Patient-reported quality of life recovery curves after robotic prostatectomy are similar across body mass index categories.
Patient-reported quality of life recovery curves after robotic prostatectomy are similar across body mass index categories.
复制标题
机器人前列腺切除术后患者报告的生活质量恢复曲线在体重指数类别之间相似。
DOI：
10.4111/icu.2017.58.5.331
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发表时间：
2017-09
影响因子：
2.3
通讯作者：
Kirchner HL
中科院分区：
文献类型：
--
作者：
Garg T;Young AJ;Kost KA;Park AM;Danella JF;Kirchner HL
探讨体重指数（BMI）对机器人辅助腹腔镜直肠癌切除术（RALP）术后排尿和性功能恢复曲线的影响。我们假设超重和肥胖的男性与正常体重的男性有不同的恢复曲线。我们回顾了2004年至2014年在综合医疗服务系统中接受RALP的691名男性的术前和术后调查。调查工具包括：男性性健康调查表（SHIM），排尿行为，渗漏和失禁影响问卷（IIQ）。采用自回归协方差结构的重复测量分析，时间因子采用2节线性样条。我们拟合未调整和调整的模型，并按BMI（体重不足/正常，超重和肥胖）分层。调整后的模型包括年龄、种族/民族、吸烟状况、糖尿病、手术时间、前列腺特异性抗原、病理分期、神经保留状况和手术年份。平均年龄为59岁。大多数男性超重（43%）和肥胖（42%）。按BMI分类，平均基线SHIM、排尿行为、渗漏和IIQ评分无显著差异。在RALP后的前3个月，所有组的排尿和性功能都出现了最初的急剧下降。按BMI分类，术后排尿和性功能评分曲线无显著差异。在所有BMI类别中，泌尿和性功能恢复的模式相似。超重和肥胖男性可能会被告知，手术后的泌尿和性功能恢复曲线与正常体重男性相似。
To assess the impact of body mass index (BMI) on postoperative recovery curve of urinary and sexual function after robotic-assisted laparoscopic prostatectomy (RALP). We hypothesized that overweight and obese men have different recovery curves than normal weight men. We reviewed preoperative and postoperative surveys from 691 men who underwent RALP from 2004–2014 in an integrated healthcare delivery system. Survey instruments included: sexual health inventory for men (SHIM), urinary behavior, leakage, and incontinence impact questionnaire (IIQ). A repeated measures analysis with autoregressive covariance structure was employed with linear splines with 2 knots for the time factor. We fit unadjusted and adjusted models and stratified by BMI (under/normal weight, overweight, and obese). Adjusted models included age, race/ethnicity, smoking status, diabetes, operation length, prostate-specific antigen, pathologic stage, nerve-sparing status, and surgery year. Mean age was 59 years. Most men were overweight (43%) and obese (42%). There were no significant differences in mean baseline SHIM, urinary behavior, leakage, and IIQ scores by BMI category. All groups had initial steep declines in urinary and sexual function in the first 3 months after RALP. There were no significant differences in postoperative urinary and sexual function score curves by BMI category. The pattern of urinary and sexual function recovery was similar across all BMI categories. Overweight and obese men may be counseled that urinary and sexual function recovery curves after surgery is similar to that of normal weight men.
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影响因子：
0.8
作者：
Hamlin, R. J.;Sprung, J.;Weingarten, T. N.
通讯作者：
Weingarten, T. N.
DOI：
10.1067/mjw.2000.110623
发表时间：
2000-11-01
期刊：
Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society
影响因子：
--
作者：
Moore, K N;Jensen, L
通讯作者：
Jensen, L
影响因子：
9
作者：
Mullen, John T.;Moorman, Donald W.;Davenport, Daniel L.
通讯作者：
Davenport, Daniel L.
影响因子：
2.6
作者：
Rosen, RC;Cappelleri, JC;Pe単a, BM
通讯作者：
Pe単a, BM
影响因子：
23.4
作者：
Lee, Justin K.;Assel, Melissa;Ehdaie, Behfar
通讯作者：
Ehdaie, Behfar