Three-month post-op EPIC scores predict functional outcomes

3-month post-op EPIC scores predict functional outcomes

(HealthDay)—Three-month scores on the Expanded Prostate Cancer Index Composite (EPIC) predict urinary and sexual functional outcomes at 12 months, according to a study published in the October issue of The Journal of Urology.

Jonathan S. Ellison, M.D., from the University of Michigan in Ann Arbor, and colleagues retrospectively reviewed a prospectively maintained database for patients treated with prostatectomy from 2000 to 2009. Preoperatively and at three- and 12-month follow-ups, EPIC scores, including sexual inventory (EPIC-S) and urinary inventory (EPIC-UIN) scores, were acquired.

The researchers found that there were 226 patients treated with open and 235 treated with robotic surgery. Compared with three-month scores, 12-month EPIC-UIN scores worsened in 2.7 percent, improved in 47.8 percent, and were stable in 49.4 percent of the 437 patients with complete questionnaires. EPIC-S scores at 12 months worsened compared with three-month scores in 3.9 percent, improved in 36.9 percent, and were stable in 59.2 percent of the 436 with complete questionnaires. Three-month EPIC-UIN scores of 50 or greater (odds ratio, 7.76) and EPIC-S scores of 45 or greater (odds ratio, 3.64; P < 0.0001 for both) predicted return to baseline.

"Three-month EPIC-UIN and EPIC-S scores were useful for predicting 12-month functional outcomes," the authors write.

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Similar outcomes for robotic, laparoscopic prostatectomy

Apr 17, 2013

(HealthDay)—For men undergoing routine surgical treatment for localized cancer of the prostate, robot-assisted radical prostatectomy (RALP) does not result in better functional outcomes compared to laparoscopic ...

Lidocaine spray effective anesthesia in LEEP

Aug 14, 2013

(HealthDay)—For patients undergoing a loop electrosurgical excision procedure (LEEP), a lidocaine spray is safe and effective for local anesthesia, according to a study published online Aug. 5 in Obstetrics & ...

Recommended for you

Sierra Leone faces criticism over Ebola shutdown

15 minutes ago

Sierra Leone began the second day of a 72-hour nationwide shutdown aimed at containing the spread of the deadly Ebola virus on Saturday amid criticism that the action was a poorly planned publicity stunt.

Presence of peers ups health workers' hand hygiene

14 hours ago

(HealthDay)—The presence of other health care workers improves hand hygiene adherence, according to a study published in the October issue of Infection Control and Hospital Epidemiology.

Sierra Leone streets deserted as shutdown begins

23 hours ago

Sierra Leone's normally chaotic capital resembled a ghost town on Friday as residents were confined to their homes for the start of a three-day lockdown aimed at halting the deadly Ebola epidemic.

Sierra Leone launches controversial Ebola shutdown

Sep 19, 2014

Sierra Leone on Friday launched a controversial three-day shutdown to contain the deadly spread of the Ebola virus, as the UN Security Council declared the deadly outbreak a threat to world peace.

User comments