Etiology of Spinal Cord Injury Affects QOL Outcomes After Bladder Surgery
By Elana Gotkine HealthDay Reporter
WEDNESDAY, July 3, 2024 -- For patients undergoing urinary diversion for neurogenic bladder (NGB), the postoperative impact on urinary-related quality of life (UrQOL) is milder for spinal cord injury of congenital (C-SCI) etiology versus acquired (A-SCI) etiology, according to a study published online July 1 in PM&R.
João Pedro Emrich Accioly, M.D., from the Glickman Urological and Kidney Institute at the Cleveland Clinic Foundation, and colleagues compared decisional regret and UrQOL in patients undergoing urinary diversion for NGB arising from A-SCI (17 patients with traumatic spinal cord injury) and C-SCI (20 patients with spina bifida) etiologies. A-SCI was compared to C-SCI in terms of decisional regret, UrQOL, and postoperative changes in self-reported physical health, mental health, and pain.
The researchers found that compared with the C-SCI cohort, the A-SCI group displayed poorer preoperative physical health; after adjustment for baseline scores and follow-up time, absolute postoperative changes in this score and in the mental health score and pain level were not significant. When adjusted for other factors, a significantly worse impact of NGB in UrQOL was seen for A-SCI than C-SCI. Between the groups, there were no differences in decisional regret observed.
"We were able to demonstrate that patients with A-SCI report poorer physical health at baseline and lower UrQOL following reconstructive surgery when compared with a demographically and clinically similar C-SCI population," the authors write. "These findings may be a valuable addition to discussions between health care providers and patients when considering surgical management of NGB."
One author disclosed ties to Boston Scientific.
Abstract/Full Text (subscription or payment may be required)
Disclaimer: Statistical data in medical articles provide general trends and do not pertain to individuals. Individual factors can vary greatly. Always seek personalized medical advice for individual healthcare decisions.
![](/img/logo/vendor/healthday-logo.png)
© 2024 HealthDay. All rights reserved.
Posted July 2024
Read this next
Cervical Spine Injury Prediction Rule in Children Can Guide Imaging Use
TUESDAY, June 18, 2024 -- A cervical spine injury prediction rule can assist physicians in determining which children should undergo imaging on arrival to the emergency department...
Arm Fat May Predict Spinal Fracture Risk
MONDAY, May 20, 2024 -- Arm fat may predict risk for spinal fracture, according to a study presented at the annual European Congress of Endocrinology, hosted by the European...
Worse Outcomes Seen for Severe Bilateral Hip OA in Adult Spinal Deformity
WEDNESDAY, May 15, 2024 -- For patients with adult spinal deformity (ASD), those with severe bilateral hip osteoarthritis (OA) have worse outcomes, according to a study published...
More news resources
- FDA Medwatch Drug Alerts
- Daily MedNews
- News for Health Professionals
- New Drug Approvals
- New Drug Applications
- Drug Shortages
- Clinical Trial Results
- Generic Drug Approvals
Subscribe to our newsletter
Whatever your topic of interest, subscribe to our newsletters to get the best of Drugs.com in your inbox.