Comparison of Perioperative Outcomes Between Open and Robotic Radical Cystectomy: A Population-Based Analysis

Journal of Endourology
Sebastiano NazzaniPierre I Karakiewicz

Abstract

Radical cystectomy represents the standard of care for muscle-invasive bladder cancer (MIBC). Due to its novelty the use of robotic radical cystectomy (RARC) is still under debate. We examined intraoperative and postoperative morbidity and mortality in addition to impact on length of stay (LOS) and total hospital charges (THCGs) of RARC compared with open radical cystectomy (ORC). Within National Inpatient Sample (2008-2013), we identified patients with nonmetastatic bladder cancer treated with either ORC or RARC. We relied on inverse probability of treatment weighting to reduce the effect of inherent differences between ORC vs RARC. Multivariable logistic regression (MLR) and multivariable Poisson regression (MPR) models were used. Of all 10,027 patients, 12.6% underwent RARC. Between 2008 and 2013, RARC rates increased from 0.8% to 20.4% [estimated annual percentage change (EAPC): +26.5%, 95% confidence interval (CI): +11.1 to +48.3; p = 0.035] and RARC THCGs decreased from 45,981 to 31,749 United States dollars (EAPC: -6.8%, 95% CI: -9.6 to -3.9; p = 0.01). In MLR models RARC resulted in lower rates of overall complications [odds ratio (OR): 0.6; p < 0.001] and transfusions (OR: 0.44; p < 0.001). In MPR models, RARC was asso...Continue Reading

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Oct 21, 2011·Journal of Endourology·Hyun Hwan SungByong Chang Jeong
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Citations

Feb 23, 2020·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·Dechao FengPing Han
Apr 16, 2021·BMJ Open·Sophia Liff MaibomMartin Andreas Røder
Mar 30, 2020·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·Carlotta PalumboPierre I Karakiewicz
Aug 3, 2021·European Urology Open Science·Sophia L MaibomUlla N Joensen
Jan 2, 2022·Journal of Robotic Surgery·Satoshi KatayamaShahrokh F Shariat

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R software environment for computing

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