Hirtsiefer Christopher, Vogelgesang Anna, Falkenbach Fabian, Kafka Mona, Uhlig Annemarie, Nestler Tim, Aksoy Cem, Simunovic Iva, Huber Johannes, Heidegger Isabel, Graefen Markus, Leitsmann Marianne, Thomas Christian, Baunacke Martin
Klinik und Poliklinik für Urologie, Universitätsklinikum Carl Gustav Carus Dresden, 01307 Dresden, Germany.
Martini-Klinik Prostatakarzinomzentrum, Universitätsklinikum Hamburg-Eppendorf, 20251 Hamburg, Germany.
Cancers (Basel). 2025 Jan 17;17(2):300. doi: 10.3390/cancers17020300.
BACKGROUND/OBJECTIVES: Robot-assisted and open radical prostatectomy (RARP and ORP) are established procedures for localized prostate cancer, with comparable oncological and functional outcomes. Little is known about patients' knowledge of both procedures. This study aimed to examine comparatively the informational behaviour and knowledge of patients undergoing ORP vs. RARP.
This prospective, multicentre study included patients who underwent RARP or ORP prior to presurgery counselling. The questionnaires gathered information about patients' information-seeking behaviours and their assessment of outcomes for RARP vs. ORP. We investigated risk factors for the misperception of procedure outcomes.
A total of 508 patients were included (307 RARP (60%); 201 ORP (40%)). The most common sources of information were outpatient urologists (84%), urologic departments (67%) and the internet (57%). Compared with ORP, RARP patients more often received the same amount of information about both procedures (60% vs. 40%, < 0.001). Compared with ORP, RARP patients wrongfully considered their procedure to be superior in terms of oncological and functional outcomes. In the multivariable analysis, age > 66 years (OR 2.1, = 0.02), no high school degree (OR 1.9, = 0.04), unbalanced information search (OR 2.4, = 0.02), RARP patient status (OR 8.9, < 0.001), and treatment at a centre offering only one procedure (OR 3.5, < 0.001) were independent predictors of misperception.
RARP patients wrongfully considered their intervention to be oncologically and functionally more beneficial than ORP patients perceived it to be. This may be due to unbalanced sources of information. Urologists and surgical centres must address this misperception to enable patients to make informed decisions.
背景/目的：机器人辅助根治性前列腺切除术（RARP）和开放性根治性前列腺切除术（ORP）是治疗局限性前列腺癌的既定手术方法，在肿瘤学和功能结局方面具有可比性。对于患者对这两种手术的了解情况知之甚少。本研究旨在比较接受ORP与RARP的患者的信息行为和知识。
这项前瞻性多中心研究纳入了在术前咨询前接受RARP或ORP的患者。问卷收集了患者的信息寻求行为以及他们对RARP与ORP结局的评估信息。我们调查了对手术结局误解的危险因素。
共纳入508例患者（307例RARP（60%）；201例ORP（40%））。最常见的信息来源是门诊泌尿科医生（84%）、泌尿科科室（67%）和互联网（57%）。与ORP相比，RARP患者更常收到关于两种手术相同信息量的信息（60%对40%，P<0.001）。与ORP相比，RARP患者错误地认为他们的手术在肿瘤学和功能结局方面更优越。在多变量分析中，年龄>66岁（比值比[OR]2.1，P=0.02）、无高中学历（OR 1.9，P=0.04）、信息搜索不均衡（OR 2.4，P=0.02）、RARP患者状态（OR 8.9，P<0.001）以及在仅提供一种手术的中心接受治疗（OR 3.5，P<0.001）是误解的独立预测因素。
RARP患者错误地认为他们的干预在肿瘤学和功能方面比ORP患者所认为的更有益。这可能是由于信息来源不均衡。泌尿科医生和手术中心必须解决这种误解，以使患者能够做出明智的决策。
