Continence following radical retropubic prostatectomy using self-reporting instruments

Herbert Lepor, Ledia Kaci, Xiaonan (Nan) Xue

Research output: Contribution to journalArticle

88 Citations (Scopus)

Abstract

Purpose: We performed a global self-assessment of continence following radical retropubic prostatectomy (RRP) and determined how this global self-assessment of continence correlates with commonly used definitions of continence. Materials and Methods: Between October 2000 and February 2002 all men who underwent RRP were encouraged to complete the University of California-Los Angeles Prostate Cancer Index 3, 6, 12 and 24 months postoperatively. Beginning October 2002 a single question capturing the patient global self-assessment of continence status was added to the postoperative continence assessment. The study design was cross-sectional since only continence surveys submitted between October 2002 through February 2003 were evaluated. Sensitivity, specificity and K coefficient was determined for the relationship between the patient global assessment of continence vs the definition of continence based on pad requirement, problem due to incontinence and frequency of incontinence. Results: Continence progressively improved 3 to 24 months following RRP for all continence outcomes. At 24 months following RRP 97.1% of men considered themselves continent, while 97.1%, 94.1% and 97.1% were considered continent using continence definitions, including the requirement of no or 1 pad in a 24-hour interval, no or slight bother due to incontinence and total control or occasional dribbling, respectively. Our 3 definitions of continence derived from responses to the University of California-Los Angeles Prostate Cancer Index had excellent agreement with patient global self-assessment of continence (K coefficients between 0.76 and 0.83). Conclusions: The majority of men achieve continence without invasive intervention following RRP. Final continence status should be ascertained at 24 months. The patient global assessment of continence provides face validity for other definitions of continence based on responses to validated self-administered questionnaires.

Original languageEnglish (US)
Pages (from-to)1212-1215
Number of pages4
JournalJournal of Urology
Volume171
Issue number3
DOIs
StatePublished - Mar 2004

Fingerprint

Prostatectomy
Los Angeles
Prostatic Neoplasms
Reproducibility of Results
Sensitivity and Specificity
Self-Assessment
Surveys and Questionnaires

Keywords

  • Incontinence
  • Outcomes research (health care)
  • Prostate
  • Prostatectomy
  • Prostatic neoplasms

ASJC Scopus subject areas

  • Urology

Cite this

Continence following radical retropubic prostatectomy using self-reporting instruments. / Lepor, Herbert; Kaci, Ledia; Xue, Xiaonan (Nan).

In: Journal of Urology, Vol. 171, No. 3, 03.2004, p. 1212-1215.

Research output: Contribution to journalArticle

@article{894d63aec5c1449f9ca461df285d9f4d,
title = "Continence following radical retropubic prostatectomy using self-reporting instruments",
abstract = "Purpose: We performed a global self-assessment of continence following radical retropubic prostatectomy (RRP) and determined how this global self-assessment of continence correlates with commonly used definitions of continence. Materials and Methods: Between October 2000 and February 2002 all men who underwent RRP were encouraged to complete the University of California-Los Angeles Prostate Cancer Index 3, 6, 12 and 24 months postoperatively. Beginning October 2002 a single question capturing the patient global self-assessment of continence status was added to the postoperative continence assessment. The study design was cross-sectional since only continence surveys submitted between October 2002 through February 2003 were evaluated. Sensitivity, specificity and K coefficient was determined for the relationship between the patient global assessment of continence vs the definition of continence based on pad requirement, problem due to incontinence and frequency of incontinence. Results: Continence progressively improved 3 to 24 months following RRP for all continence outcomes. At 24 months following RRP 97.1{\%} of men considered themselves continent, while 97.1{\%}, 94.1{\%} and 97.1{\%} were considered continent using continence definitions, including the requirement of no or 1 pad in a 24-hour interval, no or slight bother due to incontinence and total control or occasional dribbling, respectively. Our 3 definitions of continence derived from responses to the University of California-Los Angeles Prostate Cancer Index had excellent agreement with patient global self-assessment of continence (K coefficients between 0.76 and 0.83). Conclusions: The majority of men achieve continence without invasive intervention following RRP. Final continence status should be ascertained at 24 months. The patient global assessment of continence provides face validity for other definitions of continence based on responses to validated self-administered questionnaires.",
keywords = "Incontinence, Outcomes research (health care), Prostate, Prostatectomy, Prostatic neoplasms",
author = "Herbert Lepor and Ledia Kaci and Xue, {Xiaonan (Nan)}",
year = "2004",
month = "3",
doi = "10.1097/01.ju.0000110631.81774.9c",
language = "English (US)",
volume = "171",
pages = "1212--1215",
journal = "Journal of Urology",
issn = "0022-5347",
publisher = "Elsevier Inc.",
number = "3",

}

TY - JOUR

T1 - Continence following radical retropubic prostatectomy using self-reporting instruments

AU - Lepor, Herbert

AU - Kaci, Ledia

AU - Xue, Xiaonan (Nan)

PY - 2004/3

Y1 - 2004/3

N2 - Purpose: We performed a global self-assessment of continence following radical retropubic prostatectomy (RRP) and determined how this global self-assessment of continence correlates with commonly used definitions of continence. Materials and Methods: Between October 2000 and February 2002 all men who underwent RRP were encouraged to complete the University of California-Los Angeles Prostate Cancer Index 3, 6, 12 and 24 months postoperatively. Beginning October 2002 a single question capturing the patient global self-assessment of continence status was added to the postoperative continence assessment. The study design was cross-sectional since only continence surveys submitted between October 2002 through February 2003 were evaluated. Sensitivity, specificity and K coefficient was determined for the relationship between the patient global assessment of continence vs the definition of continence based on pad requirement, problem due to incontinence and frequency of incontinence. Results: Continence progressively improved 3 to 24 months following RRP for all continence outcomes. At 24 months following RRP 97.1% of men considered themselves continent, while 97.1%, 94.1% and 97.1% were considered continent using continence definitions, including the requirement of no or 1 pad in a 24-hour interval, no or slight bother due to incontinence and total control or occasional dribbling, respectively. Our 3 definitions of continence derived from responses to the University of California-Los Angeles Prostate Cancer Index had excellent agreement with patient global self-assessment of continence (K coefficients between 0.76 and 0.83). Conclusions: The majority of men achieve continence without invasive intervention following RRP. Final continence status should be ascertained at 24 months. The patient global assessment of continence provides face validity for other definitions of continence based on responses to validated self-administered questionnaires.

AB - Purpose: We performed a global self-assessment of continence following radical retropubic prostatectomy (RRP) and determined how this global self-assessment of continence correlates with commonly used definitions of continence. Materials and Methods: Between October 2000 and February 2002 all men who underwent RRP were encouraged to complete the University of California-Los Angeles Prostate Cancer Index 3, 6, 12 and 24 months postoperatively. Beginning October 2002 a single question capturing the patient global self-assessment of continence status was added to the postoperative continence assessment. The study design was cross-sectional since only continence surveys submitted between October 2002 through February 2003 were evaluated. Sensitivity, specificity and K coefficient was determined for the relationship between the patient global assessment of continence vs the definition of continence based on pad requirement, problem due to incontinence and frequency of incontinence. Results: Continence progressively improved 3 to 24 months following RRP for all continence outcomes. At 24 months following RRP 97.1% of men considered themselves continent, while 97.1%, 94.1% and 97.1% were considered continent using continence definitions, including the requirement of no or 1 pad in a 24-hour interval, no or slight bother due to incontinence and total control or occasional dribbling, respectively. Our 3 definitions of continence derived from responses to the University of California-Los Angeles Prostate Cancer Index had excellent agreement with patient global self-assessment of continence (K coefficients between 0.76 and 0.83). Conclusions: The majority of men achieve continence without invasive intervention following RRP. Final continence status should be ascertained at 24 months. The patient global assessment of continence provides face validity for other definitions of continence based on responses to validated self-administered questionnaires.

KW - Incontinence

KW - Outcomes research (health care)

KW - Prostate

KW - Prostatectomy

KW - Prostatic neoplasms

UR - http://www.scopus.com/inward/record.url?scp=1542297818&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=1542297818&partnerID=8YFLogxK

U2 - 10.1097/01.ju.0000110631.81774.9c

DO - 10.1097/01.ju.0000110631.81774.9c

M3 - Article

C2 - 14767304

AN - SCOPUS:1542297818

VL - 171

SP - 1212

EP - 1215

JO - Journal of Urology

JF - Journal of Urology

SN - 0022-5347

IS - 3

ER -