Quality-of-life outcomes of the ROBOtic-assisted versus Conventional Open Partial nephrectomy (ROBOCOP) II trial
OBJECTIVES: To comprehensively compare quality-of-life (QoL) outcomes between open partial nephrectomy (OPN) and robot-assisted PN (RAPN) from the randomised ROBOtic-assisted versus Conventional Open Partial nephrectomy (ROBOCOP) II trial, as QoL data comparing OPN and RAPN are virtually non-existen...
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| Main Authors: | , , , , , , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
September 2024
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| In: |
BJU international
Year: 2024, Volume: 134, Issue: 3, Pages: 434-441 |
| ISSN: | 1464-410X |
| DOI: | 10.1111/bju.16407 |
| Online Access: | Verlag, kostenfrei, Volltext: https://doi.org/10.1111/bju.16407 Verlag, kostenfrei, Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1111/bju.16407 |
| Author Notes: | Marie Angela Sidoti Abate, Hanna Saskia Menold, Manuel Neuberger, Marietta Kirchner, Caelan Max Haney, Philipp Nuhn, Niklas Westhoff, Patrick Honeck, Maurice-Stephan Michel, Maximilian Christian Kriegmair and Karl-Friedrich Kowalewski |
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| 245 | 1 | 0 | |a Quality-of-life outcomes of the ROBOtic-assisted versus Conventional Open Partial nephrectomy (ROBOCOP) II trial |c Marie Angela Sidoti Abate, Hanna Saskia Menold, Manuel Neuberger, Marietta Kirchner, Caelan Max Haney, Philipp Nuhn, Niklas Westhoff, Patrick Honeck, Maurice-Stephan Michel, Maximilian Christian Kriegmair and Karl-Friedrich Kowalewski |
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| 520 | |a OBJECTIVES: To comprehensively compare quality-of-life (QoL) outcomes between open partial nephrectomy (OPN) and robot-assisted PN (RAPN) from the randomised ROBOtic-assisted versus Conventional Open Partial nephrectomy (ROBOCOP) II trial, as QoL data comparing OPN and RAPN are virtually non-existent, especially not from randomised controlled trials (RCTs). PATIENTS AND METHODS: The ROBOCOP II was a single-centre, open-label RCT between OPN and RAPN. The pre-planned analyses of QoL outcomes are presented. Data were analysed descriptively in a modified intention-to-treat population. RESULTS: A total of 50 patients underwent surgery. At postoperative Day 90 (POD90), there was no significant difference for the Kidney Disease Quality of Life-Short Form questionnaire score (mean [sd] OPN 72 [20] vs RAPN 76 [15], P = 0.850), while there were advantages for RAPN in the subdomains of 'Pain' (P = 0.006) and 'Physical functioning' (P = 0.011) immediately after surgery. For the European Organisation for Research and Treatment of Cancer quality of life questionnaire 30-item core there were overall advantages directly after surgery (mean [sd] score OPN 63 [20] vs RAPN 75 [17], P = 0.031), as well as for the subdomains 'Fatigue' (P = 0.026), 'Pain' (P = 0.002) and 'Constipation' (P = 0.045) but no differences at POD90. There were no differences for the EuroQoL five Dimensions five Levels questionnaire at POD90 (mean [sd] score OPN 70 [22] vs RAPN 72 [17], P = 1.0) or at any other time point. Finally, no significant differences were found for the overall Convalescence and Recovery Evaluation questionnaire score at POD90 (mean [sd] OPN 84 [13] vs RAPN 86 [10], P = 0.818) but less pain in the RAPN group (P = 0.017) directly after surgery. CONCLUSIONS: Pain and physical functioning as subdomains of QoL are improved after RAPN compared to OPN in the early postoperative course, while there are no differences anymore after 3 months. | ||
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| 650 | 4 | |a evidence‐based medicine | |
| 650 | 4 | |a Female | |
| 650 | 4 | |a Humans | |
| 650 | 4 | |a kidney cancer | |
| 650 | 4 | |a Kidney Neoplasms | |
| 650 | 4 | |a Male | |
| 650 | 4 | |a Middle Aged | |
| 650 | 4 | |a Nephrectomy | |
| 650 | 4 | |a Pain, Postoperative | |
| 650 | 4 | |a partial nephrectomy | |
| 650 | 4 | |a quality of life | |
| 650 | 4 | |a Quality of Life | |
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