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Assessing the Impact of Decision Aid Use on Post Prostatectomy Patient Reported Outcomes.
Giulia I Lane1, Ji Qi1, Ajith Dupati2
1Department of Urology, University of Michigan, Ann Arbor, MI; VA Ann Arbor Medical Center, Ann Arbor, MI.
Urology
|February 27, 2022
Summary
Using the Personal Patient Profile - Prostate (P3P) decision aid before prostatectomy reduced bother from erectile dysfunction at six months. P3P did not significantly impact urinary incontinence bother post-surgery.
Area of Science:
- Urology
- Oncology
- Health Services Research
Background:
- Prostatectomy for localized prostate cancer can lead to urinary incontinence and erectile dysfunction.
- Patient decision aids aim to improve informed consent and outcomes.
Purpose of the Study:
- To evaluate the impact of the Personal Patient Profile - Prostate (P3P) decision aid on post-prostatectomy bother from urinary incontinence and erectile dysfunction.
Main Methods:
- Retrospective analysis of 3987 men undergoing prostatectomy (2018-2021).
- Multivariable logistic regression assessed the association between P3P use and bother using the Expanded Prostate Cancer Index Composite (EPIC-26).
Main Results:
- P3P use (7% of patients) was associated with significantly less bother from erectile dysfunction at 6 months (aOR 0.42).
- No significant difference in bother from urinary incontinence was observed at 3 or 6 months.
- The effect on erectile dysfunction bother was not significant at 12 months.
Conclusions:
- The P3P decision aid may decrease bother from sexual dysfunction after prostatectomy.
- P3P use did not appear to affect bother from urinary incontinence at 6 months post-surgery.
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