Exploring Pathways Towards Improving Patient Experience of Robot-Assisted Radical Prostatectomy (RARP): Assessing Patient Satisfaction and Attitudes.

2018-05

Reynolds, Bradley R

Bulsara, Caroline

Zeps, Nik

Codde, Jim

Lawrentschuk, Nathan

Bolton, Damien M

Vivian, Justin

ERAS

RARP

Prostate cancer

Robot-Assisted Radical prostatectomy

Journal Article

0000-0002-5145-6783

0000-0001-8553-5618

10.1111/bju.14226

To determine patient satisfaction and experience after Robot-Assisted Radical Prostatectomy (RARP) for prostate cancer, using a convergent mixed-method qualitative analysis approach. 412 patients who underwent RARP between January 2014 and June 2016 were mailed questionnaires and invited to participate in focus groups. Qualitative data was thematically analysed using NVivo. Descriptive statistics were obtained from the questionnaire using SPSS. 214 patients responded (52% of sample size) of whom 97.6% were satisfied and 91.1% would likely recommend RARP. Key themes from the qualitative data highlighted the psychosocial impacts of the diagnosis and RARP process. The importance of early recovery, the benefits of pelvic floor exercises and educational resources were emphasised. Patients were overwhelmingly satisfied with RARP, largely due to relevance and timeliness of the information and support provided both before and after surgery. With an increased understanding of the factors and outcomes that are most important to patients regarding all aspects of hospital care, we can create more targeted care pathways. Key themes will help inform the implementation of an ERAS protocol to further improve recovery and early return to function. This article is protected by copyright. All rights reserved.

link

BJU International 2018; 121 Suppl 3: 33-39

BJU International