Patient-reported quality of life recovery curves after robotic prostatectomy are similar across body mass index categories
Purpose: To assess the impact of body mass index (BMI) on postoperative recovery curve of urinary and sexual function after ro-botic-assisted laparoscopic prostatectomy (RALP). We hypothesized that overweight and obese men have different recovery curves than normal weight men.Materials and Methods:...
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| Format: | Article |
| Language: | English |
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Korean Urological Association
2017-09-01
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| Series: | Investigative and Clinical Urology |
| Subjects: | |
| Online Access: | https://www.icurology.org/Synapse/Data/PDFData/2020ICU/icu-58-331.pdf |
| _version_ | 1818290682011320320 |
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| author | Tullika Garg Amanda J. Young Korey A. Kost Alyssa M. Park John F. Danella H. Lester Kirchner |
| author_facet | Tullika Garg Amanda J. Young Korey A. Kost Alyssa M. Park John F. Danella H. Lester Kirchner |
| author_sort | Tullika Garg |
| collection | DOAJ |
| description | Purpose: To assess the impact of body mass index (BMI) on postoperative recovery curve of urinary and sexual function after ro-botic-assisted laparoscopic prostatectomy (RALP). We hypothesized that overweight and obese men have different recovery curves than normal weight men.Materials and Methods: We reviewed preoperative and postoperative surveys from 691 men who underwent RALP from 2004–2014 in an integrated healthcare delivery system. Survey instruments included: sexual health inventory for men (SHIM), urinary be-havior, leakage, and incontinence impact questionnaire (IIQ). A repeated measures analysis with autoregressive covariance struc-ture was employed with linear splines with 2 knots for the time factor. We fit unadjusted and adjusted models and stratified by BMI (under/normal weight, overweight, and obese). Adjusted models included age, race/ethnicity, smoking status, diabetes, operation length, prostate-specific antigen, pathologic stage, nerve-sparing status, and surgery year.Results: Mean age was 59 years. Most men were overweight (43%) and obese (42%). There were no significant differences in mean baseline SHIM, urinary behavior, leakage, and IIQ scores by BMI category. All groups had initial steep declines in urinary and sexual function in the first 3 months after RALP. There were no significant differences in postoperative urinary and sexual function score curves by BMI category.Conclusions: The pattern of urinary and sexual function recovery was similar across all BMI categories. Overweight and obese men may be counseled that urinary and sexual function recovery curves after surgery is similar to that of normal weight men. |
| first_indexed | 2024-12-13T02:32:03Z |
| format | Article |
| id | doaj.art-f9cb706ed131440dbd5c0862e2acb5b6 |
| institution | Directory Open Access Journal |
| issn | 2466-0493 2466-054X |
| language | English |
| last_indexed | 2024-12-13T02:32:03Z |
| publishDate | 2017-09-01 |
| publisher | Korean Urological Association |
| record_format | Article |
| series | Investigative and Clinical Urology |
| spelling | doaj.art-f9cb706ed131440dbd5c0862e2acb5b62022-12-22T00:02:29ZengKorean Urological AssociationInvestigative and Clinical Urology2466-04932466-054X2017-09-0158533133810.4111/icu.2017.58.5.331Patient-reported quality of life recovery curves after robotic prostatectomy are similar across body mass index categoriesTullika Garg0Amanda J. Young1Korey A. Kost2Alyssa M. Park3John F. Danella4H. Lester Kirchner5Geisinger Health SystemGeisinger Health SystemGeisinger Health SystemGeisinger Health SystemGeisinger Health SystemGeisinger Health SystemPurpose: To assess the impact of body mass index (BMI) on postoperative recovery curve of urinary and sexual function after ro-botic-assisted laparoscopic prostatectomy (RALP). We hypothesized that overweight and obese men have different recovery curves than normal weight men.Materials and Methods: We reviewed preoperative and postoperative surveys from 691 men who underwent RALP from 2004–2014 in an integrated healthcare delivery system. Survey instruments included: sexual health inventory for men (SHIM), urinary be-havior, leakage, and incontinence impact questionnaire (IIQ). A repeated measures analysis with autoregressive covariance struc-ture was employed with linear splines with 2 knots for the time factor. We fit unadjusted and adjusted models and stratified by BMI (under/normal weight, overweight, and obese). Adjusted models included age, race/ethnicity, smoking status, diabetes, operation length, prostate-specific antigen, pathologic stage, nerve-sparing status, and surgery year.Results: Mean age was 59 years. Most men were overweight (43%) and obese (42%). There were no significant differences in mean baseline SHIM, urinary behavior, leakage, and IIQ scores by BMI category. All groups had initial steep declines in urinary and sexual function in the first 3 months after RALP. There were no significant differences in postoperative urinary and sexual function score curves by BMI category.Conclusions: The pattern of urinary and sexual function recovery was similar across all BMI categories. Overweight and obese men may be counseled that urinary and sexual function recovery curves after surgery is similar to that of normal weight men.https://www.icurology.org/Synapse/Data/PDFData/2020ICU/icu-58-331.pdfObesity; Patient reported outcome measures; Prostatectomy; Quality of life |
| spellingShingle | Tullika Garg Amanda J. Young Korey A. Kost Alyssa M. Park John F. Danella H. Lester Kirchner Patient-reported quality of life recovery curves after robotic prostatectomy are similar across body mass index categories Investigative and Clinical Urology Obesity; Patient reported outcome measures; Prostatectomy; Quality of life |
| title | Patient-reported quality of life recovery curves after robotic prostatectomy are similar across body mass index categories |
| title_full | Patient-reported quality of life recovery curves after robotic prostatectomy are similar across body mass index categories |
| title_fullStr | Patient-reported quality of life recovery curves after robotic prostatectomy are similar across body mass index categories |
| title_full_unstemmed | Patient-reported quality of life recovery curves after robotic prostatectomy are similar across body mass index categories |
| title_short | Patient-reported quality of life recovery curves after robotic prostatectomy are similar across body mass index categories |
| title_sort | patient reported quality of life recovery curves after robotic prostatectomy are similar across body mass index categories |
| topic | Obesity; Patient reported outcome measures; Prostatectomy; Quality of life |
| url | https://www.icurology.org/Synapse/Data/PDFData/2020ICU/icu-58-331.pdf |
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