Navigation überspringen
Universitätsbibliothek Heidelberg
Status: Bibliographieeintrag

Verfügbarkeit
Standort: ---
Exemplare: ---
heiBIB
 Online-Ressource
Verfasst von:Baunacke, Martin [VerfasserIn]   i
 Schmidt, Maria-Luisa [VerfasserIn]   i
 Groeben, Christer [VerfasserIn]   i
 Borkowetz, Angelika [VerfasserIn]   i
 Thomas, Christian [VerfasserIn]   i
 Koch, Rainer [VerfasserIn]   i
 Chun, Felix K. H. [VerfasserIn]   i
 Ihrig, Andreas [VerfasserIn]   i
 Weißbach, Lothar [VerfasserIn]   i
 Huber, Johannes [VerfasserIn]   i
Titel:Decision regret after radical prostatectomy does not depend on surgical approach
Titelzusatz:6-year followup of a large German cohort undergoing routine care
Verf.angabe:Martin Baunacke, Maria-Luisa Schmidt, Christer Groeben, Angelika Borkowetz, Christian Thomas,Rainer Koch, Felix K.H. Chun, Andreas Ihrig, Lothar Weissbach and Johannes Huber
E-Jahr:2020
Jahr:1 Mar 2020
Umfang:8 S.
Illustrationen:Diagramme
Fussnoten:Gesehen am 14.04.2020
Titel Quelle:Enthalten in: The journal of urology
Ort Quelle:New York, NY [u.a.] : Elsevier, 1917
Jahr Quelle:2020
Band/Heft Quelle:203(2020), 3, Seite 554-561
ISSN Quelle:1527-3792
Abstract:Purpose: Numerous studies have compared the outcomes of open and robot-assisted radical prostatectomy but to our knowledge only 1 study has focused on patient satisfaction and regret. We evaluated intermediate term decision regret after open and robot-assisted radical - prostatectomy. Materials and Methods: The HAROW (Hormonal Therapy, Active Surveillance, Radiation, Operation, Watchful Waiting) study analyzed localized prostate cancer treatments (T2c N0 M0 or less) in Germany from 2008 to 2013. We collected intermediate term followup data on 1,260 patients after retropubic open or robot-assisted radical prostatectomy. Results: The response rate was 76.8% (936 of 1,218 cases). A total of 404 patients underwent robot-assisted radical prostatectomy and 532 underwent open radical prostatectomy. - Patients treated with the robot-assisted procedure showed more self-determined behavior. They reported an active role in surgical decision making and the surgical approach (robot-assisted radical vs open prostatectomy 39% vs 24% and 52% vs 18%, respectively, each p <0.001). Patients treated with the robot-assisted procedure more often participated actively in selecting the treating hospital (25% vs 11%), used the Internet often (87% vs 72%) and traveled an increased distance (63 vs 42 km, all p <0.001). Overall decision regret was low with a mean ± SD score of 14 ± 19 on a scale of 0—no regret to 100—high regret. Multivariate analysis showed that erectile function (OR 3.2), - urinary continence (OR 1.8), freedom from recurrence (OR 1.6), an active decision making role (OR 2.2) and shorter followup (OR 0.9 per year) predicted low decision regret (score less than 15). Conclusions: Intermediate term functional and oncologic outcomes as well as autonomous decision making and followup time influenced decision regret after radical prostatectomy. The surgical approach was not associated with intermediate term decision regret.
DOI:doi:10.1097/JU.0000000000000541
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1097/JU.0000000000000541
 Volltext: https://www.auajournals.org/doi/10.1097/JU.0000000000000541
 DOI: https://doi.org/10.1097/JU.0000000000000541
Datenträger:Online-Ressource
Sprache:eng
K10plus-PPN:1694463869
Verknüpfungen:→ Zeitschrift

Permanenter Link auf diesen Titel (bookmarkfähig):  https://katalog.ub.uni-heidelberg.de/titel/68563901   QR-Code
zum Seitenanfang