PMID- 31119473
OWN - NLM
STAT- MEDLINE
DCOM- 20200904
LR  - 20200904
IS  - 1863-2491 (Electronic)
IS  - 1863-2483 (Linking)
VI  - 14
IP  - 2
DP  - 2020 Apr
TI  - Comparison of longitudinal health-related quality-of-life outcomes between 
      anterior and posterior surgical approaches to robot-assisted radical 
      prostatectomy.
PG  - 255-260
LID - 10.1007/s11701-019-00975-6 [doi]
AB  - Increasingly, studies have explored health-related quality-of-life (HRQOL) 
      outcomes after robot-assisted radical prostatectomy (RARP). Nevertheless, no 
      study has compared differences between anterior and posterior surgical 
      approaches. The aim of this study is to assess differences of HRQOL following 
      these two surgical approaches. From January 2012 to September 2017, 653 patients 
      underwent RARP at our institution. We included patients who underwent operations 
      by three experienced surgeons with interchangeability of role as console 
      operator, and who could evaluate preoperatively the Expanded Prostate Cancer 
      Index Composite (EPIC) score. Patients treated with neoadjuvant hormonal therapy 
      were excluded. HRQOL was assessed using the EPIC score, and the questionnaire was 
      administered at 6 timepoints: the baseline survey was conducted within 3 months 
      before the surgery, and follow-up surveys were conducted at 2 weeks, 1, 3, 6, and 
      12 months after surgery. We defined the minimal clinically important difference 
      (MCID) as half the standard deviation of the baseline score for each domain. A 
      total of 201 patients were included in this retrospective study. Of these, 146 
      patients underwent RARP using an anterior surgical approach and 55 patients 
      underwent a posterior approach. The clinical characteristics had no significant 
      differences except for median prostate volume between the anterior and posterior 
      groups (27 ml vs 29 ml, p = 0.049). There were no significant differences between 
      the two groups in score decline beyond the MCID in any domain at any timepoint. 
      Our study demonstrates no significant differences in HRQOL between anterior and 
      posterior surgical approaches to RARP.
FAU - Maruyama, Yuki
AU  - Maruyama Y
AD  - Department of Urology, Okayama University Graduate School of Medicine, Dentistry 
      and Pharmaceutical Sciences, Okayama, Japan.
FAU - Sadahira, Takuya
AU  - Sadahira T
AUID- ORCID: 0000-0001-5685-3000
AD  - Department of Urology, Okayama University Graduate School of Medicine, Dentistry 
      and Pharmaceutical Sciences, Okayama, Japan. t.sadahira@gmail.com.
FAU - Araki, Motoo
AU  - Araki M
AD  - Department of Urology, Okayama University Graduate School of Medicine, Dentistry 
      and Pharmaceutical Sciences, Okayama, Japan.
FAU - Mitsui, Yosuke
AU  - Mitsui Y
AD  - Department of Urology, Okayama University Graduate School of Medicine, Dentistry 
      and Pharmaceutical Sciences, Okayama, Japan.
FAU - Wada, Koichiro
AU  - Wada K
AD  - Department of Urology, Okayama University Graduate School of Medicine, Dentistry 
      and Pharmaceutical Sciences, Okayama, Japan.
FAU - Tanimoto, Ryuta
AU  - Tanimoto R
AD  - Department of Urology, Okayama University Graduate School of Medicine, Dentistry 
      and Pharmaceutical Sciences, Okayama, Japan.
FAU - Kobayashi, Yasuyuki
AU  - Kobayashi Y
AD  - Department of Urology, Okayama University Graduate School of Medicine, Dentistry 
      and Pharmaceutical Sciences, Okayama, Japan.
FAU - Watanabe, Masami
AU  - Watanabe M
AD  - Department of Urology, Okayama University Graduate School of Medicine, Dentistry 
      and Pharmaceutical Sciences, Okayama, Japan.
FAU - Watanabe, Toyohiko
AU  - Watanabe T
AD  - Department of Urology, Okayama University Graduate School of Medicine, Dentistry 
      and Pharmaceutical Sciences, Okayama, Japan.
FAU - Nasu, Yasutomo
AU  - Nasu Y
AD  - Department of Urology, Okayama University Graduate School of Medicine, Dentistry 
      and Pharmaceutical Sciences, Okayama, Japan.
LA  - eng
PT  - Journal Article
DEP - 20190522
PL  - England
TA  - J Robot Surg
JT  - Journal of robotic surgery
JID - 101300401
SB  - IM
MH  - Humans
MH  - Longitudinal Studies
MH  - Male
MH  - Prostatectomy/*methods
MH  - *Quality of Life
MH  - Robotic Surgical Procedures/*methods
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Incontinence
OT  - Prostate cancer
OT  - Prostatectomy
OT  - Quality of life
EDAT- 2019/05/24 06:00
MHDA- 2020/09/05 06:00
CRDT- 2019/05/24 06:00
PHST- 2019/03/04 00:00 [received]
PHST- 2019/05/14 00:00 [accepted]
PHST- 2019/05/24 06:00 [pubmed]
PHST- 2020/09/05 06:00 [medline]
PHST- 2019/05/24 06:00 [entrez]
AID - 10.1007/s11701-019-00975-6 [pii]
AID - 10.1007/s11701-019-00975-6 [doi]
PST - ppublish
SO  - J Robot Surg. 2020 Apr;14(2):255-260. doi: 10.1007/s11701-019-00975-6. Epub 2019 
      May 22.