title: Psychosocial and physical outcomes of in- and outpatient rehabilitation in prostate cancer patients treated with radical prostatectomy.
abstract: A radical prostatectomy might lead to an impaired quality of life. Aim of the study was to analyse the impact of inpatient and outpatient rehabilitation on psychosocial and physical outcomes in patients after surgery.
  
  
  
  Six hundred nineteen inpatients and 95 outpatients, treated for localized prostate cancer by prostatectomy, completed the Hospital Anxiety and Depression Scale (HADS) and two quality-of-life questionnaires (EORTC QLQ-C30 and EORTC QLQ-PR25) at the beginning and end of rehabilitation as well as 12 months after rehabilitation. Data were analysed by using t-tests, chi(2) - tests and analyses of variance with repeated measures.
  
  
  
  Compared to a population sample, patients reported a significantly worse quality of life (EORTC QLQ-C30) and more anxiety (HADS) at the beginning of rehabilitation. Physical, role and social functioning increased significantly over time for in- and outpatients. Patients still reported lower emotional functioning (EORTC QLQ-C30), anxiety (HADS) and prostate cancer-specific physical symptoms (EORTC QLQ-PR25) 1 year after rehabilitation, although symptom levels decreased significantly over time. The setting did not have an independent significant effect in the multivariate model.
  
  
  
  In- and outpatients reported an increased quality of life 1 year after rehabilitation with respect to their physical constitution and their reintegration into social life. Nonetheless, both groups still struggled with problems due to surgery. The results indicated that both settings seem to be supportive in the recovery process but that patients seem to require additional support with aftercare for treating surgery-related problems as well as emotional discomfort.
authors.affiliation: Center of Psychosocial Medicine, Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Martinistraße 52, W26, 20246, Hamburg, Germany. h.rath@uke.de.
authors.forename: Hilke M
authors.initials: HM
authors.lastname: Rath
authors.affiliation: Center of Psychosocial Medicine, Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Martinistraße 52, W26, 20246, Hamburg, Germany.
authors.forename: Anneke
authors.initials: A
authors.lastname: Ullrich
authors.affiliation: Rehabilitation Clinics Hartenstein GmbH, Clinic Quellental, Bad Wildungen, Germany.
authors.forename: Ullrich
authors.initials: U
authors.lastname: Otto
authors.affiliation: Vivantes Rehabilitation Clinic GmbH, Berlin, Germany.
authors.forename: Christa
authors.initials: C
authors.lastname: Kerschgens
authors.affiliation: HELIOS Rehabilitation Clinic Bergisch-Land, Wuppertal, Germany.
authors.forename: Martin
authors.initials: M
authors.lastname: Raida
authors.affiliation: Niederrhein Rehabilitation Clinic, Korschenbroich, Germany.
authors.forename: Christa
authors.initials: C
authors.lastname: Hagen-Aukamp
authors.affiliation: Center of Psychosocial Medicine, Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Martinistraße 52, W26, 20246, Hamburg, Germany.
authors.forename: Uwe
authors.initials: U
authors.lastname: Koch
authors.affiliation: Center of Psychosocial Medicine, Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Martinistraße 52, W26, 20246, Hamburg, Germany.
authors.forename: Corinna
authors.initials: C
authors.lastname: Bergelt
mesh_terms: D001007:Anxiety / Q000209:etiology / Q000523:psychology / Q000534:rehabilitation*; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D010045:Outpatients / Q000523:psychology*; D011468:Prostatectomy / Q000379:methods / Q000534:rehabilitation*; D011471:Prostatic Neoplasms / Q000601:surgery*; D011788:Quality of Life / Q000523:psychology*
keywords: Comparison; Inpatient rehabilitation; Outpatient rehabilitation; Prostate cancer; Psychosocial outcomes