PRO-P: evaluating the effect of electronic patient-reported outcome measures monitoring compared with standard care in prostate cancer patients undergoing surgery-study protocol for a randomized controlled trial
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View abstract on PubMed
Summary
This summary is machine-generated.This study explored using electronic patient-reported outcome measures (ePROMs) for prostate cancer (PC) patients after surgery. Structured monitoring with ePROMs may improve urinary continence and quality of life post-prostatectomy.
Area Of Science
- Oncology
- Surgical Oncology
- Health Services Research
Background
- Prostate cancer (PC) is the most common cancer in men in Germany, with localized disease often treated by radical prostatectomy.
- Postoperative quality of life (QoL) is significantly impacted by surgical side effects.
- Electronic patient-reported outcome measures (ePROMs) offer a potential method for improving QoL through postoperative symptom monitoring.
Purpose Of The Study
- To investigate the impact of structured postoperative symptom monitoring using ePROMs on patients undergoing radical prostatectomy.
- To assess the potential of ePROMs to improve urinary continence, psychological burden, and overall quality of life in the first year after surgery.
- To evaluate the feasibility, effectiveness, and implementation of ePROMs in routine clinical care for prostate cancer patients.
Main Methods
- A randomized controlled trial (PRO-P study) involving 260 patients with post-prostatectomy incontinence.
- 1:1 randomization with follow-up assessments at 6, 12, 18, 24, 36, and 52 weeks postoperatively.
- Monitoring of urinary continence, EPIC-26 domains, psychological burden, and QoL, with alerts triggering patient contact and interventions.
Main Results
- The primary endpoint is to determine the effect on urinary continence.
- Secondary endpoints include improvements in EPIC-26 domains, psychological distress, and QoL.
- A qualitative process evaluation will examine feasibility, effect, and implementation aspects.
Conclusions
- The PRO-P study is among the first to investigate PRO-monitoring in cancer surgery for potential routine care applicability.
- Structured follow-up using ePROMs may enhance urinary continence and QoL in patients post-prostatectomy.
- Successful implementation could involve IT adaptation to German Cancer Society standards and integration via a joint patient portal.
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