Prospective pilot study of patient-reported fatigue, physical activity and cardiovascular status in men after robotic-assisted radical prostatectomy
BAUS ePoster online library. Ashton R.
Jun 26, 2018; 211347
Disclosure(s): The research was funded by The Urology Foundation.
Ms. Ruth Ashton
Ms. Ruth Ashton
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Abstract
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Introduction: Patient-reported fatigue after robotic-assisted radical prostatectomy (RARP) has not been characterised to date. It is commonly assumed that men undergoing RARP are active, fit and return to their pre-operative status after surgery. Fatigue after other prostate cancer treatments significantly impact on patient-reported quality of life. The aim of this pilot study was to investigate fatigue, physical activity (PA) levels and cardiovascular status in men after RARP.

Patients and Methods: Between October 2016 and March 2017, consecutive men post-RARP or on androgen deprivation therapy (ADT) attending a weekly urology clinic in a RARP centre were invited to participate in the study (NHS REC South Scotland). Men were given the Brief Fatigue Inventory, Stage of Change and Scottish Physical Activity Questionnaires to complete over a two-week period and return in a prepaid stamp addressed envelope. Data were analysed using IBM SPSS Statistics.

Results: In total 96/117(82%) men approached consented and 62/96(65%) returned complete questionnaire data. Table 1 summarises the results. The cohort of men who underwent RARP were overweight and had an 18.1% risk of suffering a heart attack within the next 10 years. Although all patients undergoing RARP reported fatigue, 9/42 patients post-RARP reported clinically significant fatigue. Patient-reported PA mainly consisted of walking (51.3%).

Conclusions: A significant proportion of men experience fatigue, are physically inactive and at risk of developing cardiovascular disease after RARP. Our pilot study indicates that a larger cross-sectional study of men after RARP is warranted. These men would benefit from a structured interventions to improve health after RARP.
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