Work Disability After Robot-assisted or Open Radical Prostatectomy: A Nationwide, Population-based Study

European Urology
Anna PlymMats Lambe

Abstract

Robot-assisted radical prostatectomy (RARP) has been associated with reduced bleeding and shorter hospital stays than open retropubic radical prostatectomy (RRP), but it is unclear whether these differences translate into shorter absence from work. To investigate short- and long-term rates of work disability following RARP and RRP. We conducted a nationwide population-based cohort study of 2571 men of working age treated with RARP or RRP between 2007 and 2009 identified in the National Prostate Cancer Register of Sweden. Information about physician-certified sick leave and disability pension was retrieved from the Swedish Social Insurance Agency through 2012. We used Cox regression to calculate time to return to work (RTW, or duration of sick leave) after surgery and used generalised estimating equations to analyse days lost from work (because of sick leave and disability pension) after RTW. Men treated with RARP returned to work after a median of 35 d, whereas the corresponding time for RRP was 48 d (p<0.001). The difference was seen early; within the first month, men treated with RARP returned to work nearly four times faster than men treated with RRP (adjusted relative RTW rate 3.76; 95% confidence interval [CI], 3.04-4.66)....Continue Reading

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Citations

Jan 27, 2016·European Urology·Matthew T Gettman
Mar 25, 2019·Medical Care Research and Review : MCRR·Payam AbrishamiKlasien Horstman
Mar 23, 2019·Journal of Cancer Survivorship : Research and Practice·Vanette McLennanMark Frydenberg
Dec 12, 2020·American Journal of Men's Health·Wellam F Yu KoJoan L Bottorff

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