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Perioperative Mobile Telehealth Program for Post-Prostatectomy Incontinence: A Randomized Clinical Trial.
Goode, Patricia S; Johnson, Theodore M; Newman, Diane K; Vaughan, Camille P; Echt, Katharina V; Markland, Alayne D; Kennedy, Richard; Van Arsdalen, Keith N; Rais-Bahrami, Soroush; Issa, Muta M; Barnacastle, Susan; Wright, Kate Clark; McCabe, Patrick; Malone, Matthew P; Redden, David T; Burgio, Kathryn L.
Afiliación
  • Goode PS; Birmingham/Atlanta Geriatric Research, Education, and Clinical Center (GRECC), Department of Veterans Affairs, Birmingham, Alabama and Atlanta, Georgia.
  • Johnson TM; University of Alabama at Birmingham, Birmingham, Alabama.
  • Newman DK; Birmingham/Atlanta Geriatric Research, Education, and Clinical Center (GRECC), Department of Veterans Affairs, Birmingham, Alabama and Atlanta, Georgia.
  • Vaughan CP; Emory University School of Medicine, Atlanta, Georgia.
  • Echt KV; University of Pennsylvania, Perelman School of Medicine, Philadelphia, Pennsylvania.
  • Markland AD; Corporal Michael J. Crescenz VA Medical Center, Department of Veterans Affairs, Philadelphia, Pennsylvania.
  • Kennedy R; Birmingham/Atlanta Geriatric Research, Education, and Clinical Center (GRECC), Department of Veterans Affairs, Birmingham, Alabama and Atlanta, Georgia.
  • Van Arsdalen KN; Emory University School of Medicine, Atlanta, Georgia.
  • Rais-Bahrami S; Birmingham/Atlanta Geriatric Research, Education, and Clinical Center (GRECC), Department of Veterans Affairs, Birmingham, Alabama and Atlanta, Georgia.
  • Issa MM; University of Alabama at Birmingham, Birmingham, Alabama.
  • Barnacastle S; Emory University School of Medicine, Atlanta, Georgia.
  • Wright KC; Birmingham/Atlanta Geriatric Research, Education, and Clinical Center (GRECC), Department of Veterans Affairs, Birmingham, Alabama and Atlanta, Georgia.
  • McCabe P; University of Alabama at Birmingham, Birmingham, Alabama.
  • Malone MP; Birmingham/Atlanta Geriatric Research, Education, and Clinical Center (GRECC), Department of Veterans Affairs, Birmingham, Alabama and Atlanta, Georgia.
  • Redden DT; University of Alabama at Birmingham, Birmingham, Alabama.
  • Burgio KL; University of Pennsylvania, Perelman School of Medicine, Philadelphia, Pennsylvania.
J Urol ; 208(2): 379-387, 2022 08.
Article en En | MEDLINE | ID: mdl-35389239
PURPOSE: Perioperative pelvic floor muscle training can hasten recovery of bladder control and reduce severity of urinary incontinence following radical prostatectomy. Nevertheless, most men undergoing prostatectomy do not receive this training. The purpose of this trial was to test the effectiveness of interactive mobile telehealth (mHealth) to deliver an evidence-based perioperative behavioral training program for post-prostatectomy incontinence. MATERIALS AND METHODS: This was a 3-site, 2-arm, randomized trial (2014-2019). Men with prostate cancer scheduled to undergo radical prostatectomy were randomized to a perioperative behavioral program (education, pelvic floor muscle training, progressive exercises, bladder control techniques) or a general prostate cancer education control condition, both delivered by mHealth for 1-4 weeks preoperatively and 8 weeks postoperatively. The primary outcome was time to continence following surgery measured by the ICIQ (International Consultation on Incontinence Questionnaire) Short-Form. Secondary outcomes measured at 6, 9 and 12 months included Urinary Incontinence Subscale of Expanded Prostate Cancer Index Composite; pad use; International Prostate Symptom Score QoL Question and Global Perception of Improvement. RESULTS: A total of 245 men (ages 42-78 years; mean=61.7) were randomized. Survival analysis using the Kaplan-Meier estimate showed no statistically significant between-group differences in time to continence. Analyses at 6 months indicated no statistically significant between-group differences in ICIQ scores (mean=7.1 vs 7.0, p=0.7) or other secondary outcomes. CONCLUSIONS: mHealth delivery of a perioperative program to reduce post-prostatectomy incontinence was not more effective than an mHealth education program. More research is needed to assess whether perioperative mHealth programs can be a helpful addition to standard prostate cancer care.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de la Próstata / Incontinencia Urinaria / Telemedicina Tipo de estudio: Clinical_trials / Diagnostic_studies / Etiology_studies Aspecto: Patient_preference Límite: Adult / Aged / Humans / Male / Middle aged Idioma: En Revista: J Urol Año: 2022 Tipo del documento: Article País de afiliación: Georgia Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de la Próstata / Incontinencia Urinaria / Telemedicina Tipo de estudio: Clinical_trials / Diagnostic_studies / Etiology_studies Aspecto: Patient_preference Límite: Adult / Aged / Humans / Male / Middle aged Idioma: En Revista: J Urol Año: 2022 Tipo del documento: Article País de afiliación: Georgia Pais de publicación: Estados Unidos