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Data on QoL and psychosocial distress were collected by validated questionnaires. Multivariate logistic regression was performed to identify predictors for high psychosocial distress.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Four-hundred and forty-seven patients (326 male, 121 female) received an IC, while 395 patients (357 male, 38 female) received an INB. Health-related QoL improved steadily in the whole cohort during follow-up. Patients with an INB reported better physical function but suffered more from diarrhea and financial worries. Patients with an IC reported reduced satisfaction with their body image, increased worries about the future, and suffered more from constipation. Psychosocial distress increased significantly during follow-up. One year after surgery, 43.1% of patients suffered from high psychosocial distress. Multivariate regression analysis identified age\u2009\u2264\u200959\u00a0years (OR 1.731; CI 1.056\u20132.838;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.030) and lymph node metastases (OR 2.073; CI 1.133\u20133.793;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.018) as independent predictors for high psychosocial distress.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>QoL improves significantly in all patients one year after RC. However, psychosocial distress remains high in a substantial number of patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Cancer Survivors<\/jats:title>\n                    <jats:p>To prevent chronic psychological disorders, easily accessible opportunities for psycho-oncological counseling are needed for patients following RC.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11764-023-01400-6","type":"journal-article","created":{"date-parts":[[2023,5,11]],"date-time":"2023-05-11T03:31:04Z","timestamp":1683775864000},"page":"1600-1607","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Psychosocial distress and quality of life in patients after radical cystectomy \u2013 one year follow-up in 842 German patients"],"prefix":"10.1007","volume":"18","author":[{"given":"Henning","family":"Bahlburg","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tabea","family":"Hellmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karl","family":"Tully","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marius Cristian","family":"Butea-Bocu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moritz","family":"Reike","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florian","family":"Roghmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joachim","family":"Noldus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guido","family":"M\u00fcller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,5,10]]},"reference":[{"key":"1400_CR1","doi-asserted-by":"publisher","first-page":"82","DOI":"10.1093\/gerona\/58.1.M82","volume":"58","author":"M Hewitt","year":"2003","unstructured":"Hewitt M, Rowland JH, Yancik R. 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