Rajesh Raj Bajpai1, Shirin Razdan2, Justin Barack3, Marcos A Sanchez4, Sanjay Razdan5. 1. Department of Urology, Larkin Hospital, Miami, Florida. 2. Department of Urology, Icahn School of Medicine at Mount Sinai, New York, New York. 3. Department of Anesthesia, MiVIP Miami Medical Group, Miami, Florida. 4. Division of Clinical and Translational Research, Larkin Community Hospital, South Miami, Florida. 5. Department of Urology, International Robotic Prostatectomy Institute, Doral, Florida.
Abstract
Purpose: To investigate the difference, if any, in the quality of life (QoL) at specified intervals in patients undergoing same day discharge (SDD, ambulatory) vs next day discharge (NDD) after robot-assisted laparoscopic prostatectomy (RALP). Materials and Methods: Two hundred consecutive patients underwent RALP with either SDD or NDD. They completed validated pain and health-related QoL questionnaires at predefined intervals postoperatively and results were compared between the two groups. Results: Pearson's coefficient revealed significant correlations between the time of discharge and physical well-being (r = -0.139; p = 0.005), emotional well-being (EWB) (r = -0.71; p < 0.001), functional assessment of cancer therapy-general (FACT-G) (r = -0.367; p < 0.001), functional assessment of cancer therapy-prostate (FACT-P) (r = -0.273; p < 0.001), pain severity score (PSS) (r = 0.237; p < 0.001), and pain interference score (PIS) (r = 0.214; p < 0.001). Student's t-test revealed significant (p < 0.001) difference in the means of PSS, PIS, EWB, FACT-G, and FACT-P between both groups. Time of discharge was found to be an independent significant predictor (p < 0.01) of PSS and PIS. Pearson's coefficients revealed that PSS had significant correlations with age (r = -0.60; p < 0.001), body mass index (r = 0.87; p < 0.001), and console time (CT) (r = 0.63; p < 0.001). CT also correlated with the estimated blood loss (r = 0.65; p < 0.001). Conclusions: Patients who were discharged the same day as their RALP had lesser pain and interference in general activity scores 2 days after discharge and had better perceived overall health than patients who were discharged on postoperative day 1.
Purpose: To investigate the difference, if any, in the quality of life (QoL) at specified intervals in patients undergoing same day discharge (SDD, ambulatory) vs next day discharge (NDD) after robot-assisted laparoscopic prostatectomy (RALP). Materials and Methods: Two hundred consecutive patients underwent RALP with either SDD or NDD. They completed validated pain and health-related QoL questionnaires at predefined intervals postoperatively and results were compared between the two groups. Results: Pearson's coefficient revealed significant correlations between the time of discharge and physical well-being (r = -0.139; p = 0.005), emotional well-being (EWB) (r = -0.71; p < 0.001), functional assessment of cancer therapy-general (FACT-G) (r = -0.367; p < 0.001), functional assessment of cancer therapy-prostate (FACT-P) (r = -0.273; p < 0.001), pain severity score (PSS) (r = 0.237; p < 0.001), and pain interference score (PIS) (r = 0.214; p < 0.001). Student's t-test revealed significant (p < 0.001) difference in the means of PSS, PIS, EWB, FACT-G, and FACT-P between both groups. Time of discharge was found to be an independent significant predictor (p < 0.01) of PSS and PIS. Pearson's coefficients revealed that PSS had significant correlations with age (r = -0.60; p < 0.001), body mass index (r = 0.87; p < 0.001), and console time (CT) (r = 0.63; p < 0.001). CT also correlated with the estimated blood loss (r = 0.65; p < 0.001). Conclusions: Patients who were discharged the same day as their RALP had lesser pain and interference in general activity scores 2 days after discharge and had better perceived overall health than patients who were discharged on postoperative day 1.
Entities:
Keywords:
ambulatory; health-related quality of life; quality of life; robotic prostatectomy; same day discharge
Authors: Weibin Hou; Bingzhi Wang; Lei Zhou; Lan Li; Chao Li; Peng Yuan; Wei Ouyang; Hanyu Yao; Jin Huang; Kun Yao; Long Wang Journal: Front Surg Date: 2022-09-28