Evidence map›Paper›PMID 40815375›Full record

ArticleJournal of robotic surgery2025

Exploring patient decision regret following robot-assisted radical prostatectomy: a prospective cohort study.

Nicholas Hirst, Aidan Chow, Patrick-Julien Treacy, Jacob Bird, Kate Alexander, Sascha Karunaratne, Daniel Steffens, Lewis Chan, Scott Leslie, Ruban Thanigasalam

Abstract read
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In one paragraph

Article in Journal of robotic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Nicholas HirstSurgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, PO Box M157, Sydney, NSW, 2050, Australia. Nicholas.hirst1@health.nsw.gov.au.
Aidan ChowSurgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, PO Box M157, Sydney, NSW, 2050, Australia.
Patrick-Julien TreacySurgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, PO Box M157, Sydney, NSW, 2050, Australia.
Jacob BirdSurgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, PO Box M157, Sydney, NSW, 2050, Australia.
Kate AlexanderSurgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, PO Box M157, Sydney, NSW, 2050, Australia.
Sascha KarunaratneSurgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, PO Box M157, Sydney, NSW, 2050, Australia.
Daniel SteffensSurgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, PO Box M157, Sydney, NSW, 2050, Australia.
Lewis ChanDepartment of Urology, Concord Repatriation General Hospital, Sydney, NSW, Australia.
Scott LeslieSurgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, PO Box M157, Sydney, NSW, 2050, Australia.
Ruban ThanigasalamSurgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, PO Box M157, Sydney, NSW, 2050, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThere exists a paucity of evidence within Australia relating to rates and predictors of postoperative decision regret in patients undergoing Robot-Assisted Radical Prostatectomy. This study reports rates of decision regret up to 1 year postoperatively and aims to identify predictors of postoperative decision regret. The secondary aim is to test an association between participant's decision regret with surgical, functional and quality of life outcomes.

methodsThis study included patients undergoing Robot-Assisted Radical Prostatectomy between 2016 and 2023 at a major tertiary hospital in Sydney. Regret was measured using the Decision Regret Scale, with scores > 25 indicating high level of regret. Associations between decision regret and surgical, functional and quality-of-life outcomes were explored using univariate and multivariate logistic regressions.

resultsIn total, 242 participants were included. Mean decision regret scores were similar at 6 weeks (20.3 ± 20.6), 3 months (22.5 ± 22.6), and 1 year (21.5 ± 22.5) postoperatively. Most participants' decision regret remained within their high or low regret group across all three postoperative timepoints. Participant reported measures of greater pain, urinary, sexual, bowel, hormonal symptoms and worse quality of life were all significantly different between high and low regret groups. Poor preoperative mental health was significantly associated with higher 6 week postoperative decision regret, suggesting a potential predictive relationship.

conclusionsMost participants reporting high or low decision regret following Robot-Assisted Radical Prostatectomy maintain this regret up to 1 year postoperatively. Future studies should corroborate and investigate interventions to reduce participant decision regret.

Indexed as

Decision MakingEmotionsProstatectomyProstatic NeoplasmsRobotic Surgical ProceduresAgedAustraliaHumansMaleMiddle AgedProspective StudiesQuality of LifeDecision regretHealth-related quality of lifePatient outcome assessmentProstatectomyRobot-assisted surgery

Identifiers

PMID40815375

What OpenQuestion holds

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Registered trials

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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.