Department of Integrative Cancer Therapy and Urology, Kanazawa University Graduate School of Medical Science, Kanazawa, Japan.
Department of Integrative Cancer Therapy and Urology, Kanazawa University Graduate School of Medical Science, Kanazawa, Japan
Anticancer Res. 2019 Nov;39(11):6339-6346. doi: 10.21873/anticanres.13845.
BACKGROUND/AIM: To evaluate the chronological changes in health-related quality of life and treatment satisfaction after robot-assisted radical prostatectomy (RARP).
A total of 196 patients were included, and treatment satisfaction was evaluated using the Expanded Prostate Cancer Index Composite (EPIC) score before and at 1, 3, 6, and 12 months after RARP.
At 12 months after RARP, 64.8% of patients were satisfied. On the contrary, 4.6% of patients were dissatisfied at 12 months after RARP. In a multivariate analysis, only urinary bother of EPIC was significantly associated with satisfaction at 12 months after RARP (p=0.025, odds ratio=1.029).
Treatment satisfaction with RARP was generally acceptable from 1 to 12 months after surgery and did not change over time. Urinary bother was associated with satisfaction at 12 months after RARP. Compared with the objective 24-hour pad test, questionnaires answered subjectively were more associated with satisfaction.
背景/目的：评估机器人辅助前列腺根治性切除术（RARP）后健康相关生活质量和治疗满意度的时间变化。
共纳入 196 例患者，在 RARP 前和 RARP 后 1、3、6 和 12 个月使用前列腺癌指数综合量表（EPIC）评分评估治疗满意度。
RARP 后 12 个月，64.8%的患者满意。相反，RARP 后 12 个月有 4.6%的患者不满意。多变量分析显示，只有 EPIC 的尿困扰与 RARP 后 12 个月的满意度显著相关（p=0.025，优势比=1.029）。
RARP 治疗满意度在手术后 1 至 12 个月内通常是可以接受的，且随时间变化无变化。尿困扰与 RARP 后 12 个月的满意度相关。与客观的 24 小时尿垫试验相比，主观回答的问卷与满意度更相关。
