Health-related quality of life after robotic-assisted laparoscopic hysterectomy for women with endometrial cancer — A prospective cohort study

Abstract Objective The aim of this prospective cohort study using patient-reported outcome measures (PROMs) was to detect short term changes in functioning, symptoms and health-related quality of life (HRQoL) after robotic-assisted laparoscopic hysterectomy (RALH) for endometrial cancer or atypical...

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Bibliographic Details
Published in:Gynecologic oncology 2016-01, Vol.140 (1), p.107-113
Main Authors: Herling, Suzanne F, Møller, Ann M, Palle, Connie, Thomsen, Thordis
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Cohort Studies
Endometrial neoplasms
Endometrial Neoplasms - surgery
Female
Hematology, Oncology and Palliative Medicine
Humans
Hysterectomy
Hysterectomy - adverse effects
Hysterectomy - methods
Hysterectomy - standards
Laparoscopy - adverse effects
Laparoscopy - methods
Laparoscopy - standards
Middle Aged
Obstetrics and Gynecology
Patient Satisfaction
Patient-reported outcome measures
Prospective Studies
Quality of Life
Robotic Surgical Procedures - adverse effects
Robotic Surgical Procedures - methods
Robotic Surgical Procedures - standards
Robotics
Treatment Outcome
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Summary:Abstract Objective The aim of this prospective cohort study using patient-reported outcome measures (PROMs) was to detect short term changes in functioning, symptoms and health-related quality of life (HRQoL) after robotic-assisted laparoscopic hysterectomy (RALH) for endometrial cancer or atypical complex hyperplasia. Methods/materials A total of 139 women answered the EORTC C-30, EN-24 and EQ-5D-3L preoperatively (baseline) by face to face interview and again 1 week, 5 weeks and 4 months postoperatively by telephone interview. The women furthermore reported their level of activity compared to their habitual level in a diary during the first 5 weeks after surgery. Results We found a clinically relevant decrease in HRQoL after 1 week. At 5 weeks postoperatively, HRQoL was again at the preoperative level. Fatigue, pain, constipation, gastrointestinal symptoms, and appetite were all negatively affected 1 week postoperatively, but back to baseline level at 5 weeks. Ability to perform work or hobbies and change of taste were still affected at 5 weeks. Conclusions HRQoL and postoperative symptoms were overall back to the preoperative level 5 weeks after RALH. These findings indicate fatigue, pain, constipation, gastrointestinal symptoms, appetite, ability to perform work and hobbies, change of taste and sexually related problems should be addressed in future research and in the pre- and postoperative care for women undergoing RALH.
ISSN:0090-8258
1095-6859
DOI:10.1016/j.ygyno.2015.10.024