Mp24-09 Decision Regret of Discharge Pathway Choice Among Robot-Assisted Radical Prostatectomy Patients

You have accessJournal of UrologyHealth Services Research: Practice Patterns, Quality of Life and Shared Decision Making II (MP24)1 May 2024MP24-09 DECISION REGRET OF DISCHARGE PATHWAY CHOICE AMONG ROBOT-ASSISTED RADICAL PROSTATECTOMY PATIENTS Narmina Khanmammadova, Maria Epino, Tuan Thanh Nguyen, Mitchell O'Leary, Andrew Shea Afyouni, Daniel Jiang, Joshua Tran, Catherine Fung, Caroline Nguyen, Sohrab Naushad Ali, Mohammed Shahait, Thomas E. Ahlering, and David I. Lee Narmina KhanmammadovaNarmina Khanmammadova , Maria EpinoMaria Epino , Tuan Thanh NguyenTuan Thanh Nguyen , Mitchell O'LearyMitchell O'Leary , Andrew Shea AfyouniAndrew Shea Afyouni , Daniel JiangDaniel Jiang , Joshua TranJoshua Tran , Catherine FungCatherine Fung , Caroline NguyenCaroline Nguyen , Sohrab Naushad AliSohrab Naushad Ali , Mohammed ShahaitMohammed Shahait , Thomas E. AhleringThomas E. Ahlering , and David I. LeeDavid I. Lee View All Author Informationhttps://doi.org/10.1097/01.JU.0001008860.46052.c4.09AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Same-day discharge (SDD) is a new trend for robot-assisted radical prostatectomy (RARP). Some patients still prefer to stay overnight, and we sought to assess patients' perspectives regarding the discharge pathway after RARP. METHODS: Following IRB approval, a survey consisting of 24 questions was distributed to 385 patients who underwent RARP from June 2020 to June 2023. 186 (48%) patients responded to survey. SDD is defined as being discharged within 4 hours after surgery, and inpatient is defined as overnight stay at hospital. The cut-off score of 15 was used to determine the high and low regret scores (RS). Score of 0 indicates no regret whereas 100 indicates complete regret. RESULTS: Patient characteristics are shown in Table 1. There were no differences in median RS between the SDD (n=101) and inpatient (n=75) groups (0 (0 – 5) vs. 0 (0 – 5), p=0.963, respectively). 17% of all patients had high RS. Both groups had 17% of patients with high RS (p=0.963). The inpatient cohort was older (p=0.025), had higher disease grade (p=0.011) and longer operative times (p=<0.001). The low regret groups of both discharge pathways had a higher education level, which was more significant in the SDD group (p=0.002, p=0.023, respectively). Post-op pain and catheter discomfort were the most commonly reported issues within both the SDD and inpatient groups. There was a higher number of patients who reported not receiving enough explanation regarding the discharge pathway and treatment in the high regret group for both pathways (p<0.001, both). There was also a higher rate of confusion about the admission/discharge process within the SDD high regret group compared to the low regret group (p=0.003). The high regret groups of both pathways had higher rates of clinic visits (p=0.038) and the high regret group of the inpatient cohort had higher rates of ER visits during the 1st week postop (p=0.024). CONCLUSIONS: There is no difference in rates of regret regarding discharge pathway after RARP between patients undergoing SDD or an inpatient stay. Factors leading to increased decision regret included lower education level, inadequate explanation and confusion regarding the process. Adequate preoperative counselling regarding the admission and discharge process is vital for patient satisfaction for both SDD and inpatient admission after RARP. Source of Funding: N/A © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e395 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Narmina Khanmammadova More articles by this author Maria Epino More articles by this author Tuan Thanh Nguyen More articles by this author Mitchell O'Leary More articles by this author Andrew Shea Afyouni More articles by this author Daniel Jiang More articles by this author Joshua Tran More articles by this author Catherine Fung More articles by this author Caroline Nguyen More articles by this author Sohrab Naushad Ali More articles by this author Mohammed Shahait More articles by this author Thomas E. Ahlering More articles by this author David I. Lee More articles by this author Expand All Advertisement PDF downloadLoading ...