Supplementary Material for: Cognitive Status and Functional Dexterity as Outcome Predictors Following Urinary Diversion: A Combined Retrospective and Prospective Observational Study
2018-11-21T15:51:16Z (GMT) by
<b><i>Purpose:</i></b> The study aimed to evaluate the impact of the validated functional dexterity test and the Mini-Mental Status test on subjective functional outcomes, medical care situation, and health-related quality of life (HRQoL) after urinary diversion (UD). <b><i>Patients and Methods:</i></b> A total of 106 patients (<i>n</i> = 26 ileal conduits, <i>n</i> = 29 neobladders, and <i>n</i> = 51 ileocecal pouches) were included in this combined retrospective (<i>n</i> = 77) and prospective (<i>n</i> = 29) observational study. All patients performed the 2 tests mentioned above and filled out self-designed questionnaires with diversion and HRQoL items. In the prospective cohort, the tests were performed preoperatively and the questionnaires were filled out preoperatively as well as 3 and 6 months after surgery. <b><i>Results:</i></b> Reduced dexterity and cognitive skills were significantly associated with increased patient age and subjective constraints in stoma care of ileal conduits, self-catheterization in ileocecal pouches, and continence in neobladders. Overall HRQoL, however, was not affected by dexterity or cognitive measures. <b><i>Conclusions:</i></b> Assessing the cognitive status and functional dexterity of patients undergoing UD might provide a useful objective clinical tool to aid in decision-making regarding the type of UD and postoperative medical care situation. Further prospective data are needed to confirm these findings and further simplify the methods used here.