Perioperative indicators of quality of life in patients with localized kidney cancer

Introduction. Standartized morbidity rate of kidney cancer has increased on 60.4% over the last ten year and was 9.02 per 100 thousand people. There is persist high mortality rate 4,4 per 100 thousand people (RF 3.4) and one-year mortality 19.3% (RF 18.0%). 3524 patients with kidney cancer were registrated in the period from 1999 to 2013, part of them, namely 2230 (63.3%) patients were operated and only 341 (15.3%) patients had organ-saving operations. The quality of life (QoL) remains a poorly understood issue. Purpose. Conduct a comparative analysis of the QoL of patients with localized kidney cancer in the perioperative period. Materials and methods. This study included 35 adult patients with kidney cancer (T1-2N0M0) underwent open partial and radical nephrectomy. To compare their peritoperative quality of life, the patients filled in questionnaire EORTC QLQ-C30 (version 3). Results. The baselines of global health status, role and social functions, fatigue, loss of appetite, insomnia were higher in the group of partial nephrectomy. The global health status, physical and emotion status were significantly better in group after partial nephrectomy. The using of open access reduced QoL in both groups according to functional scales due to comparable severity of pain syndrome and decreased social functions. The wide introduction of endoscopic partial nephrectomy can improve QoL and rapid rehabilitation of patients with kidney cancer. Conclusion. High physical and emotional functions, general health status are characteristic of organ-saving operation with advantages in laparoscopic access.

quality of life, kidney cancer, surgical treatment