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  • Björklund, JohanKarolinska Institutet (författare)

Postoperative mortality 90 days after robot-assisted laparoscopic prostatectomy and retropubic radical prostatectomy : a nationwide population-based study

  • Artikel/kapitelEngelska2016

Förlag, utgivningsår, omfång ...

  • 2016-02-15
  • Wiley,2016
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:uu-301011
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-301011URI
  • https://doi.org/10.1111/bju.13404DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-124497URI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:133928448URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Objective To assess 90-day postoperative mortality after robot-assisted laparoscopic radical prostatectomy (RARP) and retropubic radical prostatectomy (RRP) using nationwide population-based registry data. Patients and Methods We conducted a cohort study using the National Prostate Cancer Register of Sweden, including 22 344 men with localized prostate cancer of clinical stage T1-T3, whose prostate-specific antigen levels were <50 mu g/mL and who had undergone primary radical prostatectomy in the period 1998-2012. Vital status was ascertained through the Total Population Register. The rates for 90-day postoperative mortality were analysed using logistic regression analysis, and comparisons of 90-day mortality with the background population were made using standardized mortality ratios (SMRs). Results Of the 14 820 men who underwent RRP, 29 (0.20%) died, and of the 7 524 men who underwent RARP, 10 (0.13%) died. Mortality in the cohort during the 90-day postoperative period was lower than in an age-matched background population: SMR 0.57 (95% confidence interval [CI] 0.39-0.75). There was no statistically significant difference in 90-day mortality according to surgical method: RARP vs RRP odds ratio (OR) 1.14; 95% CI 0.46-2.81. Postoperative 90-day mortality decreased over time: 2008-2012 vs 1998-2007 OR 0.44; 95% CI 0.21-0.95, mainly because of lower mortality after RARP. Conclusion The 90-day postoperative mortality rates were low after RARP and RRP and there was no statistically significant difference between the methods. Given the long life expectancy among men with low-and intermediate-risk prostate cancer, very low postoperative mortality is a prerequisite for RP, which was fulfilled by both RRP and RARP. The selection of healthy men for RP is highlighted by the lower 90-day mortality after RP compared with the background population.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Folkvaljon, YasinUppsala Univ Hosp, Reg Canc Ctr, Uppsala, Sweden. (författare)
  • Cole, AlexanderHarvard Med Sch, Brigham & Womens Hosp, Div Urol Surg, Boston, MA USA. (författare)
  • Carlsson, StefanKarolinska Institutet (författare)
  • Robinson, DavidUmeå universitet,Urologi och andrologi,Department of Urology, Ryhov County Hospital, Jönköping, Sweden,Ryhov Cty Hosp, Dept Urol, Jonkoping, Sweden.;Umea Univ Hosp, Dept Surg & Perioperat Sci Urol & Androl, Umea, Sweden.(Swepub:umu)daro0019 (författare)
  • Loeb, StacyNYU, Dept Urol Populat Hlth, Laura & Isaac Perlmutter Canc Ctr, New York, NY USA. (författare)
  • Stattin, PärUmeå universitet,Uppsala universitet,Urologkirurgi,Urologi och andrologi,Department of Surgical Sciences, Uppsala University, Uppsala, Sweden(Swepub:umu)past0003 (författare)
  • Akre, OlofKarolinska Institutet (författare)
  • Karolinska InstitutetUppsala Univ Hosp, Reg Canc Ctr, Uppsala, Sweden. (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:BJU International: Wiley118:2, s. 302-3061464-40961464-410X

Internetlänk

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