The following is a summary of “Quantitative Analysis of Quality of Life and Exploration of Influencing Factors in Patients Undergoing Radical Prostatectomy,” published in the November 2023 issue of Urology by Wang, et al.
For a study, researchers sought to assess and quantify the QoL in patients undergoing radical prostatectomy by utilizing the FACT-P scoring system. They sought to identify predictive factors influencing postoperative QoL.
A retrospective analysis was conducted on clinical data from 249 patients who underwent radical prostatectomy between January 2021 and October 2022. Patients were categorized into groups based on surgical approaches and significant changes in subjective QoL. Predictive factors for alterations in postoperative QoL were thoroughly examined.
The final dataset comprised 192 cases (45 utilizing the fascia internal approach and 147 undergoing traditional radical prostatectomy). Patients subjected to the fascia internal approach exhibited superior postoperative quality of life (FACT-P: 110.15 ± 10.55) compared to those undergoing extra-fascial radical prostatectomy (FACT-P: 102.30 ± 6.75) (P < .01). Notably, 114 patients reported a decline in subjective quality of life, while 78 did not. The preoperative FACT-P score emerged as an independent predictive factor (OR = 0.719, P < .01). Specifically, when the preoperative score was <116 points, the likelihood of no decrease in quality of life post-surgery was higher.
The findings advocated prioritizing the fascia internal approach in suitable surgical candidates, emphasizing comprehensive communication for patients with a preoperative FACT-P score ≥116 points regarding the potential decline in quality of life following surgery.
Source: goldjournal.net/article/S0090-4295(23)00679-9/fulltext