Background/Objectives: Robot-assisted and open radical prostatectomy (RARP and ORP) are established procedures for localized prostate cancer, with comparable oncological and functional outcomes. Little is known about patients’ knowledge of both procedures. This study aimed to examine comparatively the informational behaviour and knowledge of patients undergoing ORP vs. RARP. Methods: This prospective, multicentre study included patients who underwent RARP or ORP prior to presurgery counselling. The questionnaires gathered information about patients’ information-seeking behaviours and their assessment of outcomes for RARP vs. ORP. We investigated risk factors for the misperception of procedure outcomes. Results: A total of 508 patients were included (307 RARP (60%); 201 ORP (40%)). The most common sources of information were outpatient urologists (84%), urologic departments (67%) and the internet (57%). Compared with ORP, RARP patients more often received the same amount of information about both procedures (60% vs. 40%,p< 0.001). Compared with ORP, RARP patients wrongfully considered their procedure to be superior in terms of oncological and functional outcomes. In the multivariable analysis, age > 66 years (OR 2.1,p= 0.02), no high school degree (OR 1.9,p= 0.04), unbalanced information search (OR 2.4,p= 0.02), RARP patient status (OR 8.9,p< 0.001), and treatment at a centre offering only one procedure (OR 3.5,p< 0.001) were independent predictors of misperception. Conclusions: RARP patients wrongfully considered their intervention to be oncologically and functionally more beneficial than ORP patients perceived it to be. This may be due to unbalanced sources of information. Urologists and surgical centres must address this misperception to enable patients to make informed decisions.
背景/目的：机器人辅助与开放性根治性前列腺切除术（RARP与ORP）是局限性前列腺癌的成熟术式，二者在肿瘤学与功能学结局方面具有可比性。目前关于患者对这两种术式认知情况的研究较少。本研究旨在比较接受ORP与RARP患者的信息获取行为及认知差异。方法：这项前瞻性多中心研究纳入了术前咨询前接受RARP或ORP的患者。通过问卷调查收集患者信息获取行为及其对RARP与ORP结局的评估情况，并探究导致对手术结局认知偏差的危险因素。结果：共纳入508例患者（RARP组307例（60%）；ORP组201例（40%））。主要信息获取渠道为门诊泌尿科医师（84%）、泌尿外科科室（67%）及互联网（57%）。与ORP患者相比，RARP患者更常获得两种术式的等量信息（60% vs. 40%，p<0.001）。相较于ORP患者，RARP患者更倾向于错误地认为其接受的手术在肿瘤学与功能学结局方面更具优势。多变量分析显示，年龄>66岁（OR 2.1，p=0.02）、无高中学历（OR 1.9，p=0.04）、信息获取不均衡（OR 2.4，p=0.02）、RARP患者身份（OR 8.9，p<0.001）以及在仅提供单一术式的医疗中心接受治疗（OR 3.5，p<0.001）是认知偏差的独立预测因素。结论：RARP患者错误地认为其接受的手术在肿瘤学与功能学方面优于ORP患者认知中的手术效果，这可能源于信息获取渠道的不均衡。泌尿科医师及手术中心需正视这一认知偏差，以帮助患者做出知情决策。
Information Behaviour and Knowledge of Patients Before Radical Prostatectomy
肿瘤(癌症)患者之家