Health related quality of life assessment after radical prostatectomy in men with prostate specific antigen only recurrence

Paul K. Pietrow, Dipen J Parekh, Joseph A. Smith, Y. U. Shyr, Michael S. Cookson

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Purpose: The health related quality of life assessment is becoming increasingly important among patients with prostate cancer. Meanwhile, treatment of patients with increasing prostate specific antigen (PSA) after radical retropubic prostatectomy remains controversial. We attempt to define the impact of PSA recurrence on the health related quality of life of patients after radical retropubic prostatectomy. Materials and Methods: Of 604 consecutive patients who underwent radical retropubic prostatectomy between March 1991 and September 1998, 510 (84%) were available for followup. Each patient was mailed the RAND 36-Item Health Survey and University of California, Los Angeles, Prostate Cancer Index questionnaire. A total of 348 (70%) questionnaires were returned. Health related quality of life scores were then compared between patients with and without PSA recurrence. A multivariate analysis was also performed to elucidate further the cause of differences between the groups. Results: Overall, 88 (25%) patients had PSA recurrence. In regard to health related quality of life there were small (less than 10%) but statistically significant differences in 2 of 4 physical health domains (RAND 36-Item Health Survey). There was a significant decrease in only 1 category of the mental health domain for patients with PSA recurrence. Only sexual function was statistically lower on the University of California, Los Angeles, Prostate Cancer Index. This result reflects the lower incidence of nerve sparing in these patients, as confirmed by the multivariate analysis. Overall patient satisfaction was similar between those with and without PSA recurrence (76% and 79%, respectively). Conclusions: Our study demonstrates small health related quality of life differences in patients with biochemical PSA recurrence versus those without. These findings provide a baseline assessment of general and disease specific health related quality of life domains among these patients. Future studies should focus on differences in the measure of cancer anxiety before and after administration of adjuvant therapy in these asymptomatic patients.

Original languageEnglish
Pages (from-to)2286-2290
Number of pages5
JournalJournal of Urology
Volume166
Issue number6
StatePublished - Nov 27 2001
Externally publishedYes

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Prostate-Specific Antigen
Prostatectomy
Quality of Life
Recurrence
Prostatic Neoplasms
Los Angeles
Health Surveys
Multivariate Analysis
Patient Satisfaction
Mental Health
Anxiety

Keywords

  • Prostate-specific antigen
  • Prostatic neoplasms
  • Quality of life

ASJC Scopus subject areas

  • Urology

Cite this

Health related quality of life assessment after radical prostatectomy in men with prostate specific antigen only recurrence. / Pietrow, Paul K.; Parekh, Dipen J; Smith, Joseph A.; Shyr, Y. U.; Cookson, Michael S.

In: Journal of Urology, Vol. 166, No. 6, 27.11.2001, p. 2286-2290.

Research output: Contribution to journalArticle

Pietrow, Paul K. ; Parekh, Dipen J ; Smith, Joseph A. ; Shyr, Y. U. ; Cookson, Michael S. / Health related quality of life assessment after radical prostatectomy in men with prostate specific antigen only recurrence. In: Journal of Urology. 2001 ; Vol. 166, No. 6. pp. 2286-2290.
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abstract = "Purpose: The health related quality of life assessment is becoming increasingly important among patients with prostate cancer. Meanwhile, treatment of patients with increasing prostate specific antigen (PSA) after radical retropubic prostatectomy remains controversial. We attempt to define the impact of PSA recurrence on the health related quality of life of patients after radical retropubic prostatectomy. Materials and Methods: Of 604 consecutive patients who underwent radical retropubic prostatectomy between March 1991 and September 1998, 510 (84{\%}) were available for followup. Each patient was mailed the RAND 36-Item Health Survey and University of California, Los Angeles, Prostate Cancer Index questionnaire. A total of 348 (70{\%}) questionnaires were returned. Health related quality of life scores were then compared between patients with and without PSA recurrence. A multivariate analysis was also performed to elucidate further the cause of differences between the groups. Results: Overall, 88 (25{\%}) patients had PSA recurrence. In regard to health related quality of life there were small (less than 10{\%}) but statistically significant differences in 2 of 4 physical health domains (RAND 36-Item Health Survey). There was a significant decrease in only 1 category of the mental health domain for patients with PSA recurrence. Only sexual function was statistically lower on the University of California, Los Angeles, Prostate Cancer Index. This result reflects the lower incidence of nerve sparing in these patients, as confirmed by the multivariate analysis. Overall patient satisfaction was similar between those with and without PSA recurrence (76{\%} and 79{\%}, respectively). Conclusions: Our study demonstrates small health related quality of life differences in patients with biochemical PSA recurrence versus those without. These findings provide a baseline assessment of general and disease specific health related quality of life domains among these patients. Future studies should focus on differences in the measure of cancer anxiety before and after administration of adjuvant therapy in these asymptomatic patients.",
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