Satisfaction and Regret after Open Retropubic or Robot-Assisted Laparoscopic Radical Prostatectomy
Satisfaction and Regret after Open Retropubic or Robot-Assisted Laparoscopic Radical Prostatectomy
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DOI：
10.1016/j.eururo.2008.06.063
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发表时间：
2008-10-01
期刊：
影响因子：
23.4
通讯作者：
Moul, Judd W.
中科院分区：
文献类型：
--
作者：
Schroeck, Florian R.;Krupski, Tracey L.;Moul, Judd W.
背景：为了给患者提供充分的咨询，了解影响乳房切除术后满意度和后悔的变量是很重要的。目的：确定根治性直肠癌切除术后满意度和后悔的独立预测因素。设计、设置和参与者：在2000年至2007年期间接受耻骨后根治性前列腺切除术（RRP）或机器人辅助腹腔镜根治性前列腺切除术（RALP）的患者进行了邮寄横断面调查，包括社会人口统计学信息，扩展前列腺癌综合指数（EPIC），测量：社会人口学变量、围手术期并发症、手术类型、随访时间和EPIC评分在多变量logistic回归分析中被评估为满意度和遗憾的独立预测因素。共有400名患者做出了回应（回应率为61%），其中84%的患者对治疗选择感到满意，19%的患者对治疗选择感到遗憾。在多变量分析中，（比值比[OR]，0.08; 95%置信区间[CI]，0.03-0.23），较短随访期（OR，0.63; 95% CI，0.41-0.98），接受RRP与RALP（OR，4.45; 95%CI，1.90-10.4）]、泌尿系统评分（OR，2.70; 95%CI，1.60-4.54）和激素系统评分（OR，2.01; 95%CI，1.30-3.12）与满意度独立相关（p
Background: To counsel patients adequately, it is important to understand the variables influencing satisfaction and regret following prostatectomy. Objective: To identify independent predictors for satisfaction and regret after radical prostatectomy.Design, setting, and participants: Patients who had undergone retropubic radical prostatectomy (RRP) or robot-assisted laparoscopic radical prostatectomy (RALP) between 2000 and 2007 were mailed cross-sectional surveys composed of sociodemographic information, the Expanded Prostate Cancer Index Composite (EPIC), and questions regarding satisfaction and regret.Measurements: Sociodemographic variables, perioperative complications, type of procedure, length of follow-up, and EPIC scores were evaluated as independent predictors of satisfaction and regret in multivariate logistic regression analysis.Results and limitations: A total of 400 patients responded (response rate 61%) of whom 84% were satisfied and 19% regretted their treatment choice. in multivariate analysis, lower income (odds ratio [OR], 0.08; 95% confidence interval [CI], 0.03-0.23), shorter follow-up (OR, 0.63; 95% Cl, 0.41-0.98), having undergone RRP versus RALP (OR, 4.45; 95% CI, 1.90-10.4)], urinary domain scores (OR, 2.70; 95% CI, 1.60-4.54), and hormonal domain scores (OR, 2.01; 95% Cl, 1.30-3.12) were independently associated with satisfaction (p