title: Prospective quality of life outcomes following robotic surgery in gynecologic oncology.
abstract: OBJECTIVE
  To characterize the health-related quality of life (HRQL) of patients undergoing robotic surgery for the treatment of gynecologic cancers.
  
  
  METHODS
  211 patients completed a quality of life questionnaire before surgery. Postoperative questionnaires, consisting of the same assessment with the addition of postoperative questions, were given at 1 week, 3 weeks, 3, 6, and 12 months after surgery. The Functional Assessment of Cancer Therapy-General (FACT-G) and its subscales were used to evaluate HRQL. Patient-rated body image was evaluated using the Body Image Scale. Statistical significance was measured by the Wilcoxon signed-rank test. Minimally important difference (MID) values were analyzed to evaluate clinical significance.
  
  
  RESULTS
  Overall HRQL and body image decreased at 1 week after surgery and returned to baseline by 3 weeks. Physical and functional well-being decreased at 1 week after surgery and returned to baseline by 3 months after surgery. However, using MID criteria, physical well-being returned to baseline by 3 weeks. Social well-being did not change significantly. Emotional well-being increased immediately by 1 week after surgery.
  
  
  CONCLUSIONS
  Patient reported HRQL outcomes following robotic surgery for the treatment of gynecologic cancers suggests a rapid return to pre-surgery values.
authors.affiliation: Divison of Experimental Medicine, Department of Medicine, McGill University, Montreal, Canada.
authors.forename: Jeremie
authors.initials: J
authors.lastname: Abitbol
authors.affiliation: Division of Gynecologic Oncology& Lady Davis Research Institute, Segal Cancer Center, Jewish General Hospital, McGill University, Montreal, Quebec, Canada.
authors.forename: Susie
authors.initials: S
authors.lastname: Lau
authors.affiliation: Division of Cancer Epidemiology, Department of Oncology, McGill University, Montreal, Canada.
authors.forename: Agnihotram V
authors.initials: AV
authors.lastname: Ramanakumar
authors.affiliation: Division of Gynecologic Oncology& Lady Davis Research Institute, Segal Cancer Center, Jewish General Hospital, McGill University, Montreal, Quebec, Canada.
authors.forename: Joshua Z
authors.initials: JZ
authors.lastname: Press
authors.affiliation: Division of Gynecologic Oncology& Lady Davis Research Institute, Segal Cancer Center, Jewish General Hospital, McGill University, Montreal, Quebec, Canada.
authors.forename: Nancy
authors.initials: N
authors.lastname: Drummond
authors.affiliation: Louise Granofsky-Psychosocial Oncology Program and Division of Psychology, Segal Cancer Center, Jewish General Hospital, McGill University, Montreal, Quebec, Canada.
authors.forename: Zeev
authors.initials: Z
authors.lastname: Rosberger
authors.affiliation: Louise Granofsky-Psychosocial Oncology Program and Division of Psychology, Segal Cancer Center, Jewish General Hospital, McGill University, Montreal, Quebec, Canada.
authors.forename: Sylvie
authors.initials: S
authors.lastname: Aubin
authors.affiliation: Division of Gynecologic Oncology& Lady Davis Research Institute, Segal Cancer Center, Jewish General Hospital, McGill University, Montreal, Quebec, Canada.
authors.forename: Raphael
authors.initials: R
authors.lastname: Gotlieb
authors.affiliation: Division of Gynecologic Oncology& Lady Davis Research Institute, Segal Cancer Center, Jewish General Hospital, McGill University, Montreal, Quebec, Canada.
authors.forename: Jeffrey
authors.initials: J
authors.lastname: How
authors.affiliation: Division of Gynecologic Oncology& Lady Davis Research Institute, Segal Cancer Center, Jewish General Hospital, McGill University, Montreal, Quebec, Canada. Electronic address: walter.gotlieb@mcgill.ca.
authors.forename: Walter H
authors.initials: WH
authors.lastname: Gotlieb
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001828:Body Image; D005260:Female; D005833:Genital Neoplasms, Female / Q000523:psychology / Q000601:surgery*; D013509:Gynecologic Surgical Procedures / Q000379:methods* / Q000592:standards; D006801:Humans; D008875:Middle Aged; D011446:Prospective Studies; D011788:Quality of Life; D012371:Robotics / Q000379:methods* / Q000592:standards; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D055815:Young Adult
keywords: Robotic surgery; body image; outcome; quality of life