Patient-Centered Outcomes in Bladder Cancer

Curr Urol Rep. 2018 Oct 29;19(12):105. doi: 10.1007/s11934-018-0858-0.

Abstract

Purpose of review: To summarize current knowledge on patient-prioritized outcomes for their bladder cancer care.

Recent findings: Patient-centered outcomes research seeks to help patients identify the right treatment for the right patient at the right time in their care. As such, patient-centered outcomes research relies on studying a treatment's impact on patient-centered outcomes. Some outcomes, like survival, are commonly prioritized by patients and by clinical experts. Patients often place greater emphasis than experts on quality of life outcomes. Thus, many patient-centered outcomes are also patient-reported outcomes. Unique domains that are often prioritized by patients, but overlooked by experts, include the costs and financial impact of care, anxiety, and depression related to a health condition, and the impact of a condition or its treatment on a caregiver or loved one. Patient-centered outcomes are realizing greater recognition for their innate importance and potential to augment the impact of research studies. Although patient-centered outcomes are often patient-reported outcomes, this is not universal. Unique to bladder cancer, the availability of a research-oriented Patient Survey Network intended to identify research questions that are important to patients may be an opportunity to broadly solicit input on patient-centered outcomes for bladder cancer research questions.

Keywords: Bladder cancer; Health outcomes; Patient-centered outcomes research; Quality of life.

Publication types

  • Review

MeSH terms

  • Anxiety / psychology
  • Carcinoma, Transitional Cell / economics
  • Carcinoma, Transitional Cell / psychology
  • Carcinoma, Transitional Cell / therapy*
  • Caregivers / psychology
  • Cost of Illness
  • Depression / psychology
  • Health Care Costs
  • Humans
  • Patient Outcome Assessment*
  • Patient Reported Outcome Measures
  • Quality of Life*
  • Urinary Bladder Neoplasms / economics
  • Urinary Bladder Neoplasms / psychology
  • Urinary Bladder Neoplasms / therapy*