PD09-07 INSIGHTS INTO SHORT-TERM POSTOPERATIVE RECOVERY AFTER TRANSURETHRAL RESECTION OF BLADDER TUMOR: HARNESSING DATA FROM A REAL-TIME SYMPTOM ASSESSMENT PLATFORM

Abstract

You have accessJournal of UrologyBladder Cancer: Non-invasive I (PD09)1 Sep 2021PD09-07 INSIGHTS INTO SHORT-TERM POSTOPERATIVE RECOVERY AFTER TRANSURETHRAL RESECTION OF BLADDER TUMOR: HARNESSING DATA FROM A REAL-TIME SYMPTOM ASSESSMENT PLATFORM Marshall Strother, Evan Bloom, Jennifer Lee, Ryan Barlotta, Seyed Jazayeri, Adrien Bernstein, Elizabeth Handorf, David Y T Chen, Andres Correa, Richard Greenberg, Marc Smaldone, Rosalia Viterbo, Robert Uzzo, and Alexander Kutikov Marshall StrotherMarshall Strother More articles by this author , Evan BloomEvan Bloom More articles by this author , Jennifer LeeJennifer Lee More articles by this author , Ryan BarlottaRyan Barlotta More articles by this author , Seyed JazayeriSeyed Jazayeri More articles by this author , Adrien BernsteinAdrien Bernstein More articles by this author , Elizabeth HandorfElizabeth Handorf More articles by this author , David Y T ChenDavid Y T Chen More articles by this author , Andres CorreaAndres Correa More articles by this author , Richard GreenbergRichard Greenberg More articles by this author , Marc SmaldoneMarc Smaldone More articles by this author , Rosalia ViterboRosalia Viterbo More articles by this author , Robert UzzoRobert Uzzo More articles by this author , and Alexander KutikovAlexander Kutikov More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000001977.07AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Short-term recovery after transurethral resection of bladder tumors (TURBT) is poorly understood. We measured patient-reported outcomes (PROs) for 14 days after TURBT using a novel real-time education and symptom-assessment platform. METHODS: Patients undergoing TURBT received text messages at fixed days in the perioperative period linking them to a web-based interface which included instructions, educational materials, and PRO surveys. Nine PROs were measured 7 days before surgery and on postoperative days 1, 2, 3, 5, 7, 10, and 14 using a 5-point Likert scale ranging from “Not at all” to “Very much”. These assessed pain, dysuria, frequency of urination, control of urination, bladder emptying, ability to sleep, ability to work, overall quality of life, and subjective overall recovery from surgery. Patients undergoing small (<2cm) or large (>=2cm) resections were compared using cumulative incidence analysis of first report of function equal to or better than baseline (or first report of at least 4 on the Likert scale for the “recovered” metric). RESULTS: 165 unique patients participated in the monitoring system between April 2020 and January 2021. Of these, 79 underwent large and 67 underwent small resections (13 size unknown, 11 no resection). There were no clinically meaningful differences between resection sizes in any metric on any postoperative day (Figure 1). Patients undergoing smaller resections reported marginally faster return to baseline in terms of urinary control and bladder emptying (Figure 2, p=0.011 and 0.034). Recovery was rapid overall with >65% of patients in both groups reporting feeling recovery ≥4/5 by postoperative day 3. CONCLUSIONS: Novel real-time symptom assessment platform affords unprecedented insights into symptoms and functional decline following TURBT. Symptoms are generally mild and short-lived. Importantly, these are only minimally worse in patients undergoing larger resections. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e121-e122 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Marshall Strother More articles by this author Evan Bloom More articles by this author Jennifer Lee More articles by this author Ryan Barlotta More articles by this author Seyed Jazayeri More articles by this author Adrien Bernstein More articles by this author Elizabeth Handorf More articles by this author David Y T Chen More articles by this author Andres Correa More articles by this author Richard Greenberg More articles by this author Marc Smaldone More articles by this author Rosalia Viterbo More articles by this author Robert Uzzo More articles by this author Alexander Kutikov More articles by this author Expand All Advertisement Loading ...