Department of Urology, School of Medicine, University of St. Gallen, St. Gallen, Switzerland.
Department of Urology, University of California, Davis, Sacramento, CA, USA.
World J Urol. 2023 Apr;41(4):1125-1131. doi: 10.1007/s00345-023-04317-y. Epub 2023 Feb 16.
To determine self-assessed goal achievement (SAGA) outcomes in men treated surgically for lower urinary tract symptoms (LUTS) due to benign prostatic obstruction (BPO) and compare them to the traditional outcome measures.
Single-center analysis of prospective database of men undergoing surgical treatment of LUTS/BPO at a single institution between July 2019 and March 2021. We assessed individual goals, traditional questionnaires, and functional outcomes prior to treatment, and at first follow-up after 6-12 weeks. We compared SAGA outcomes 'overall goal achievement' and 'satisfaction with treatment' to subjective and objective outcomes using Spearman's rank correlations (rho).
A total of sixty-eight patients completed the individual goal formulation prior to surgery. Preoperative goals varied between different treatments and individuals. IPSS correlated with 'overall goal achievement' (rho = - 0.78, p < 0.001) and 'satisfaction with treatment' (rho = - 0.59, p < 0.001). Similarly, the IPSS-QoL was correlated with overall goal achievement (rho = - 0.79, p < 0.001) and satisfaction with treatment (rho = - 0.65, p < 0.001). No correlation was seen between SAGA outcomes and functional outcomes Q and PVR.
SAGA represents a uniquely patient-specific outcome measure. Our study is, to our knowledge, the first to assess patient-specific goals prior to surgery and examine SAGA outcomes following treatment in men suffering from LUTS/BPO. The correlation of SAGA outcomes with IPSS and IPSS-QoL highlight the importance of this well-established questionnaire. Functional outcomes do not necessarily reflect patient's goals and may rather be considered physician-directed outcomes.
评估接受手术治疗的良性前列腺梗阻（BPO）导致下尿路症状（LUTS）男性的自我评估目标达成（SAGA）结果，并与传统的结局指标进行比较。
对 2019 年 7 月至 2021 年 3 月期间在单一机构接受 LUTS/BPO 手术治疗的男性进行前瞻性数据库的单中心分析。我们在治疗前和治疗后 6-12 周的首次随访时评估了个体目标、传统问卷和功能结局。我们使用 Spearman 秩相关（rho）比较 SAGA 结局的“总体目标达成”和“对治疗的满意度”与主观和客观结局。
共有 68 例患者在手术前完成了个体化目标制定。术前目标因不同治疗和个体而异。IPSS 与“总体目标达成”（rho=-0.78，p<0.001）和“对治疗的满意度”（rho=-0.59，p<0.001）相关。同样，IPSS-QoL 与总体目标达成（rho=-0.79，p<0.001）和对治疗的满意度（rho=-0.65，p<0.001）相关。SAGA 结局与 Q 和 PVR 等功能结局之间无相关性。
SAGA 代表了一种独特的基于患者的结局测量方法。据我们所知，我们的研究首次在手术前评估了患者特定的目标，并在 LUTS/BPO 男性接受治疗后检查了 SAGA 结局。SAGA 结局与 IPSS 和 IPSS-QoL 的相关性突出了这个成熟问卷的重要性。功能结局不一定反映患者的目标，而可能被视为医生指导的结局。
