Impact of Enhanced Recovery After Surgery Protocol on Perioperative Quality of Life in Robot-Assisted Radical Prostatectomy: A Single-Center Prospective Cohort Study.
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Abstract
Objectives: Enhanced recovery after surgery is a comprehensive, multidisciplinary perioperative care program designed to minimize postoperative complications. Despite its widespread use in urological surgeries, the effect of enhanced recovery after surgery on the quality of life during robot-assisted radical prostatectomy remains unclear. We performed a prospective cohort study to elucidate the effect of enhanced recovery following robot-assisted radical prostatectomy on patients' quality of life.
Methods: This prospective cohort study included 150 consecutive patients who underwent robot-assisted radical prostatectomy at a single institution. A total of 133 patients were analyzed after excluding those with incomplete data. The patients were divided into two groups: 32 in the non-enhanced recovery group and 101 in the enhanced recovery group. To assess the quality of life, patients undergoing robot-assisted radical prostatectomy completed the Functional Assessment of Cancer Therapy-Prostate questionnaire 1 day before and 1 month after surgery.
Results: Patient characteristics did not differ between the two groups. No significant differences were observed in the preoperative Functional Assessment of Cancer Therapy-Prostate scores between the groups. Perioperative changes in the physical well-being subscale for the non-enhanced recovery after surgery and enhanced recovery after surgery groups were -3.5 and -2.0, respectively (p = 0.0463). Furthermore, enhanced recovery after surgery was a significant predictor of a smaller perioperative decline in the Functional Assessment of Cancer Therapy-Prostate Physical Well-Being subscale score.
Conclusion: Enhanced recovery after surgery helps to preserve physical well-being during robot-assisted radical prostatectomy.
期刊介绍：
International Journal of Urology is the official English language journal of the Japanese Urological Association, publishing articles of scientific excellence in urology. Submissions of papers from all countries are considered for publication. All manuscripts are subject to peer review and are judged on the basis of their contribution of original data and ideas or interpretation.
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