THE IMPACT OF OBESITY ON HEALTH RELATED QUALITY OF LIFE BEFORE AND AFTER RADICAL PROSTATECTOMY (DATA FROM CaPSURE)
2005; Lippincott Williams & Wilkins; Volume: 173; Issue: 4 Linguagem: Inglês
10.1097/01.ju.0000154973.38301.7f
ISSN1527-3792
AutoresJason W. Anast, Natalia Sadetsky, David J. Pasta, William W. Bassett, David Latini, Janeen DuChane, June M. Chan, Matthew R. Cooperberg, Peter R. Carroll, Christopher J. Kane,
Tópico(s)Urinary Bladder and Prostate Research
ResumoNo AccessJournal of UrologyAdult Urology: Oncology: Prostate/Testis/Penis/Urethra1 Apr 2005THE IMPACT OF OBESITY ON HEALTH RELATED QUALITY OF LIFE BEFORE AND AFTER RADICAL PROSTATECTOMY (DATA FROM CaPSURE) JASON W. ANAST, NATALIA SADETSKY, DAVID J. PASTA, WILLIAM W. BASSETT, DAVID LATINI, JANEEN DuCHANE, JUNE M. CHAN, MATTHEW R. COOPERBERG, PETER R. CARROLL, and CHRISTOPHER J. KANE JASON W. ANASTJASON W. ANAST , NATALIA SADETSKYNATALIA SADETSKY , DAVID J. PASTADAVID J. PASTA , WILLIAM W. BASSETTWILLIAM W. BASSETT , DAVID LATINIDAVID LATINI , JANEEN DuCHANEJANEEN DuCHANE , JUNE M. CHANJUNE M. CHAN , MATTHEW R. COOPERBERGMATTHEW R. COOPERBERG , PETER R. CARROLLPETER R. CARROLL , and CHRISTOPHER J. KANECHRISTOPHER J. KANE View All Author Informationhttps://doi.org/10.1097/01.ju.0000154973.38301.7fAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Health related quality of life (HRQOL) is an important measure of outcomes among patients with prostate cancer due to disease related and treatment related effects on physical and emotional health. We determined if there are differences in the HRQOL of obese men at diagnosis and after radical prostatectomy compared to the HRQOL of men with normal body mass index (BMI). Materials and Methods: Data were abstracted from Cancer of the Prostate Strategic Urological Research Endeavor (CaPSURE), a disease registry of 10,018 men with prostate cancer. A total of 1,884 men were included in study who were treated with radical prostatectomy between 1989 and 2002, had BMI information available and had completed 1 initial HRQOL questionnaire. Of these men 672 who completed at least 2 followup questionnaires were assessed further. Results: The BMI (kg/m2) distributions were 24% normal (less than 24.9 kg/m2), 56% overweight (25 to 29.9), 16% obese (30 to 34.9) and 4% very obese (greater than 35 kg/m2). Higher BMI was associated with worse physical function, bodily pain, general health, vitality and role physical, but better bowel bother at diagnosis independent of race. Higher BMI was also associated with worse HRQOL after radical prostatectomy for physical function, general health and vitality, but better bowel bother. HRQOL differences between BMI groups were similar among times for all measured variables. Compared to the normal group, the higher BMI groups had similar HRQOL after radical prostatectomy. Conclusions: In the majority of domains men with higher BMI had lower HRQOL at diagnosis than men of normal BMI. Obese men have a similar recovery pattern of HRQOL after radical prostatectomy, with minimal additive long-term impairment in HRQOL relative to men of normal weight. References 1 : Prevalence and trends in obesity among US adults, 1999–2000. JAMA2002; 288: 1723. Google Scholar 2 : Overweight and obesity in the United States: prevalence and trends, 1960–1994. Int J Obes Relat Metab Disord1998; 22: 39. Google Scholar 3 : Medical hazards of obesity. Ann Intern Med1993; 119: 655. Google Scholar 4 : Actual causes of death in the United States, 2000. JAMA2004; 291: 1238. Google Scholar 5 : Measurement of health-related quality of life in men with prostate cancer: the CaPSURE database. Qual Life Res1997; 6: 385. Crossref, Medline, Google Scholar 6 : Differences in urologist and patient assessments of health related quality of life in men with prostate cancer: results of the CaPSURE database. J Urol1998; 159: 1988. Link, Google Scholar 7 : BMI and health-related quality of life in adults 65 years and older. Obes Res2004; 12: 69. Google Scholar 8 : Impact of obesity on biochemical control after radical prostatectomy for clinically localized prostate cancer: a report by the Shared Equal Access Regional Cancer Hospital database study group. J Clin Oncol2004; 22: 446. Google Scholar 9 : Body size and prostate cancer: a 20-year follow-up study among 135006 Swedish construction workers. J Natl Cancer Inst1997; 89: 385. Google Scholar 10 : Changes in health-related quality of life in the first year after treatment for prostate cancer: results from CaPSURE. Urology1999; 53: 180. Crossref, Medline, Google Scholar 11 : The contemporary management of prostate cancer in the United States: lessons from the Cancer of the Prostate Strategic Urologic Research Endeavor (CaPSURE), a national disease registry. J Urol2004; 171: 1393. Link, Google Scholar 12 : Criteria for definition of overweight in transition: background and recommendations for the United States. Am J Clin Nutr2000; 72: 1074. Google Scholar 13 : Biochemical outcome after radical prostatectomy, external beam radiation therapy, or interstitial radiation therapy for clinically localized prostate cancer. JAMA1998; 16: 969. Google Scholar 14 : The RAND 36-Item Health Survey 1.0. Health Econ1993; 2: 217. Crossref, Medline, Google Scholar 15 : The importance of co-existent disease in the occurrence of postoperative complications and one-year recovery in patients undergoing total hip replacement. Comorbidity and outcomes after hip replacement. Med Care1993; 31: 141. Google Scholar 16 : Predicting quality of life after radical prostatectomy: results from CaPSURE. J Urol2004; 171: 703. Link, Google Scholar 17 : Health related quality of life differences between black and white men with prostate cancer: data from the Cancer of the Prostate Strategic Urologic Research Endeavor. J Urol2001; 166: 2281. Link, Google Scholar 18 : Urinary incontinence in Belgium; prevalence, correlates and psychosocial consequences. Acta Clin Belg2002; 57: 207. Google Scholar 19 : Pathophysiology and diagnosis of male erectile dysfunction. BJU Int2001; 88: 3. Google Scholar 20 : Potency, continence and complication rates in 1,870 consecutive radical retropubic prostatectomies. J Urol1999; 162: 433. Link, Google Scholar From the Department of Urology and UCSF/Mt. Zion Comprehensive Cancer Center, University of California, San Francisco (JWA, NS, DJP, WWB, DL, JMC, MRC, PRC, CJK), Department of Urology, Veteran's Affairs Medical Center (JWA, WWB, CJK), San Francisco, California, and TAP Pharmaceutical Products, Inc., Lake Forest, Illinois (JD)© 2005 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byWolin K, Luly J, Sutcliffe S, Andriole G and Kibel A (2009) Risk of Urinary Incontinence Following Prostatectomy: The Role of Physical Activity and ObesityJournal of Urology, VOL. 183, NO. 2, (629-633), Online publication date: 1-Feb-2010.Montgomery J, Gayed B, Hollenbeck B, Daignault S, Sanda M, Montie J and Wei J (2018) Obesity Adversely Affects Health Related Quality of Life Before and After Radical Retropubic ProstatectomyJournal of Urology, VOL. 176, NO. 1, (257-262), Online publication date: 1-Jul-2006. Volume 173Issue 4April 2005Page: 1132-1138 Advertisement Copyright & Permissions© 2005 by American Urological Association, Inc.Keywordsobesityprostatectomyprostatic neoplasmsquality of lifeMetrics Author Information JASON W. ANAST More articles by this author NATALIA SADETSKY More articles by this author DAVID J. PASTA More articles by this author WILLIAM W. BASSETT More articles by this author DAVID LATINI More articles by this author JANEEN DuCHANE More articles by this author JUNE M. CHAN More articles by this author MATTHEW R. COOPERBERG More articles by this author PETER R. CARROLL More articles by this author CHRISTOPHER J. KANE More articles by this author Expand All Advertisement PDF downloadLoading ...
Referência(s)