity and cognitive status after urinary diversion (UD) can help guide treatment decisions. While reduced skills correlate with patient age and specific diversion challenges, overall health-related quality of life (HRQoL) remains unaffected.
Area of Science:
- Urology
- Surgical Outcomes
- Patient-Reported Outcomes
Background:
- Urinary diversion (UD) is a complex procedure impacting patient function.
- Assessing pre-operative patient factors is crucial for optimizing outcomes.
- Health-related quality of life (HRQoL) is a key measure of surgical success.
Purpose of the Study:
- To evaluate the impact of functional dexterity and cognitive status on outcomes after urinary diversion (UD).
- To assess the influence of these tests on subjective functional outcomes, medical care, and HRQoL.
- To explore the relationship between test results and patient age and specific diversion-related challenges.
Main Methods:
- A combined retrospective and prospective observational study included 106 patients undergoing UD (ileal conduits, neobladders, ileocecal pouches).
- Patients completed validated functional dexterity and Mini-Mental Status tests.
- Self-designed questionnaires assessed diversion-specific issues and HRQoL, with prospective data collected pre- and post-operatively.
Main Results:
- Reduced functional dexterity and cognitive skills were significantly associated with older patient age.
- These limitations correlated with specific challenges: stoma care (ileal conduits), self-catheterization (ileocecal pouches), and continence (neobladders).
- Overall HRQoL was not significantly affected by dexterity or cognitive measures.
Conclusions:
- Cognitive status and functional dexterity assessments may serve as objective clinical tools for UD type selection.
- These assessments can aid in planning postoperative medical care.
- Further prospective studies are needed to validate these findings and refine assessment methods.
Keywords:
Clock-drawing testCognitive statusFunctional dexterityMedical careMini-mental testUrinary diversionMore Related Videos
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