Treatment Decisions Regret and Related Factors following Radical Prostatectomy

Thursday, July 14, 2011

Yu-Hua Lin, PhD, RN
Nursing Department, I-Shou University, Kaohsiung County, Taiwan

Learning Objective 1: The learner will be able to understand the regret that patients report following a radical prostatectomy.

Learning Objective 2: The learner will be able to understand the influencing factors that related for the regret in radical prostatectomy recipients.

Purpose: 

 To understand the regret that patients report following a radical prostatectomy and the influencing factors for their regret.

Methods:  

 Patients who were diagnosed with prostate cancer, and who underwent a radical prostatectomy (RP) between 2004 and 2010 were recruited for this study. The data gathered included a regret scale, the University of California, Los Angeles, Prostate Cancer Index (UCLA-PCI), and demographic and disease related information.

Results: 

 A total of 100 patients participated in our study. Of those who participated, 31% regretted that they had received an RP. Stepwise regression showed that the following five variables were predictors of patient regret after an RP: whether or not the patient would choose to have an RP again, understanding the treatment and complications, bothersome sexual side effects, age, and bothersome bowel side effects.

Conclusion: 

We found that 31.0% of the participants reported experiencing regret after receiving an RP. Our data suggest that urologists and nurses should carefully portray the risks and benefits of RPs during preoperative counseling to minimize patient regret and maximize patient satisfaction.