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Information Behaviour and Knowledge of Patients Before Radical Prostatectomy.

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Title: Information Behaviour and Knowledge of Patients Before Radical Prostatectomy.
Authors: Hirtsiefer C; Klinik und Poliklinik für Urologie, Universitätsklinikum Carl Gustav Carus Dresden, 01307 Dresden, Germany., Vogelgesang A; Klinik und Poliklinik für Urologie, Universitätsklinikum Carl Gustav Carus Dresden, 01307 Dresden, Germany., Falkenbach F; Martini-Klinik Prostatakarzinomzentrum, Universitätsklinikum Hamburg-Eppendorf, 20251 Hamburg, Germany., Kafka M; Universitätsklinik für Urologie, Medizinische Universität Innsbruck, 6020 Innsbruck, Austria., Uhlig A; Klinik für Urologie, Universitätsmedizin Göttingen, 37075 Göttingen, Germany., Nestler T; Klinik für Urologie, Bundeswehrzentralrankenhaus Koblenz, 56072 Koblenz, Germany., Aksoy C; Klinik für Urologie, Universitätsklinikum Gießen und Marburg, 35043 Marburg, Germany., Simunovic I; Universitätsklinik für Urologie, Medizinische Universität Graz, 8010 Graz, Austria., Huber J; Klinik für Urologie, Universitätsklinikum Gießen und Marburg, 35043 Marburg, Germany., Heidegger I; Universitätsklinik für Urologie, Medizinische Universität Innsbruck, 6020 Innsbruck, Austria., Graefen M; Martini-Klinik Prostatakarzinomzentrum, Universitätsklinikum Hamburg-Eppendorf, 20251 Hamburg, Germany., Leitsmann M; Universitätsklinik für Urologie, Medizinische Universität Graz, 8010 Graz, Austria.; Institute for Applied Quality Improvement and Research in Health Care, 37073 Göttingen, Germany., Thomas C; Klinik und Poliklinik für Urologie, Universitätsklinikum Carl Gustav Carus Dresden, 01307 Dresden, Germany., Baunacke M; Klinik und Poliklinik für Urologie, Universitätsklinikum Carl Gustav Carus Dresden, 01307 Dresden, Germany.
Source: Cancers [Cancers (Basel)] 2025 Jan 17; Vol. 17 (2). Date of Electronic Publication: 2025 Jan 17.
Publication Type: Journal Article
Language: English
Journal Info: Publisher: MDPI Country of Publication: Switzerland NLM ID: 101526829 Publication Model: Electronic Cited Medium: Print ISSN: 2072-6694 (Print) Linking ISSN: 20726694 NLM ISO Abbreviation: Cancers (Basel) Subsets: PubMed not MEDLINE
Imprint Name(s): Original Publication: Basel, Switzerland : MDPI
Abstract: Background/objectives: Robot-assisted and open radical prostatectomy (RARP and ORP) are established procedures for localized prostate cancer, with comparable oncological and functional outcomes. Little is known about patients' knowledge of both procedures. This study aimed to examine comparatively the informational behaviour and knowledge of patients undergoing ORP vs. RARP.
Methods: This prospective, multicentre study included patients who underwent RARP or ORP prior to presurgery counselling. The questionnaires gathered information about patients' information-seeking behaviours and their assessment of outcomes for RARP vs. ORP. We investigated risk factors for the misperception of procedure outcomes.
Results: A total of 508 patients were included (307 RARP (60%); 201 ORP (40%)). The most common sources of information were outpatient urologists (84%), urologic departments (67%) and the internet (57%). Compared with ORP, RARP patients more often received the same amount of information about both procedures (60% vs. 40%, p < 0.001). Compared with ORP, RARP patients wrongfully considered their procedure to be superior in terms of oncological and functional outcomes. In the multivariable analysis, age > 66 years (OR 2.1, p = 0.02), no high school degree (OR 1.9, p = 0.04), unbalanced information search (OR 2.4, p = 0.02), RARP patient status (OR 8.9, p < 0.001), and treatment at a centre offering only one procedure (OR 3.5, p < 0.001) were independent predictors of misperception.
Conclusions: RARP patients wrongfully considered their intervention to be oncologically and functionally more beneficial than ORP patients perceived it to be. This may be due to unbalanced sources of information. Urologists and surgical centres must address this misperception to enable patients to make informed decisions.
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Contributed Indexing: Keywords: ORP; RARP; informational behaviour; patient decision-making; prostate cancer treatment; radical prostatectomy; robot-assisted surgery
Entry Date(s): Date Created: 20250125 Latest Revision: 20250130
Update Code: 20260130
PubMed Central ID: PMC11764233
DOI: 10.3390/cancers17020300
PMID: 39858082
Database: MEDLINE
Description
ISSN:2072-6694
DOI:10.3390/cancers17020300