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Assessment of postoperative practices and discharge recommendations after radical prostatectomy

Melão, Bárbara Vieira Lima Aguiar ; Assel, Melissa ; Pere, Maria ; Nalavenkata, Sunny ; Touijer, Karim A. ; Laudone, Vincent P. ; Lin, Daniel W. ; Rivas, Juan Gomez ; Bjartell, Anders LU and Carlsson, Sigrid V. LU (2025) In Urologic Oncology: Seminars and Original Investigations 43(8). p.9-471
Abstract

Purpose: Consistent, accurate postoperative guidance is crucial for early recovery and patient satisfaction in urology, especially for radical prostatectomy (RP) patients. However, patients often receive inconsistent information, highlighting the need for standardized, evidence-based postoperative care guidelines. Materials and Methods: We conducted a comprehensive review and evaluation of current postoperative practices for RP. This involved (1) reviewing existing discharge information at Josie Robertson Surgery Center, Memorial Sloan Kettering Cancer Center to identify areas of improvement; (2) systematically evaluating inconsistencies in discharge instructions and their impact on patient care; (3) distributing an anonymous survey to... (More)

Purpose: Consistent, accurate postoperative guidance is crucial for early recovery and patient satisfaction in urology, especially for radical prostatectomy (RP) patients. However, patients often receive inconsistent information, highlighting the need for standardized, evidence-based postoperative care guidelines. Materials and Methods: We conducted a comprehensive review and evaluation of current postoperative practices for RP. This involved (1) reviewing existing discharge information at Josie Robertson Surgery Center, Memorial Sloan Kettering Cancer Center to identify areas of improvement; (2) systematically evaluating inconsistencies in discharge instructions and their impact on patient care; (3) distributing an anonymous survey to urologists in the US and Europe via REDCap to gather insights into global postoperative care practices. The survey included questions on various aspects of postoperative care, such as catheter use, medication regimens, dietary restrictions, and physical activity guidelines. Results: We received 247 survey responses. Despite some consensus on certain postoperative practices and recommendations, significant variability existed, underscoring the lack of standardized guidelines. Notable differences were observed between US and European cohorts, particularly in postoperative length of stay and discharge practices. Only 1.4% of US responders discharged patients 3 or more days postsurgery compared to 46% in Europe. Variability was also noted in recommendations for erectile function medications and postoperative activity restrictions. Conclusion: This study underscores the significant variability in postoperative care recommendations for RP and the urgent need for standardized, evidence-based guidelines. Implementing such guidelines will enhance patient recovery, satisfaction, and overall outcomes, improving postoperative care across various surgical procedures.

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author
; ; ; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Evidence-based medicine, Postoperative care, Prostatectomy
in
Urologic Oncology: Seminars and Original Investigations
volume
43
issue
8
pages
9 - 471
publisher
Elsevier
external identifiers
  • pmid:40307080
  • scopus:105003958182
ISSN
1078-1439
DOI
10.1016/j.urolonc.2025.03.027
language
English
LU publication?
yes
id
80c54a13-253b-4051-942e-5cf25425d49c
date added to LUP
2025-09-24 13:43:33
date last changed
2025-10-22 11:47:27
@article{80c54a13-253b-4051-942e-5cf25425d49c,
  abstract     = {{<p>Purpose: Consistent, accurate postoperative guidance is crucial for early recovery and patient satisfaction in urology, especially for radical prostatectomy (RP) patients. However, patients often receive inconsistent information, highlighting the need for standardized, evidence-based postoperative care guidelines. Materials and Methods: We conducted a comprehensive review and evaluation of current postoperative practices for RP. This involved (1) reviewing existing discharge information at Josie Robertson Surgery Center, Memorial Sloan Kettering Cancer Center to identify areas of improvement; (2) systematically evaluating inconsistencies in discharge instructions and their impact on patient care; (3) distributing an anonymous survey to urologists in the US and Europe via REDCap to gather insights into global postoperative care practices. The survey included questions on various aspects of postoperative care, such as catheter use, medication regimens, dietary restrictions, and physical activity guidelines. Results: We received 247 survey responses. Despite some consensus on certain postoperative practices and recommendations, significant variability existed, underscoring the lack of standardized guidelines. Notable differences were observed between US and European cohorts, particularly in postoperative length of stay and discharge practices. Only 1.4% of US responders discharged patients 3 or more days postsurgery compared to 46% in Europe. Variability was also noted in recommendations for erectile function medications and postoperative activity restrictions. Conclusion: This study underscores the significant variability in postoperative care recommendations for RP and the urgent need for standardized, evidence-based guidelines. Implementing such guidelines will enhance patient recovery, satisfaction, and overall outcomes, improving postoperative care across various surgical procedures.</p>}},
  author       = {{Melão, Bárbara Vieira Lima Aguiar and Assel, Melissa and Pere, Maria and Nalavenkata, Sunny and Touijer, Karim A. and Laudone, Vincent P. and Lin, Daniel W. and Rivas, Juan Gomez and Bjartell, Anders and Carlsson, Sigrid V.}},
  issn         = {{1078-1439}},
  keywords     = {{Evidence-based medicine; Postoperative care; Prostatectomy}},
  language     = {{eng}},
  number       = {{8}},
  pages        = {{9--471}},
  publisher    = {{Elsevier}},
  series       = {{Urologic Oncology: Seminars and Original Investigations}},
  title        = {{Assessment of postoperative practices and discharge recommendations after radical prostatectomy}},
  url          = {{http://dx.doi.org/10.1016/j.urolonc.2025.03.027}},
  doi          = {{10.1016/j.urolonc.2025.03.027}},
  volume       = {{43}},
  year         = {{2025}},
}