{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T12:47:03Z","timestamp":1782478023521,"version":"3.54.5"},"reference-count":31,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T00:00:00Z","timestamp":1781136000000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJUI Compass"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aims to investigate the impact of high\u2010grade complications (i.e., Clavien\u2010Dindo Classification [CDC] Grade \u2265III) on quality of life (QoL) and psychosocial distress (PD) in the early period after radical cystectomy (RC) and urinary diversion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>The study relied on prospectively collected data of patients undergoing 3\u00a0weeks of inpatient rehabilitation (IR) after RC and urinary diversion (ileal conduit [IC] or ileal neobladder [INB]) between 04\/2018 and 12\/2019. Patients were surveyed on QoL (EORTC QLQ\u2013C30) and PD (QSC\u2013R10) by validated questionnaires at the beginning and the end of IR. Information about complications before the start of IR was taken from the hospital discharge letters and patient interview.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Overall, 842 patients were enrolled. High\u2010grade complications occurred in 25.5% of patients. Men (27.4% vs. 17.6%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.011) and patients with an INB (28.9% vs. 22.6%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.037) were significantly more susceptible to high\u2010grade complications. At the beginning of IR, health\u2010related QoL (HRQoL), role and social functioning were significantly lower in patients with a high\u2010grade complication. Both HRQoL and the proportion of patients with high PD improved significantly during IR (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001, respectively). A multivariable linear regression analysis identified high\u2010grade complications to significantly impact HRQoL (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.013). Meanwhile, age (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001), INB (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.019) and high\u2010grade complications (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01) significantly contributed to PD.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>High\u2010grade complications after RC and urinary diversion significantly impair short\u2010term QoL and PD, warranting constant physical and psychosocial monitoring.<\/jats:p>\n                  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