Quality of life and functional outcomes 10 years after laparoscopic radical prostatectomy
Abstract Background. Minimally invasive laparoscopic radical prostatectomy (LRP) has proven equally effective as open surgery in terms of cancer control and peroperative complication rate with less bleeding and postoperative pain. However, long-term follow-up data after LRP are scarce, especially as...
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| Veröffentlicht in: | Upsala journal of medical sciences 2014-03, Vol.119 (1), p.32-37 |
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| creator | Wang, Eugen Y-H. Eriksson, Hans G. |
| description | Abstract
Background. Minimally invasive laparoscopic radical prostatectomy (LRP) has proven equally effective as open surgery in terms of cancer control and peroperative complication rate with less bleeding and postoperative pain. However, long-term follow-up data after LRP are scarce, especially as related to quality of life (QoL).
Aim. To compare QoL and functional outcomes at least 10 years after LRP with a population-based control group matched for age and region.
Methods. Follow-up data were obtained by mailed questionnaires from patients who responded anonymously to five international questionnaires (EQ-5D, QLQ-C30, QLQ-PR25, IPSS, and IIEF). We collected self-reported outcome data directly from 49 patients who underwent LRP more than 10 years ago in our centre. The results of the patients' overall QoL and urinary continence rates were compared with 918 controls matched for region and age.
Results. Forty-two patients (86%) and 808 (88%) controls reported having no urinary leakage. Only 11 patients (24%) still had sexual activities 10 years after LRP, and three were without erectile dysfunction. There was no difference in four of five statements of the self-assessed QoL questionnaires between the LRP and control group. Anxiety level was higher in the LRP group (44%) than in the control group (23%).
Conclusion. Patients reported high self-assessed QoL, although they also reported low sexual activity 10 years after LRP. Prevalence of urinary leakage was similar in both groups. However, anxiety was more common in LRP patients. |
| doi_str_mv | 10.3109/03009734.2013.868560 |
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Background. Minimally invasive laparoscopic radical prostatectomy (LRP) has proven equally effective as open surgery in terms of cancer control and peroperative complication rate with less bleeding and postoperative pain. However, long-term follow-up data after LRP are scarce, especially as related to quality of life (QoL).
Aim. To compare QoL and functional outcomes at least 10 years after LRP with a population-based control group matched for age and region.
Methods. Follow-up data were obtained by mailed questionnaires from patients who responded anonymously to five international questionnaires (EQ-5D, QLQ-C30, QLQ-PR25, IPSS, and IIEF). We collected self-reported outcome data directly from 49 patients who underwent LRP more than 10 years ago in our centre. The results of the patients' overall QoL and urinary continence rates were compared with 918 controls matched for region and age.
Results. Forty-two patients (86%) and 808 (88%) controls reported having no urinary leakage. Only 11 patients (24%) still had sexual activities 10 years after LRP, and three were without erectile dysfunction. There was no difference in four of five statements of the self-assessed QoL questionnaires between the LRP and control group. Anxiety level was higher in the LRP group (44%) than in the control group (23%).
Conclusion. Patients reported high self-assessed QoL, although they also reported low sexual activity 10 years after LRP. Prevalence of urinary leakage was similar in both groups. However, anxiety was more common in LRP patients.</description><identifier>ISSN: 0300-9734</identifier><identifier>ISSN: 2000-1967</identifier><identifier>EISSN: 2000-1967</identifier><identifier>DOI: 10.3109/03009734.2013.868560</identifier><identifier>PMID: 24328550</identifier><language>eng</language><publisher>England: Informa Healthcare</publisher><subject>Aged ; Aged, 80 and over ; Cancer surgery ; Case-Control Studies ; Erectile dysfunction ; Functional outcome ; Humans ; laparoscopic radical prostatectomy ; Laparoscopy ; Laparoscopy - adverse effects ; Male ; Original ; Prostate cancer ; Prostatectomy - adverse effects ; Prostatectomy - methods ; Prostatic Neoplasms - physiopathology ; Prostatic Neoplasms - surgery ; Quality of Life ; Questionnaires ; Treatment Outcome ; Urological surgery</subject><ispartof>Upsala journal of medical sciences, 2014-03, Vol.119 (1), p.32-37</ispartof><rights>Informa Healthcare 2014</rights><rights>Informa Healthcare. 2014. This work is licensed under the Creative Commons Attribution License http://creativecommons.org/licenses/by/3.0 (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c584t-207174225fb696a2c780d3709a819aceb7e25db2365e4842f9cb31a985e65d5e3</citedby><cites>FETCH-LOGICAL-c584t-207174225fb696a2c780d3709a819aceb7e25db2365e4842f9cb31a985e65d5e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3916715/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3916715/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27501,27923,27924,53790,53792,59142,59143,61217,61218</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24328550$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-220390$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Eugen Y-H.</creatorcontrib><creatorcontrib>Eriksson, Hans G.</creatorcontrib><title>Quality of life and functional outcomes 10 years after laparoscopic radical prostatectomy</title><title>Upsala journal of medical sciences</title><addtitle>Ups J Med Sci</addtitle><description>Abstract
Background. Minimally invasive laparoscopic radical prostatectomy (LRP) has proven equally effective as open surgery in terms of cancer control and peroperative complication rate with less bleeding and postoperative pain. However, long-term follow-up data after LRP are scarce, especially as related to quality of life (QoL).
Aim. To compare QoL and functional outcomes at least 10 years after LRP with a population-based control group matched for age and region.
Methods. Follow-up data were obtained by mailed questionnaires from patients who responded anonymously to five international questionnaires (EQ-5D, QLQ-C30, QLQ-PR25, IPSS, and IIEF). We collected self-reported outcome data directly from 49 patients who underwent LRP more than 10 years ago in our centre. The results of the patients' overall QoL and urinary continence rates were compared with 918 controls matched for region and age.
Results. Forty-two patients (86%) and 808 (88%) controls reported having no urinary leakage. Only 11 patients (24%) still had sexual activities 10 years after LRP, and three were without erectile dysfunction. There was no difference in four of five statements of the self-assessed QoL questionnaires between the LRP and control group. Anxiety level was higher in the LRP group (44%) than in the control group (23%).
Conclusion. Patients reported high self-assessed QoL, although they also reported low sexual activity 10 years after LRP. Prevalence of urinary leakage was similar in both groups. However, anxiety was more common in LRP patients.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cancer surgery</subject><subject>Case-Control Studies</subject><subject>Erectile dysfunction</subject><subject>Functional outcome</subject><subject>Humans</subject><subject>laparoscopic radical prostatectomy</subject><subject>Laparoscopy</subject><subject>Laparoscopy - adverse effects</subject><subject>Male</subject><subject>Original</subject><subject>Prostate cancer</subject><subject>Prostatectomy - adverse effects</subject><subject>Prostatectomy - methods</subject><subject>Prostatic Neoplasms - physiopathology</subject><subject>Prostatic Neoplasms - surgery</subject><subject>Quality of Life</subject><subject>Questionnaires</subject><subject>Treatment Outcome</subject><subject>Urological surgery</subject><issn>0300-9734</issn><issn>2000-1967</issn><issn>2000-1967</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>0YH</sourceid><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kd1r1TAYxoso7mz6H4gUvPHCHvPRpM3NZMxPGIigglfhbZrsZKTNMUkd_e-X0m16vNhVIO_veZLnfYriBUZbipF4iyhCoqH1liBMty1vGUePig1BCFVY8OZxsVmQamGOiuMYr_KEo4Y-LY5ITUnLGNoUv75N4GyaS29KZ40uYexLM40qWT-CK_2UlB90LDEqZw0hlmCSDqWDPQQfld9bVQborcrwPt8kSFolP8zPiicGXNTPb8-T4sfHD9_PP1cXXz99OT-7qBRr61QR1OCmJoSZjgsORDUt6mmDBLRYgNJdownrO0I503VbEyNURzGIlmnOeqbpSfFm9Y3Xej91ch_sAGGWHqx8b3-eSR8u5TRJQhAVKOOnK57ZQfdKjymAO1AdTka7k5f-j6QC8wazbPD61iD435OOSQ42Ku0cjNpPUeJaCEwFqXlGX_2HXvkp5LVGSbAQOXrDFqpeKZXXF4M295_BSC5Vy7uq5VK1XKvOspf_BrkX3XWbgXcrYEfjwwDXPrheJpidDybAqGxc7B984vTAYafBpZ2CoP8GedDgBmSRzBo</recordid><startdate>20140301</startdate><enddate>20140301</enddate><creator>Wang, Eugen Y-H.</creator><creator>Eriksson, Hans G.</creator><general>Informa Healthcare</general><general>Taylor & Francis</general><general>Open Academia</general><scope>0YH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>DF2</scope></search><sort><creationdate>20140301</creationdate><title>Quality of life and functional outcomes 10 years after laparoscopic radical prostatectomy</title><author>Wang, Eugen Y-H. ; Eriksson, Hans G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c584t-207174225fb696a2c780d3709a819aceb7e25db2365e4842f9cb31a985e65d5e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cancer surgery</topic><topic>Case-Control Studies</topic><topic>Erectile dysfunction</topic><topic>Functional outcome</topic><topic>Humans</topic><topic>laparoscopic radical prostatectomy</topic><topic>Laparoscopy</topic><topic>Laparoscopy - adverse effects</topic><topic>Male</topic><topic>Original</topic><topic>Prostate cancer</topic><topic>Prostatectomy - adverse effects</topic><topic>Prostatectomy - methods</topic><topic>Prostatic Neoplasms - physiopathology</topic><topic>Prostatic Neoplasms - surgery</topic><topic>Quality of Life</topic><topic>Questionnaires</topic><topic>Treatment Outcome</topic><topic>Urological surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Eugen Y-H.</creatorcontrib><creatorcontrib>Eriksson, Hans G.</creatorcontrib><collection>Taylor & Francis Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Uppsala universitet</collection><jtitle>Upsala journal of medical sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Eugen Y-H.</au><au>Eriksson, Hans G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Quality of life and functional outcomes 10 years after laparoscopic radical prostatectomy</atitle><jtitle>Upsala journal of medical sciences</jtitle><addtitle>Ups J Med Sci</addtitle><date>2014-03-01</date><risdate>2014</risdate><volume>119</volume><issue>1</issue><spage>32</spage><epage>37</epage><pages>32-37</pages><issn>0300-9734</issn><issn>2000-1967</issn><eissn>2000-1967</eissn><abstract>Abstract
Background. Minimally invasive laparoscopic radical prostatectomy (LRP) has proven equally effective as open surgery in terms of cancer control and peroperative complication rate with less bleeding and postoperative pain. However, long-term follow-up data after LRP are scarce, especially as related to quality of life (QoL).
Aim. To compare QoL and functional outcomes at least 10 years after LRP with a population-based control group matched for age and region.
Methods. Follow-up data were obtained by mailed questionnaires from patients who responded anonymously to five international questionnaires (EQ-5D, QLQ-C30, QLQ-PR25, IPSS, and IIEF). We collected self-reported outcome data directly from 49 patients who underwent LRP more than 10 years ago in our centre. The results of the patients' overall QoL and urinary continence rates were compared with 918 controls matched for region and age.
Results. Forty-two patients (86%) and 808 (88%) controls reported having no urinary leakage. Only 11 patients (24%) still had sexual activities 10 years after LRP, and three were without erectile dysfunction. There was no difference in four of five statements of the self-assessed QoL questionnaires between the LRP and control group. Anxiety level was higher in the LRP group (44%) than in the control group (23%).
Conclusion. Patients reported high self-assessed QoL, although they also reported low sexual activity 10 years after LRP. Prevalence of urinary leakage was similar in both groups. However, anxiety was more common in LRP patients.</abstract><cop>England</cop><pub>Informa Healthcare</pub><pmid>24328550</pmid><doi>10.3109/03009734.2013.868560</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Aged, 80 and over Cancer surgery Case-Control Studies Erectile dysfunction Functional outcome Humans laparoscopic radical prostatectomy Laparoscopy Laparoscopy - adverse effects Male Original Prostate cancer Prostatectomy - adverse effects Prostatectomy - methods Prostatic Neoplasms - physiopathology Prostatic Neoplasms - surgery Quality of Life Questionnaires Treatment Outcome Urological surgery |
| title | Quality of life and functional outcomes 10 years after laparoscopic radical prostatectomy |
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