Jeremie Abitbol1, Susie Lau2, Agnihotram V Ramanakumar3, Joshua Z Press2, Nancy Drummond2, Zeev Rosberger4, Sylvie Aubin4, Raphael Gotlieb2, Jeffrey How2, Walter H Gotlieb5. 1. Divison of Experimental Medicine, Department of Medicine, McGill University, Montreal, Canada. 2. Division of Gynecologic Oncology& Lady Davis Research Institute, Segal Cancer Center, Jewish General Hospital, McGill University, Montreal, Quebec, Canada. 3. Division of Cancer Epidemiology, Department of Oncology, McGill University, Montreal, Canada. 4. Louise Granofsky-Psychosocial Oncology Program and Division of Psychology, Segal Cancer Center, Jewish General Hospital, McGill University, Montreal, Quebec, Canada. 5. Division of Gynecologic Oncology& Lady Davis Research Institute, Segal Cancer Center, Jewish General Hospital, McGill University, Montreal, Quebec, Canada. Electronic address: walter.gotlieb@mcgill.ca.
Abstract
PURPOSE: To characterize the health-related quality of life (HRQL) of patients undergoing robotic surgery for the treatment of gynecologic cancers. METHODS: 211 patients completed a quality of life questionnaire before surgery. Postoperative questionnaires, consisting of the same assessment with the addition of postoperative questions, were given at 1 week, 3 weeks, 3, 6, and 12 months after surgery. The Functional Assessment of Cancer Therapy-General (FACT-G) and its subscales were used to evaluate HRQL. Patient-rated body image was evaluated using the Body Image Scale. Statistical significance was measured by the Wilcoxon signed-rank test. Minimally important difference (MID) values were analyzed to evaluate clinical significance. RESULTS: Overall HRQL and body image decreased at 1 week after surgery and returned to baseline by 3 weeks. Physical and functional well-being decreased at 1 week after surgery and returned to baseline by 3 months after surgery. However, using MID criteria, physical well-being returned to baseline by 3 weeks. Social well-being did not change significantly. Emotional well-being increased immediately by 1 week after surgery. CONCLUSION: Patient reported HRQL outcomes following robotic surgery for the treatment of gynecologic cancers suggests a rapid return to pre-surgery values.
PURPOSE: To characterize the health-related quality of life (HRQL) of patients undergoing robotic surgery for the treatment of gynecologic cancers. METHODS: 211 patients completed a quality of life questionnaire before surgery. Postoperative questionnaires, consisting of the same assessment with the addition of postoperative questions, were given at 1 week, 3 weeks, 3, 6, and 12 months after surgery. The Functional Assessment of Cancer Therapy-General (FACT-G) and its subscales were used to evaluate HRQL. Patient-rated body image was evaluated using the Body Image Scale. Statistical significance was measured by the Wilcoxon signed-rank test. Minimally important difference (MID) values were analyzed to evaluate clinical significance. RESULTS: Overall HRQL and body image decreased at 1 week after surgery and returned to baseline by 3 weeks. Physical and functional well-being decreased at 1 week after surgery and returned to baseline by 3 months after surgery. However, using MID criteria, physical well-being returned to baseline by 3 weeks. Social well-being did not change significantly. Emotional well-being increased immediately by 1 week after surgery. CONCLUSION:Patient reported HRQL outcomes following robotic surgery for the treatment of gynecologic cancers suggests a rapid return to pre-surgery values.
Authors: Richard G Arms; Charlotte C Sun; Jennifer K Burzawa; Nicole D Fleming; Alpa M Nick; Vijayashri Rallapalli; Shannon N Westin; Larissa A Meyer; Pedro T Ramirez; Pamela T Soliman Journal: Gynecol Oncol Date: 2015-07-18 Impact factor: 5.482