Please use this identifier to cite or link to this item: http://hdl.handle.net/11434/1093
Title: Does partnership status affect the quality of life of men having robotic-assisted radical prostatectomy (RARP) for localised prostate cancer?
Epworth Authors: Howard, Nicholas
Dowrick, Adam
Wootten, Addie
Botti, Mari
Costello, Anthony
Keywords: Prostate Cancer
Quality of Life
QoL
Expanded Prostate cancer Index Composite-26
EPIC-26
SHIM Questionnaire
Sexual Health Inventory for Men
Prostate Cancer Quality of Life Scales
PSA
RARP
Robotic Assisted Radical Prostatectomy
Localised Prostate Cancer
Sexual Health
Gleason Score
Survival
Health Behaviours
Australian Prostate Cancer Research Centre Epworth HealthCare, Victoria, Australia
Cancer Services Clinical Institute, Epworth HealthCare, Victoria, Australia
UroRenal, Vascular Clinical Institute, Epworth HealthCare, Victoria, Australia
Issue Date: Aug-2015
Citation: BJU International. 2015 August; 116(S1): pp. 53-54.
Conference: 2nd Prostate Cancer World Congress. 2015 August 17-21.
Conference Location: Australia
Abstract: INTRODUCTION: It has been shown that unpartnered men with prostate cancer have worse survival than partnered or married men. It is thought that marriage confers a survival benefit for men via the provision of greater social structure, support and promotion of health behaviours from the patients’ wife. Further, it is thought that the increased social support that partnered men get from their partners may lower perceptions of stress, which may improve quality of life (QoL). METHOD: We aimed to investigate whether there are any differences in prostate cancer-specific QoL measures at baseline and at 12-months post-surgery between partnered and unpartnered men having RARP for localised prostate cancer. We investigated differences in patient-reported outcomes using the Expanded Prostate cancer Index Composite-26 (EPIC-26), the Sexual Health Inventory for Men (SHIM), and the Clark et al. Prostate Cancer Quality of Life Scales. RESULTS: Five hundred and eighty-three of the men who were enrolled in the observational cohort study had a RARP and were eligible for this study. We selected only those who had completed the question on partnership status (n = 540). The characteristics of these patients are summarised in Table 1. The mean (SD) age was 62.0 (6.8) and the median (range) pre-operative PSA was 6.1 (0.6–81.0). There were no significant differences between partnered and unpartnered men in terms of age, pre-operative PSA, biopsy Gleason score, or nerve-sparing status. Differences between the groups were observed for clinical T-stage (p = 0.027) and preoperative sexually active status (p = 0.012). DISCUSSION: We found few differences between partnered and unpartnered men in terms of patient-reported quality of life outcomes following RARP for localised prostate cancer. Most importantly, our data show that men with prostate cancer have low sexual confidence, high PSA concern and a low outlook at 12-months post-RARP which could be immediate targets of interventions
URI: http://hdl.handle.net/11434/1093
DOI: 10.1111/bju.13197
Type: Conference Poster
Affiliated Organisations: The Royal Melbourne Hospital, Australia
Australian Prostate Cancer Research, Australia
Type of Clinical Study or Trial: Cohort Study
Appears in Collections:Cancer Services
UroRenal, Vascular
Epworth Prostate Centre

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