Prospective health-related quality-of-life assessment in an initial cohort of patients undergoing robotic radical prostatectomy

Tseng, Timothy Y.; Kuebler, Hubert; Cancel, Quinton V.; Sun, Leon; Springhart, W. Patrick; Murphy, Brian C.; Albala, David; Dahm, Philipp

doi:10.1016/j.urology.2006.06.017

Cited by 43 publications

(33 citation statements)

References 13 publications

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“…Many more studies have used the EPIC to assess ED in prostate cancer patients. For example, outcomes after laparoscopic, 22 robot-assisted, 10 retropubic, 23 and perineal 24 radical prostatectomy have been reported based on the EPIC instrument. Similarly, the EPIC has been used to follow patients after external-beam radiotherapy or brachytherapy for prostate cancer.…”

Section: Discussionmentioning

confidence: 99%

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Defining potency: A comparison of the International Index of Erectile Function short version and the Expanded Prostate Cancer Index Composite

Schroeck

Donatucci

Smathers

et al. 2008

Cancer

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BACKGROUND.Both the 5‐item short version of the International Index of Erectile Function (IIEF‐5) and the Expanded Prostate Cancer Index Composite (EPIC) have been used to assess erectile function. In this study, the authors compared various definitions of potency according to the IIEF‐5 and the EPIC.METHODS.Patients with prostate cancer who had completed the IIEF‐5 and the EPIC within 7 days of each other were included. The Spearman correlation coefficient (rho) was calculated to assess the relation between IIEF‐5 and EPIC sexual domain scores. Concordance of potency rates by IIEF‐5 and EPIC was assessed in cross‐tabulations. By calculating the area under the receiver operator characteristics (ROC) curve (AUC), the authors ascertained the discriminative ability of the IIEF‐5 score to identify potent men as defined by the EPIC.RESULTS.Analyzing 102 questionnaire pairs, IIEF‐5 and EPIC domain scores were found to be highly correlated (rho = 0.776). EPIC sexual domain scores ≥60 had high concordance with IIEF‐5 scores ≥17 (98%) and with nearly all single‐item definitions of potency (≥71%). However, an EPIC sexual domain score ≥80 was a very strict definition of potency, and only 54% of patients with IIEF‐5 scores ≥22 met this threshold. On the basis of ROC analysis (AUC = 0.90), an IIEF‐5 score ≥20 was identified as the ideal cutoff for defining potency and corresponded with an EPIC sexual domain score ≥60.CONCLUSIONS.IIEF‐5 and EPIC scores were highly correlated, but potency rates varied widely, depending on the definition of potency. The current results help with the interpretation of sexual function outcomes data in patients with prostate cancer. Cancer 2008. © 2008 American Cancer Society.

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Section: Discussionmentioning

confidence: 99%

“…7 We calculated sexual domain, sexual function, and sexual bother scores for the EPIC questionnaire as described previously. 10 These scores can range from 0 to 100, with higher scores representing better HRQoL.…”

Section: Instrumentsmentioning

confidence: 99%

Defining potency: A comparison of the International Index of Erectile Function short version and the Expanded Prostate Cancer Index Composite

Schroeck

Donatucci

Smathers

et al. 2008

Cancer

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“…Tseng et al conducted a multivariate analysis of an initial cohort of RARP patients and found in their series that nerve -sparing technique was not significantly associated with the time to recovery of continence 17) . Pick et al evaluated associations between nerve -sparing status during RARP and return of continence 18) .…”

Section: Techniques To Improve Urinary Continence Following Rarpmentioning

confidence: 99%

Current Techniques to Improve Outcomes for Early Return of Urinary Continence Following Robot-Assisted Radical Prostatectomy

Yanagida

Koguchi

Hata

et al. 2014

Fukushima J. Med. Sci.

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: Although open retropubic radical prostatectomy has been the most commonly used surgical technique for patients with localized prostate cancer for decades, robot -assisted radical prostatectomy (RARP) has recently become an alternative option and widely used in Japan as well as around the world. RARP has been shown to have higher postoperative continent rates than retropubic and laparoscopic radical prostatectomy ; however, urinary incontinence has remained one of the most significant causes for concern among patients who seek surgical treatment for prostate cancer, even after the introduction of RARP. The literature has shown that certain technical modifications to improve urinary continence are advocated as potential aids to reduce the risk of urinary incontinence after RARP. These modifications might be divided into 3 categories to realize the improvement of early return of urinary continence after RARP : 1) preservation, 2) reconstruction, and 3) reinforcement of the anatomic structures in the pelvis, which will make a new supporting system after radical prostatectomy. In this review, we discuss the intraoperative techniques to improve outcomes for early return of urinary continence following RARP, and provide a critical summary of current knowledge on its outcome in the literature.

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“…Buna karşın Tseng ve ark. tamamı RRP yapılan 90 hastayı 18 ay boyunca takip ettikleri çalışmada üriner sistem semptomları, cinsel fonksiyonların ve yaşam kalitesinin açık ve laparoskopik cerrahi yöntemlerle benzer düzeylere sahip olduğu sonucunu bulmuşlardır (20). Aynı şekilde Davison ve ark.…”

Section: Yaşam Kalitesi Açısından Robotik Radikal Prostatektomiunclassified

Robotic Prostatectomy: Is it More Advantageous Regarding Quality of Life?

Yıldırım¹,

Çam²

2014

uob

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Prospective health-related quality-of-life assessment in an initial cohort of patients undergoing robotic radical prostatectomy

Cited by 43 publications

References 13 publications

Defining potency: A comparison of the International Index of Erectile Function short version and the Expanded Prostate Cancer Index Composite

Defining potency: A comparison of the International Index of Erectile Function short version and the Expanded Prostate Cancer Index Composite

Current Techniques to Improve Outcomes for Early Return of Urinary Continence Following Robot-Assisted Radical Prostatectomy

Robotic Prostatectomy: Is it More Advantageous Regarding Quality of Life?

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