Prospective cohort study investigating quality of life outcomes following multi-speciality robotic-assisted surgery
Introduction: Despite recent evidence on the surgical outcomes of robotic-assisted surgery (RAS), other patient centre outcomes, including quality of life (QOL), are lacking. This study aims to examine changes in QoL trajectories following RAS across different surgical specialities. Patients and Met...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-01-01
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| Series: | Journal of Minimal Access Surgery |
| Subjects: | |
| Online Access: | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2024;volume=20;issue=1;spage=37;epage=46;aulast=Li |
| _version_ | 1797222365409574912 |
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| author | Ang Li Christina T Stanislaus Daniel Steffens Kate E McBride Scott Leslie Ruban Thanigasalam Michelle Cunich |
| author_facet | Ang Li Christina T Stanislaus Daniel Steffens Kate E McBride Scott Leslie Ruban Thanigasalam Michelle Cunich |
| author_sort | Ang Li |
| collection | DOAJ |
| description | Introduction: Despite recent evidence on the surgical outcomes of robotic-assisted surgery (RAS), other patient centre outcomes, including quality of life (QOL), are lacking. This study aims to examine changes in QoL trajectories following RAS across different surgical specialities.
Patients and Methods: A prospective cohort study was conducted for patients undergoing urologic, cardiothoracic, colorectal or benign gynaecological RAS, between June 2016 and January 2020 at a tertiary referral hospital in Australia. QoL was measured using the 36-item Short-Form Health Survey at pre-operative, 6 weeks and 6 months postoperatively. Physical and mental summary scores and utility index were primary outcomes, and sub-domains were secondary outcomes.
Statistical Analysis Used: Mixed-effects linear regressions were used to determine changes in QoL trajectories.
Results: Of the 254 patients undergoing RAS, 154 underwent urologic, 36 cardiothoracic, 24 colorectal and 40 benign gynaecological surgery. Overall, the average age was 58.8 years and most patients were male (75.1%). Physical summary scores significantly decreased from pre-operative to 6 weeks' post-operative in urologic and colorectal RAS; with all surgical specialities at least returning to pre-operative levels within 6 months postoperatively. Mental summary scores consistently increased from pre-operative to 6 months postoperatively for colorectal and gynaecological RAS.
Conclusions: RAS contributed to positive changes in QoL, with physical health returning to the pre-operative level and mental health improvements across specialities, in the short term. While degrees of post-operative changes varied amongst specialities, significant improvements demonstrate benefits in RAS. |
| first_indexed | 2024-03-07T21:35:25Z |
| format | Article |
| id | doaj.art-3978e1bb108247ef8c07efa8324fd359 |
| institution | Directory Open Access Journal |
| issn | 0972-9941 1998-3921 |
| language | English |
| last_indexed | 2024-04-24T13:20:10Z |
| publishDate | 2024-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Minimal Access Surgery |
| spelling | doaj.art-3978e1bb108247ef8c07efa8324fd3592024-04-04T16:19:15ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212024-01-01201374610.4103/jmas.jmas_253_22Prospective cohort study investigating quality of life outcomes following multi-speciality robotic-assisted surgeryAng LiChristina T StanislausDaniel SteffensKate E McBrideScott LeslieRuban ThanigasalamMichelle CunichIntroduction: Despite recent evidence on the surgical outcomes of robotic-assisted surgery (RAS), other patient centre outcomes, including quality of life (QOL), are lacking. This study aims to examine changes in QoL trajectories following RAS across different surgical specialities. Patients and Methods: A prospective cohort study was conducted for patients undergoing urologic, cardiothoracic, colorectal or benign gynaecological RAS, between June 2016 and January 2020 at a tertiary referral hospital in Australia. QoL was measured using the 36-item Short-Form Health Survey at pre-operative, 6 weeks and 6 months postoperatively. Physical and mental summary scores and utility index were primary outcomes, and sub-domains were secondary outcomes. Statistical Analysis Used: Mixed-effects linear regressions were used to determine changes in QoL trajectories. Results: Of the 254 patients undergoing RAS, 154 underwent urologic, 36 cardiothoracic, 24 colorectal and 40 benign gynaecological surgery. Overall, the average age was 58.8 years and most patients were male (75.1%). Physical summary scores significantly decreased from pre-operative to 6 weeks' post-operative in urologic and colorectal RAS; with all surgical specialities at least returning to pre-operative levels within 6 months postoperatively. Mental summary scores consistently increased from pre-operative to 6 months postoperatively for colorectal and gynaecological RAS. Conclusions: RAS contributed to positive changes in QoL, with physical health returning to the pre-operative level and mental health improvements across specialities, in the short term. While degrees of post-operative changes varied amongst specialities, significant improvements demonstrate benefits in RAS.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2024;volume=20;issue=1;spage=37;epage=46;aulast=Libenign gynaecologicalcardiothoraciccolorectalcolorectalpatient-reported outcomesquality of liferobotic-assisted surgeryurology |
| spellingShingle | Ang Li Christina T Stanislaus Daniel Steffens Kate E McBride Scott Leslie Ruban Thanigasalam Michelle Cunich Prospective cohort study investigating quality of life outcomes following multi-speciality robotic-assisted surgery Journal of Minimal Access Surgery benign gynaecological cardiothoracic colorectal colorectal patient-reported outcomes quality of life robotic-assisted surgery urology |
| title | Prospective cohort study investigating quality of life outcomes following multi-speciality robotic-assisted surgery |
| title_full | Prospective cohort study investigating quality of life outcomes following multi-speciality robotic-assisted surgery |
| title_fullStr | Prospective cohort study investigating quality of life outcomes following multi-speciality robotic-assisted surgery |
| title_full_unstemmed | Prospective cohort study investigating quality of life outcomes following multi-speciality robotic-assisted surgery |
| title_short | Prospective cohort study investigating quality of life outcomes following multi-speciality robotic-assisted surgery |
| title_sort | prospective cohort study investigating quality of life outcomes following multi speciality robotic assisted surgery |
| topic | benign gynaecological cardiothoracic colorectal colorectal patient-reported outcomes quality of life robotic-assisted surgery urology |
| url | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2024;volume=20;issue=1;spage=37;epage=46;aulast=Li |
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