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Title: Examining the role of pre-operative expectations on patient-reported quality of life, following robotic-assisted radical prostatectomy: prelimary analysis of baseline data.
Authors: Howard, Nicholas
Pillay, Brindha
Xiberras, Peter
Hoti, Vlora
Crowe, Helen
Peters, Justin
Moon, Daniel
Wootten, Addie
Corcoran, Niall
Costello, Anthony
Keywords: Pre-Operative Expectations
Quality of Life
Robotic Assisted Radical Prostatectomy
Patient Expectations
Recovery of Function
Treatment Expectations
Prostate Cancer
Pre-Operative Sexual Function
Pre-Operative Urinary Function
Expected Functioning
Expanded Prostate Cancer Index Composite-26
Urinary Incontinence
Urinary Irritative/Obstructive
Sexual Function
Supportive Care Interventions
Australian Prostate Cancer Research Centre Epworth HealthCare, Melbourne, Victoria, Australia
Cancer Services Clinical Institute, Epworth HealthCare, Victoria, Australia
Issue Date: Jun-2017
Citation: Epworth Research Institute Research Week 2017; Poster 17: pp 40
Conference Name: Epworth Research Institute Research Week 2017
Conference Location: Epworth Research Institute, Victoria, Australia
Abstract: OBJECTIVE: Patient expectations for recovery following robot-assisted radical prostatectomy (RARP) may influence adjustment following treatment. There is little data regarding the treatment expectations of Australian RARP patients. This study aimed to assess the difference between patient-reported pre-operative sexual and urinary function, and expected functioning at 12 months post-RARP. METHODS: Patients undergoing RARP for localised prostate cancer were recruited from urology practices between June 2015 and April 2016 as part of an ongoing study. Pre-operative sexual and urinary function and expected functioning at 12 months post-RARP were measure using the Expanded Prostate Index Composite (EPIC)-26 and EPIC-26 (Expectations). Paired samples t-tests were used to assess the difference between pre-operative and expected function at 12 months post-surgery. RESULTS: Seventy-four patients completed questionnaires at baseline. Compared to pre-operative functioning, 35%, 27% and 63% of patients expected worse Urinary Incontinence (UI), Urinary Irritative/Obstructive (UQ) and Sexual (S) function respectively, at 12 months post-RARP. Conversely 12%, 15% and 10% of patients expected better UI, UQ and S function compared to preoperative function. As many as 53%, 58% and 27% of patients expected UI, UQ and S function respectively to recover to baseline levels at 12 months post-RARP. Patients expected worse UI (p=0.003), UQ (p=0.038) and S functions (p<0.001) at 12 months post-RARP compared to preoperative functioning. CONCLUSION: The majority of men believed that their urinary and sexual function at 12 months post-surgery would be unchanged or worse compared to preoperative levels. Understanding RARP patients' expectations may assist in development of supportive care interventions to ensure realistic expectations or quality of life post-surgery.
Type: Conference Poster
Affiliated Organisations: The Royal Melbourne Hospital.
Type of Clinical Study or Trial: Comparative Study
Appears in Collections:Cancer Services
Epworth Prostate Centre
Research Week
UroRenal, Vascular

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