UNASSIGNED: 11 Background: To characterize the impact of palliative care concurrent with usual urologic care for @entity150 @entity1 undergoing cystectomy. METHODS: Prospective, 6 month, serial cohort study comparing 33 @entity1 receiving usual care with cystectomy for muscle invasive @entity150 with 30 @entity1 also receiving concurrent palliative care. @entity1 and family caregivers completed validated symptom assessment and satisfaction surveys pre-operatively and two, four, and six months post-operatively. RESULTS: The intervention group saw improvements in most symptom measures over the six months following cystectomy compared to the control group. @entity308 and @entity148 decreased over the six-month period for intervention @entity1 , but increased over this time among controls (p=0.01). Fatigue fell to a minimum for intervention group @entity1 at four months, while it peaked at this time for control @entity1 (0.002). Quality of life and post-traumatic growth scores followed a similar pattern, with scores peaking at four months for the intervention group while controls reported their lowest scores at this time (p=0.01 and p=0.03, respectively). Changes in @entity158 scores did not reach statistical significance. Neither family caregiver burden nor @entity1 satisfaction showed statistically significant changes over time. CONCLUSIONS: @entity1 who received concurrent palliative care in addition to usual urologic care following radical cystectomy for muscle-invasive bladder had better outcomes, including improved fatigue, @entity308 , quality of life, and post-traumatic growth. While further research on this topic is needed, our results suggest that providing palliative care services in addition to usual urologic care for @entity150 @entity1 may significantly reduce post-operative symptoms.

Concurrent urologic and palliative care after cystectomy for treatment of XXXX .

@entity1 :: ('9606', 'Species') :: ['participants', 'Patients', 'patients', 'patient'] @entity308 :: ('MESH:D003866', 'Disease') :: ['Depression', 'depression'] @entity150 :: ('MESH:D001749', 'Disease') :: ['bladder cancer'] @entity148 :: ('MESH:D001008', 'Disease') :: ['anxiety'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain']
@entity150 :: (MESH:D001749,Disease) :: ['muscle-invasive bladder cancer']
