Improvement in quality of life after robotic surgery results in patient satisfaction
Improvement in quality of life after robotic surgery results in patient satisfaction
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DOI：
10.1016/j.ygyno.2015.07.013
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发表时间：
2015-09-01
影响因子：
4.7
通讯作者：
Soliman, Pamela T.
中科院分区：
文献类型：
--
作者：
Arms, Richard G., III;Sun, Charlotte C.;Soliman, Pamela T.
背景资料。微创手术有许多众所周知的好处，包括减少失血、缩短住院时间和更快恢复。机器人手术在妇科肿瘤学中的作用日益突出，但有关机器人手术后生活质量的数据有限。在这项IRB批准的前瞻性研究中，计划在2008年5月至2012年2月期间接受妇科机器人手术的女性在基线、6周(6周)和术后4个月(4个月)完成了有效的生活质量测量。在相应时间点进行功能状态(SF-12)、症状严重程度和干预(MDASI)、性功能(FSFI)和决策满意度(SWD)评定。采用Mann-Whitney检验评价组间差异。在408名接受机器人手术的女性中，278名(68%)完成了生活质量测量。中位年龄为55.6岁(25.7-85.1岁)。体重指数中位数为31.3 kg/m(2)。大多数患者是白人(75%)。最常见的手术指征是子宫内膜癌/子宫内膜增生症(59.7%)。而身体功能从基线下降到6wk(51.4到41.6，p
Background. There are well-described benefits to minimally invasive surgery including decreased blood loss, shorter hospital-stay, and faster recovery. The role of robotic surgery in gynecologic oncology has become increasingly prominent; however limited data are available on quality of life (QOL) after robotic surgery.Methods. In this prospective, IRB-approved study, women scheduled for robotic surgery for a gynecologic indication between May 2008 and February 2012 completed validated QOL measures at baseline, 6 weeks (6 wk), and 4 months postoperative (4 mo). Functional status (SF-12), symptom severity and interference (MDASI), sexual function (FSFI), and satisfaction with decision (SWD) were assessed at relevant time points. Differences between groups were evaluated using the Mann-Whitney test.Results. Among 408 women who underwent robotic surgery 278 (68%) completed the QOL measures. Median age was 55.6 years (range 25.7-85.1). Median BMI was 31.3 kg/m(2). The majority of patients were white (75%). The most common indication for surgery was endometrial cancer/hyperplasia (59.7%). While physical functioning declined from baseline to 6 wk (51.4 to 41.6, p