Add like
Add dislike
Add to saved papers

FUNCTIONAL STATUS IN PATIENTS REQUIRING NURSING HOME STAY AFTER RADICAL CYSTECTOMY.

Urology 2018 August 2
OBJECTIVE: To evaluate the ability to perform activities of daily living (ADLs) in patients who required nursing home (NH) care after radical cystectomy (RC), as this surgery can impair patients' ability to perform ADLs in the post-operative period.

METHODS: Patients undergoing RC were identified in a novel database of patients with at least 2 NH assessments linked with Medicare inpatient claims. The NH assessment included the Minimum Data Set (MDS)-ADL Long Form (0-28; higher score equals greater impairment), which quantifies activities of daily living. Paired t-tests and chi-squared analysis were used for comparisons.

RESULTS: We identified 471 patients that underwent RC and had at least one MDS-ADL assessment. 245 patients lived elsewhere prior to RC and went to a NH after RC, while 122 patients lived in a NH before and after RC. Mean age of the population was 80.7 years (SD 5.7). Of the 245 patients who did not live in a facility before RC, 68% of patients were discharged directly to a NH and 31% were discharged to another location before NH. There was no difference in MDS-ADL score between these groups (16.4 vs 15.0, p=0.09). Among the patients who lived in a NH before and after RC, the mean pre- and post-operative MDS-ADL scores were significantly different (12.1 vs 16.6, p<0.0001).

CONCLUSION: ADLs, as measured by the MDS-ADL Long Form score, worsen after RC. This should be an important part of the risks and benefits conversation with patients, their families, and caregivers.

Full text links

We have located links that may give you full text access.
Can't access the paper?
Try logging in through your university/institutional subscription. For a smoother one-click institutional access experience, please use our mobile app.

For the best experience, use the Read mobile app

Mobile app image

Get seemless 1-tap access through your institution/university

For the best experience, use the Read mobile app

All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.

By using this service, you agree to our terms of use and privacy policy.

Your Privacy Choices Toggle icon

You can now claim free CME credits for this literature searchClaim now

Get seemless 1-tap access through your institution/university

For the best experience, use the Read mobile app