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Comparison and tren...
Comparison and trend of perioperative outcomes between robot-assisted radical prostatectomy and open radical prostatectomy : nationwide inpatient sample 2009-2014
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- Qin, Yingyi (författare)
- Department of Health Statistics, Second Military Medical University, Shanghai, China
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- Han, Hedong (författare)
- Department of Health Statistics, Second Military Medical University, Shanghai, China
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- Xue, Yongping (författare)
- Department of Urology, Changhai Hospital, Second Military Medical University, Shanghai, China
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- Wu, Cheng (författare)
- Department of Health Statistics, Second Military Medical University, Shanghai, China
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- Wei, Xin (författare)
- Mount Sinai St. Luke’s and West Medical Center, New York, USA; Department of Cardiology, Virginia Commonwealth University, Richmond, USA
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- Liu, Yuzhou (författare)
- Mount Sinai St. Luke’s and West Medical Center, New York, USA
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- Cao, Yang, Associate Professor, 1972- (författare)
- Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Unit of Biostatistics, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden; Clinical Epidemiology and Biostatistics, School of Medical Sciences, Örebro University, Örebro, Sweden
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- Ruan, Yiming (författare)
- Department of Health Statistics, Second Military Medical University, Shanghai, China
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- He, Jia (författare)
- Department of Health Statistics, Second Military Medical University, Shanghai, China; Tongji University School of Medicine, Shanghai, China
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(creator_code:org_t)
- Sociedade Brasileira de Urologia, 2020
- 2020
- Engelska.
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Ingår i: International Brazilian Journal of Urology. - : Sociedade Brasileira de Urologia. - 1677-5538 .- 1677-6119. ; 46:5, s. 754-771
- Relaterad länk:
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- Purpose: To make a further evaluation of perioperative outcomes between the robot-assisted radical prostatectomy (RARP) and open radical prostatectomy (ORP), we conducted a comparison and trend analysis by using the Nationwide Inpatient Sample (NIS) from 2009 to 2014.Materials and Methods: Adult prostate cancer patients with radical prostatectomy were abstracted from the NIS. RARP and ORP were identified according to the International Classification of Diseases, 9th Revision, Clinical Modification procedure codes. The perioperative outcomes included blood transfusion, intraoperative and postoperative complications, prolonged length of stay (pLOS), and in-hospital mortality. Propensity score matching method and multivariable logistic regression model were performed to adjust for the pre-defined covariates. The annual percent change (APC) was used to detect the change trend of rates for outcomes.Results: A total of 77.054 patients were included in our study. According to the results of propensity score matching analyses, RARP outperformed ORP in blood transfusion (1.96% vs. 9.40%), intraoperative complication (0.73% vs. 1.25%), overall postoperative complications (8.87% vs. 11.97%), and pLOS (13.39% vs. 36.70%). We also found that there was a significant decreasing tendency of incidence in blood transfusion (APC=-9.81), intraoperative complication (APC=-12.84), and miscellaneous surgical complications (APC=-14.09) for the RARP group. The results of multivariable analyses were almost consistent with those of propensity score matching analyses.Conclusions: The RARP approach has lower incidence rates of perioperative complications than the ORP approach, and there is a potential decreasing tendency of complication incidence rates for the RARP.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Urologi och njurmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Urology and Nephrology (hsv//eng)
Nyckelord
- Prostatic Neoplasms
- Prostatectomy
- Robotics
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Qin, Yingyi
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Han, Hedong
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Xue, Yongping
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Wu, Cheng
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Wei, Xin
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Liu, Yuzhou
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Cao, Yang, Assoc ...
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Ruan, Yiming
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He, Jia
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Örebro universitet
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