Evidence map›Paper›PMID 28093628›Full record

ArticleWorld journal of urology2017

Perioperative patient education improves long-term satisfaction rates of low-risk prostate cancer patients after radical prostatectomy.

Alexander Kretschmer, Alexander Buchner, Markus Grabbert, Anne Sommer, Annika Herlemann, Christian G Stief, Ricarda M Bauer

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Article in World journal of urology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Alexander KretschmerDepartment of Urology, Ludwig-Maximilians-University, Marchioninistrasse 15, 81377, Munich, Germany. Alexander.kretschmer@med.uni-muenchen.de.ORCID http://orcid.org/0000-0002-6511-4354
Alexander BuchnerDepartment of Urology, Ludwig-Maximilians-University, Marchioninistrasse 15, 81377, Munich, Germany.
Markus GrabbertDepartment of Urology, Ludwig-Maximilians-University, Marchioninistrasse 15, 81377, Munich, Germany.
Anne SommerDepartment of Urology, Ludwig-Maximilians-University, Marchioninistrasse 15, 81377, Munich, Germany.
Annika HerlemannDepartment of Urology, Ludwig-Maximilians-University, Marchioninistrasse 15, 81377, Munich, Germany.
Christian G StiefDepartment of Urology, Ludwig-Maximilians-University, Marchioninistrasse 15, 81377, Munich, Germany.
Ricarda M BauerDepartment of Urology, Ludwig-Maximilians-University, Marchioninistrasse 15, 81377, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate patient-reported functional outcomes after radical prostatectomy (RP) and to analyse the effect of perioperative patient education on satisfaction rates among low-risk prostate cancer patients.

methodsInclusion criteria encompassed low-risk prostate cancer patients as defined by the D'Amico criteria, undergoing nerve-sparing RP without pelvic lymph node dissection. Patient-centred functional outcomes, subjective evaluation of perioperative counselling, and patient satisfaction rates were documented. Stress urinary incontinence (SUI) was assessed by daily pad usage. Erectile dysfunction (ED) was assessed using IIEF5 score. Patients' histories were attained from the electronic medical records. The effect of pre-defined predictive features for satisfaction rates was analysed in low-risk patients. Statistical analyses included Fisher's exact test, Mann-Whitney-U test, and binary logistic regression models (p < 0.05).

results266 patients met the inclusion criteria. Median follow-up was 94 months (68-118). The global satisfaction rate was 75.1%. Regarding SUI, 69.5% of patients required no pads. 67.1% felt very well informed, while 11.7% felt poorly educated about postoperative SUI. Regarding ED, an IIEF score of ≥18 was reached by 33.7%. 59.6% felt very well educated, while 13.0% felt poorly informed. Poor patient counselling regarding SUI and ED led to significantly decreased long-term satisfaction rates [40.7, 33.3% (p < 0.001)]. In multivariate analysis, poor ED patient counselling [OR 0.190, 95% CI 0.055-0.652 (p = 0.008)], and postoperative IIEF5 score [OR 3.061, 95% CI 1.013-3.111 (p = 0.013)] could be confirmed as independent predictors for patient satisfaction.

conclusionsPatient-centred functional outcome analysis has illustrated the importance of perioperative patient education on long-term patient satisfaction rates after RP in low-risk prostate cancer patients.

Indexed as

Patient Education as TopicPatient SatisfactionPerioperative CareAgedErectile DysfunctionHumansLogistic ModelsLymph Node ExcisionMaleMiddle AgedMultivariate AnalysisPatient Reported Outcome MeasuresPelvisPostoperative ComplicationsProstatectomyProstatic NeoplasmsErectile dysfunctionPatient educationPatient satisfactionProstate cancerRadical prostatectomyStress urinary incontinence

Identifiers

PMID28093628

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.