From an On-site Program to a Mobile App for Prehabilitation and Rehabilitation for Robotic Radical Prostatectomy: Lessons Learned from 5 Years of Experience, the COVID-19 Outbreak, and Comparison with Nationwide Data.

Autor: Ploussard G; Urology Department, La Croix du Sud Hospital, Quint Fonsegrives, France. Electronic address: g.ploussard@gmail.com., Kesch C; Urology Department, La Croix du Sud Hospital, Quint Fonsegrives, France., Calleris G; Urology Department, La Croix du Sud Hospital, Quint Fonsegrives, France., Buhas B; Urology Department, La Croix du Sud Hospital, Quint Fonsegrives, France., Salin A; Urology Department, La Croix du Sud Hospital, Quint Fonsegrives, France., Almeras C; Urology Department, La Croix du Sud Hospital, Quint Fonsegrives, France., Loison G; Urology Department, La Croix du Sud Hospital, Quint Fonsegrives, France., Lesourd M; Urology Department, La Croix du Sud Hospital, Quint Fonsegrives, France., Tollon C; Urology Department, La Croix du Sud Hospital, Quint Fonsegrives, France., Pradère B; Urology Department, La Croix du Sud Hospital, Quint Fonsegrives, France., Beauval JB; Urology Department, La Croix du Sud Hospital, Quint Fonsegrives, France.
Jazyk: angličtina
Zdroj: European urology oncology [Eur Urol Oncol] 2024 Apr; Vol. 7 (2), pp. 297-299. Date of Electronic Publication: 2023 Oct 19.
DOI: 10.1016/j.euo.2023.10.007
Abstrakt: Prehabilitation programs play a key role in optimizing patient experiences and outcomes after surgery. However, there are few data on robot-assisted radical prostatectomy, and prehabilitation programs may be challenging to launch and maintain over time for every patient. Here we report our 5-yr experience of an on-site prehabilitation program and its impact on patient and hospital outcomes. During the study period, we observed continuous improvements in the same-day discharge rate (from 0% to 26.4%), hospital stay (from 3 to 0.9. d), costs (-63%), days out of hospital within 30 d after surgery in our center, and in comparison to contemporary nationwide data. However, despite these advantages, maintenance and diffusion of this program could be challenging owing to the absence of incentive support and lack of human resources. This led us to develop two free-access mobile apps, available on the app stores for both patients and surgeons, that include checklists, remote monitoring, and multiple educational materials aimed at simplifying the widespread use of optimized perioperative pathways. PATIENT SUMMARY: We found that a prehabilitation program before surgery can help in optimizing patient outcomes after robot-assisted removal of the prostate. We translated this program into a mobile app available for every patient.
(Copyright © 2023 The Author(s). Published by Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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