Learning curve assessment of robot-assisted radical prostatectomy compared with open-surgery controls from the premier perspective database

Journal of Endourology
John W DavisRaju Thomas

Abstract

The primary aims of this study were to assess the learning curve effect of robot-assisted radical prostatectomy (RARP) in a large administrative database consisting of multiple U.S. hospitals and surgeons, and to compare the results of RARP with open radical prostatectomy (ORP) from the same settings. The patient population of study was from the Premier Perspective Database (Premier, Inc., Charlotte, NC) and consisted of 71,312 radical prostatectomies performed at more than 300 U.S. hospitals by up to 3739 surgeons by open or robotic techniques from 2004 to 2010. The key endpoints were surgery time, inpatient length of stay, and overall complications. We compared open versus robotic, results by year of procedures, results by case volume of specific surgeons, and results of open surgery in hospitals with and without a robotic system. The mean surgery time was longer for RARP (4.4 hours, standard deviation [SD] 1.7) compared with ORP (3.4 hours, SD 1.5) in the same hospitals (p<0.0001). Inpatient stay was shorter for RARP (2.2 days, SD 1.9) compared with ORP (3.2 days, SD 2.7) in the same hospitals (p<0.0001). The overall complications were less for RARP (10.6%) compared with ORP (15.8%) in the same hospitals, as were transfusion...Continue Reading

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Citations

Aug 19, 2014·Current Urology Reports·Hak J Lee, Christopher J Kane
Apr 8, 2016·Journal of Surgical Education·Jun TeishimaAkio Matsubara
May 3, 2016·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Marcos Tobias-MachadoAlexandre Kyoshi Hidaka
Feb 17, 2015·Korean journal of urology·Mahmoud MustafaLouis Pisters
Jan 9, 2019·Journal of Comparative Effectiveness Research·Kumar Mukherjee, Khalid M Kamal
Mar 11, 2015·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Anthony A LucianoUsha Seshadri-Kreaden
Feb 10, 2021·Journal of Endourology·Sophia M V SchermerhornSean P Stroup
Jun 3, 2021·International Journal of Computer Assisted Radiology and Surgery·Megha KaliaSeptimiu Salcudean
Sep 5, 2021·World Journal of Urology·Nikolaos GrivasCharalampos Mamoulakis

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