MP67-05 PROSPECTIVE QUALITY ASSESSMENT USING PATIENT REPORTED OUTCOMES MEASURES (PROMS) OF NURSE-LED COORDINATED PATHWAYS OF CARE FOR ROBOTIC ASSISTED PARTIAL NEPHRECTOMY (UroCCR 25)

You have accessJournal of UrologyKidney Cancer: Localized: Surgical Therapy V (MP67)1 May 2024MP67-05 PROSPECTIVE QUALITY ASSESSMENT USING PATIENT REPORTED OUTCOMES MEASURES (PROMS) OF NURSE-LED COORDINATED PATHWAYS OF CARE FOR ROBOTIC ASSISTED PARTIAL NEPHRECTOMY (UroCCR 25) Gaëlle Margue, Clément Klein, Abderrahmane Khaddad, Solène Ricard, Emmanuelle Callede, Eric Alezra, Grégoire Capon, Franck Bladou, Grégoire Robert, and Jean-Christophe Bernhard Gaëlle MargueGaëlle Margue , Clément KleinClément Klein , Abderrahmane KhaddadAbderrahmane Khaddad , Solène RicardSolène Ricard , Emmanuelle CalledeEmmanuelle Callede , Eric AlezraEric Alezra , Grégoire CaponGrégoire Capon , Franck BladouFranck Bladou , Grégoire RobertGrégoire Robert , and Jean-Christophe BernhardJean-Christophe Bernhard View All Author Informationhttps://doi.org/10.1097/01.JU.0001009496.54470.10.05AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: While Robot Assisted Partial Nephrectomy (RAPN) has become the gold standard of treatment for localized kidney cancer its economic sustainability is regularly questioned. We have thus implemented a nurse-led coordination of RAPN pathways of care, for both enhanced recovery after surgery (ERAS) and ambulatory. These protocols led to shorter length of stay (LOS) and reduced cost of care. Our objective was to evaluate patients' satisfaction in these pathways using Patient Reported Outcome Measures (PROMs). METHODS: Between September 2016 and August 2023, the EVAN-G satisfaction questionnaire was distributed to all outpatients and to ERAS patients according to a randomization with a 3:1 ratio. All patients were included and followed prospectively, and their clinical data stored in the French kidney cancer research network database UroCCR (CNIL DR 2013-206; NCT03293563). RESULTS: Over the inclusion period, 1046 patients underwent surgery for RAPN and 442 were included in the study. The cohorts' characteristics are reported in Table 1. 422 patients answered the questionnaire on Day 1 (277 in ERAS and 145 in ambulatory) (Figure 1). Overall satisfaction was high (mean score of 83.2±10.7% for outpatients and 80.2±12.9% for ERAS). In both cohorts, the variable "attention paid to the patient" was rated the highest (95±10.2% and 93.2±11.4%), while the variable "pain management" obtained the lowest score (59.3±22.1% and 57.6±26%). CONCLUSIONS: Nurse-led coordinated pathways of care for patients undergoing RAPN ensure safe management and high patient satisfaction, while reducing the length of hospital stay. The quality of care perceived was high in both care pathways (ERAS and ambulatory). Download PPT Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e1097 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Gaëlle Margue More articles by this author Clément Klein More articles by this author Abderrahmane Khaddad More articles by this author Solène Ricard More articles by this author Emmanuelle Callede More articles by this author Eric Alezra More articles by this author Grégoire Capon More articles by this author Franck Bladou More articles by this author Grégoire Robert More articles by this author Jean-Christophe Bernhard More articles by this author Expand All Advertisement PDF downloadLoading ...