TY  - JOUR
A1  - Joukhadar, R.
A1  - Wöckel, A.
A1  - Herr, D.
A1  - Paulus, V.
A1  - Radosa, J.
A1  - Hamza, A.
A1  - Solomayer, E.
A1  - Baum, S.
T1  - Challenges of Longevity: Safety of Vaginal and Laparoscopic Urogynecological Procedures in Septuagenarians and Older Patients
JF  - BioMed Research International
N2  - Introduction. Pelvic organ prolapse (POP) and urinary incontinence (UI) have increasing prevalence in the elderly population. The aim of this study was to compare the comorbidities of these procedures between <70 y/o and ≥70 y/o patients. Materials and Methods. In our retrospective study over a period of 2.5 years, 407 patients had received an urogynecological procedure. All patients with POP were treated by reconstructive surgery. Complications were reported using the standardized classification of Clavien-Dindo (CD). The study can be assigned to stage 2b Exploration IDEAL (Idea, Development, Exploration, Assessment, Long-term study)-system of surgical innovation. Results. Operation time, blood loss, and intraoperative complications have not been more frequent in the elderly, whereas hospital stay was significantly longer in ≥70 y/o patients. Regarding postoperative complications, we noticed that ≥70 y/o patients had an almost threefold risk to develop mild early postoperative complications compared to younger patients (OR: 2.86; 95% CI: 1.76–4.66). On the contrary, major complications were not more frequent. No case of life-threatening complication or the need for blood transfusion was reported. Conclusion. After urogynecological procedures, septuagenarians and older patients are more likely to develop mild postoperative complications but not more intraoperative or severe postoperative complications compared to younger patients.
KW  - gynecologic surgical procedures/methods
KW  - postoperative complications/epidemiology
KW  - vagina/surgery
KW  - pelvic organ prolapse/surgery
KW  - middle Aged
KW  - laparoscopy/methods
KW  - uterine prolapse/surgery
KW  - urinary incontinence/surgery
KW  - surgical Mesh
KW  - retrospective Studies
KW  - age factors
KW  - aged
KW  - aged 80 and over
KW  - female
KW  - reconstructive surgical procedures/methods
Y1  - 2016
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-161005
VL  - 2016
IS  - Article ID 5184595
ER  - 
TY  - JOUR
A1  - Herbert, S. L.
A1  - Wöckel, A.
A1  - Kreienberg, R.
A1  - Kühn, T.
A1  - Flock, F.
A1  - Felberbaum, R.
A1  - Janni, W.
A1  - Curtaz, C.
A1  - Kiesel, M.
A1  - Stüber, T.
A1  - Diessner, J.
A1  - Salmen, J.
A1  - Schwentner, L.
A1  - Fink, V.
A1  - Bekes, I.
A1  - Leinert, E.
A1  - Lato, K.
A1  - Polasik, A.
A1  - Schochter, F.
A1  - Singer, S.
T1  - To which extent do breast cancer survivors feel well informed about disease and treatment 5 years after diagnosis?
JF  - Breast Cancer Research and Treatment
N2  - Objective
In this study, we investigated to which extent patients feel well informed about their disease and treatment, which areas they wish more or less information and which variables are associated with a need for information about the disease, medical tests and treatment.

Methods
In a German multi-centre prospective study, we enrolled 759 female breast cancer patients at the time of cancer diagnosis (baseline). Data on information were captured at 5 years after diagnosis with the European Organisation for Research and Treatment of Cancer (EORTC) Information Module (EORTC QLQ-INFO24). Good information predictors were analysed using linear regression models.

Results
There were 456 patients who participated at the 5-year follow-up. They reported to feel well informed about medical tests (mean score 78.5) and the disease itself (69.3) but relatively poorly about other services (44.3) and about different places of care (31.3). The survivors expressed a need for more information concerning: side effects and long-term consequences of therapy, more information in general, information about aftercare, prognosis, complementary medicine, disease and therapy. Patients with higher incomes were better informed about medical tests (β 0.26, p 0.04) and worse informed with increasing levels of fear of treatment (β − 0.11, p 0.02). Information about treatment was reported to be worse by survivors > 70 years old (β -0.34, p 0.03) and by immigrants (β -0.11, p 0.02). Survivors who had received additional written information felt better informed about disease, medical tests, treatment and other services (β 0.19/0.19/0.20/0.25; each p < 0.01).

Conclusion
Health care providers have to reconsider how and what kind of information they provide. Providing written information, in addition to oral information, may improve meeting those information needs.
KW  - breast cancer
KW  - survivors
KW  - unmet needs
KW  - health care providers
Y1  - 2021
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-232356
SN  - 0167-6806
VL  - 185
ER  -