التفاصيل البيبلوغرافية
| العنوان: |
Early patient‐reported outcomes after robotic‐assisted versus video‐assisted thoracoscopic lobectomy. |
| المؤلفون: |
Lan, Zihua, Zeng, Cheng, Li, Zijie, Xia, Xin, Mo, Aotian, Li, Xianglin, Ben, Xiaosong, Zhou, Haiyu, Deng, Cheng, Chen, Rixin, Shi, Qiuling, Tang, Yong, Qiao, Guibin |
| المصدر: |
Thoracic Cancer; Jul2024, Vol. 15 Issue 20, p1563-1571, 9p |
| مصطلحات موضوعية: |
VIDEO-assisted thoracic surgery, SURGICAL robots, RESEARCH funding, PATIENT readmissions, POSTOPERATIVE pain, SYMPTOM burden, FUNCTIONAL status, CANCER patients, RETROSPECTIVE studies, DESCRIPTIVE statistics, LONGITUDINAL method, SURGICAL complications, LUNG tumors, CONVALESCENCE, POSTOPERATIVE period, HEALTH outcome assessment, COMPARATIVE studies, LUNG cancer, PNEUMONECTOMY, PATIENTS' attitudes, REGRESSION analysis, MEDICAL care costs |
| مستخلص: |
Background: Robotic‐assisted thoracoscopic surgery (RATS) can achieve traditional clinical outcomes comparable to those of video‐assisted thoracoscopic surgery (VATS). However, patient‐reported outcomes (PROs) during the early period after RATS and VATS remain unclear. This study aimed to utilize longitudinal electronic PRO (ePRO) assessments to evaluate symptom burden and functional status between these approaches from patients' perspective. Methods: This study comprised patients who underwent lobectomy via RATS or VATS for non‐small cell lung cancer. We collected multiple‐time‐point PROs data from the prospective longitudinal study via an ePRO system. Symptom severity and function status were assessed using the perioperative symptom assessment for patients undergoing lung surgery and were analyzed between groups using linear mixed‐effects models. Results: Of the 164 patients, 42 underwent RATS and 122 underwent VATS. After propensity score matching (PSM), 42 RATS and 84 VATS exhibited similar baseline characteristics. During the 7‐day postoperative period, participants underwent RATS reported milder pain (p = 0.014), coughing (p < 0.001), drowsiness (p = 0.001), and distress (p = 0.045) compared with those underwent VATS. Moreover, participants in RATS group showed less functional interference with walking (p < 0.001) and general activity (p < 0.001). RATS exhibited a shorter postoperative hospitalization (p = 0.021) but higher hospital cost (p < 0.001). Meanwhile, short‐term clinical outcomes of operative time, dissected lymph node stations, chest tube drainage, and postoperative complication rates were comparable. Conclusion: PROs are important metrics for assessing patients' recovery after lobectomy. Compared with VATS, RATS may induce less symptom burden and better functional status for patients in the early postoperative period. [ABSTRACT FROM AUTHOR] |
|
Copyright of Thoracic Cancer is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
Full Text Finder