441 PATIENT RECOVERY AND QUALITY OF LIFE AFTER RADICAL CYSTECTOMY: COMPARISON OF OPEN VERSUS ROBOTIC APPROACHES

Abstract

You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Quality of Life1 Apr 2013441 PATIENT RECOVERY AND QUALITY OF LIFE AFTER RADICAL CYSTECTOMY: COMPARISON OF OPEN VERSUS ROBOTIC APPROACHES Christopher Filson, Amy Li, John Hollingsworth, Alon Weizer, Cheryl Lee, Chang He, Rodney Dunn, John Wei, and Jeffrey Montgomery Christopher FilsonChristopher Filson Ann Arbor, MI More articles by this author , Amy LiAmy Li Ann Arbor, MI More articles by this author , John HollingsworthJohn Hollingsworth Ann Arbor, MI More articles by this author , Alon WeizerAlon Weizer Ann Arbor, MI More articles by this author , Cheryl LeeCheryl Lee Ann Arbor, MI More articles by this author , Chang HeChang He Ann Arbor, MI More articles by this author , Rodney DunnRodney Dunn Ann Arbor, MI More articles by this author , John WeiJohn Wei Ann Arbor, MI More articles by this author , and Jeffrey MontgomeryJeffrey Montgomery Ann Arbor, MI More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.1831AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES One of the touted advantages of robot-assisted laparoscopic radical cystectomy (RLRC) is quicker recovery, but patient-reported outcomes are lacking. Motivated by this, we used validated instruments to compare short-term convalescence and health-related quality of life (HRQoL) among patients who underwent open radical cystectomy (ORC) and RLRC for bladder cancer. METHODS Between 2008 and 2012, 324 consecutive patients (267 ORC and 57 RLRC) underwent radical cystectomy. Postoperative convalescence (in activity, cognitive, gastrointestinal, and pain domains) was assessed with the Convalescence and Recovery Evaluation (CARE) questionnaire. Baseline and postoperative HRQoL was measured with the Bladder Cancer Index (BCI), which assesses urinary, bowel, and sexual function and bother. Domains from both instruments are measured on a 0 to 100 scale, with higher scores representing better health states. Chi-square and t-tests were used for comparing categorical and continuous variables, respectively. Differences in CARE domain scores were tested with Wilcoxon rank-sum tests. We evaluated changes in BCI scores with generalized estimating equation regression models. Analyses were performed at the 5% significance level. RESULTS Clinical characteristics (e.g., age, gender, clinical stage) were similar between the 2 groups (all p>0.05). Baseline BCI and CARE scores were also comparable between groups (p>0.05). Regarding convalescence measured by CARE scores at 4 weeks, relative to RLRC, patients treated with ORC had better scores in the cognitive (28.5 versus 21.7, p=0.06) and the pain domains (29.1 versus 20.0, p=0.02). However, these differences abated by 6 weeks (all p>0.05). Within the first year after surgery, recovery of HRQoL across all domains was comparable between patients treated with RLRC and ORC, with scores nearly returning to baseline at one year (p>0.05, Figure). CONCLUSIONS Short-term recovery of convalescence and HRQoL are similar following ORC and RLRC, despite the minimally-invasive nature of the robotic technique. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e180 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Christopher Filson Ann Arbor, MI More articles by this author Amy Li Ann Arbor, MI More articles by this author John Hollingsworth Ann Arbor, MI More articles by this author Alon Weizer Ann Arbor, MI More articles by this author Cheryl Lee Ann Arbor, MI More articles by this author Chang He Ann Arbor, MI More articles by this author Rodney Dunn Ann Arbor, MI More articles by this author John Wei Ann Arbor, MI More articles by this author Jeffrey Montgomery Ann Arbor, MI More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...