A National, Comparative Analysis of Perioperative Outcomes of Open and Minimally Invasive Simple Prostatectomy

Journal of Endourology
J Kellogg ParsonsDavid Chang

Abstract

To compare perioperative outcomes of open (OSP) and minimally invasive (MISP) simple prostatectomy for benign prostatic hyperplasia (BPH) in a large national cohort using validated patient safety measures. We studied patients undergoing simple prostatectomy for BPH in the Nationwide Inpatient Sample (NIS) from 1998 to 2010 and used weighted sampling to estimate national trends. Patient safety indicators (PSI) and multivariable regression were used to generate adjusted odds ratios (ORadj) comparing OSP with MISP. We identified 34,418 and 193 patients undergoing OSP and MISP, respectively. Although the overall frequency of simple prostatectomy cases decreased from 3157 cases in 1998 to 2227 cases in 2010, the annual frequency increased each year from 2008 to 2010. We focused on 2008 to 2010 for the comparative outcome analyses. Among all OSP cases during this period (n=6027), the transfusion prevalence was 21%. MISP patients were more likely to have higher Charlson comorbidity scores (P=0.11) and less likely to undergo transfusion (P=0.13), but these differences did not attain significance. There were no significant differences in median length of stay (LOS) (P=0.19), hospital charges (P=0.15), or unadjusted in-hospital mortality...Continue Reading

References

Oct 31, 2001·European Urology·J J de la RosetteUNKNOWN European Association of Urology
Oct 19, 2002·Urology·Vincenzo SerrettaUNKNOWN Members of the Sicilian-Calabrian Society of Urology
Apr 4, 2003·Health Affairs·Patrick S RomanoKathryn M McDonald
Oct 9, 2003·JAMA : the Journal of the American Medical Association·Chunliu Zhan, Marlene R Miller
Aug 11, 2004·Urology·Ioannis VarkarakisCharalambos Deliveliotis
Mar 11, 2005·The Journal of Urology·Christopher S Saigal, Geoffrey Joyce
Dec 14, 2007·The Journal of Urology·Rene SoteloRandy Fagin
Jan 25, 2008·Annals of Surgery·David C ChangEdward E Cornwell
Jun 17, 2008·Urology·J Kellogg ParsonsElizabeth Barrett-Connor
Mar 23, 2010·The Journal of Urology·J Kellogg ParsonsUNKNOWN Osteoporotic Fractures in Men Research Group
Mar 23, 2011·The Journal of Urology·Kevin T McVaryJohn T Wei
Apr 9, 2011·Current Bladder Dysfunction Reports·J Kellogg Parsons
May 28, 2011·BJU International·Sean P StroupJ Kellogg Parsons
May 23, 2012·BJU International·Deliu V MateiOttavio de Cobelli
May 8, 2013·Prostate Cancer and Prostatic Diseases·H K GrovesJ K Parsons
Sep 27, 2013·Canadian Urological Association Journal = Journal De L'Association Des Urologues Du Canada·Pierre-Alain Hueber, Kevin C Zorn
Dec 11, 2013·Prostate Cancer and Prostatic Diseases·P BanapourJ K Parsons
Aug 15, 2014·Current Urology Reports·Nishant D Patel, J Kellogg Parsons
Sep 25, 2014·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Homayoun ZargarRobert J Stein

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Citations

Jul 1, 2016·Prostate International·Octavio CastilloVincenzo Borgna
May 23, 2016·Actas urologicas españolas·A Garcia-Segui, J C Angulo
Jun 15, 2016·Current Urology Reports·Joseph J PariserGregory T Bales
Aug 1, 2016·The Urologic Clinics of North America·Marc Holden, J Kellogg Parsons
Jan 24, 2017·The Journal of Urology·J Kellogg Parsons
Aug 27, 2016·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Shane M PearceDoreen E Chung
Jun 13, 2019·Journal of the American Geriatrics Society·Martin MoiroudXavier Tillou
Aug 1, 2020·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·Antonio CicioneAndrea Tubaro
Jul 13, 2018·Current Urology Reports·Ankur A ShahIgor Sorokin
Mar 25, 2020·World Journal of Urology·Michael A ZellMitchell R Humphreys
Jun 13, 2020·Journal of Clinical Medicine·Yakup KordanJean de la Rosette
Dec 29, 2020·The Cochrane Database of Systematic Reviews·Jae Hung JungPhilipp Dahm

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