MP23-18 ASSESSING THE IMPACT OF DECISION AID USE ON POST PROSTATECTOMY PATIENT REPORTED OUTCOMES

Abstract

You have accessJournal of UrologyHealth Services Research: Practice Patterns, Quality of Life and Shared Decision Making III (MP23)1 Sep 2021MP23-18 ASSESSING THE IMPACT OF DECISION AID USE ON POST PROSTATECTOMY PATIENT REPORTED OUTCOMES Giulia I. Lane, Ji Qi, Stephanie Ferrante, Roshan Paudel, Daniela Wittmann, Lauren Wallner, Chad Ellimoottil, James Montie, J. Quentin Clemens, and for the Michigan Urological Surgery Improvement Collaborative Giulia I. LaneGiulia I. Lane More articles by this author , Ji QiJi Qi More articles by this author , Stephanie FerranteStephanie Ferrante More articles by this author , Roshan PaudelRoshan Paudel More articles by this author , Daniela WittmannDaniela Wittmann More articles by this author , Lauren WallnerLauren Wallner More articles by this author , Chad EllimoottilChad Ellimoottil More articles by this author , James MontieJames Montie More articles by this author , J. Quentin ClemensJ. Quentin Clemens More articles by this author , and for the Michigan Urological Surgery Improvement Collaborative More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002014.18AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The association between decision aids (DA) use and clinically-meaningful patient reported outcomes is not well established. We evaluated whether completing a DA, Personalized Patient Profile – Prostate (P3P), prior to prostatectomy, affects self-reported bother associated with post-prostatectomy urinary incontinence (UI) and erectile dysfunction (ED). METHODS: Patients with newly diagnosed clinically localized, very low to intermediate risk prostate cancer within the Michigan Urological Surgery Improvement Collaborate (MUSIC) between 2018-20 who elected prostatectomy treatment were included. The primary outcomes were patient-reported bother from UI and ED, measured by the Expanded Prostate Cancer Index Composite (EPIC). We used multivariable logistic regression to estimate the association between P3P use and bother from post prostatectomy ED and UI, adjusting for age, race, ethnicity, family history of prostate cancer, Gleason score, stage, PSA, urologist and ED and UI before surgery and at follow-up. RESULTS: Among 3651 men, the mean age was 63 (SD 7), the majority were Caucasian (74%) with Gleason 7 (84%), T1a-c disease (80%) and median PSA of 6 (IQR 5, 8). At baseline, 6.3% completed P3P. At 3, 6, and 12 months postoperatively, EPIC scores were available for 51%, 39% and 23% of P3P completers and 51%, 43% and 28% non-completers.Men who completed P3P reported less bother from the same levels of ED at 6 months vs non-completers (aOR 0.45 [95% CI 0.27-0.73]). (Fig 1) At 12 months, the effect of P3P was similar but not significant (aOR 0.53 [95% CI 0.28-1.00]). (Fig 2) In our model, erectile function at follow-up, race and ethnicity also impact bother from ED. Men who completed P3P did not have different bother from the same levels of UI at 3 or 6 months, compared to non-completers (3 month: aOR 0.55 [95% CI 0.26-1.16]; 6 month; aOR 1.09 [95% CI 0.40-2.94]). CONCLUSIONS: Men who used a DA experienced decreased bother from post prostatectomy ED compared to non-completers. However, P3P completion did not impact bother from post prostatectomy UI. Source of Funding: NIDDK F32 DK126232; Blue Cross Blue Shield of Michigan © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e409-e409 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Giulia I. Lane More articles by this author Ji Qi More articles by this author Stephanie Ferrante More articles by this author Roshan Paudel More articles by this author Daniela Wittmann More articles by this author Lauren Wallner More articles by this author Chad Ellimoottil More articles by this author James Montie More articles by this author J. Quentin Clemens More articles by this author for the Michigan Urological Surgery Improvement Collaborative More articles by this author Expand All Advertisement Loading ...