Health Related Quality of Life and Residual Symptoms in Prostatic Surgical Treatment at Bethesda Hospital Yogyakarta: a Retrospective Study
Abstract: The incidence of
Prostate Enlargement (PE) has been increasing over the years. The satisfaction
towards the treatment result and life quality (QOL) improvement must be the key
point of PE treatment. QOL is affected by many conditions, such as age,
socioeconomic status, comorbid disease, and type of surgery. The objective of
the study was to assess the QOL in PE patients post surgery, to explore the
predictor factor, and to assess the satisfaction related to urinary
functionality in the Indonesian context.
Methods: A retrospective study was conducted and the subjects were all PE
patients who underwent surgical treatment. EQ-5D-5L/EQ-VAS and Index Quality of
Life (IQL) were used to assess the patient’s QOL & treatment satisfaction.
The subjects were divided into several sub-groups based on age, type of
surgery, comorbid condition, type of ward, funding source, histopathological
result, and the year of treatment. The collected data wee analyzed using
Mann-Whitney test, Kruskal Wallis test, or Chi-square test, Spearman’s rho test
and multiple linear regression.
Results: All the 149 subjects were at the average age of 69.09 years .
There were no significant statistical differences in QOL between age, comorbid
conditions, and histopathology result. Health insurance (HI) was significantly
associated with QOL. There were improvements of IQL subjects. The most symptoms
remaining was frequency (47.4%).
Conclusions: Life improvement must be the major purpose of PE therapy.
The association between HI with QOL suggests that a better HI in developing
countries can ensure a better quality of life outcome.
Keywords: Health-related
Quality of Life, prostate enlargement, surgery
Author: Daniel Mahendra
Krisna, Hariatmoko, Rizaldy Taslim Pinzon
Journal Code: jpkedokterangg170071
