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Short term outcomes...
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Bergengren, OskarUppsala universitet,Urologkirurgi,Uppsala Univ, Sweden
(author)
Short term outcomes after robot assisted and open cystectomy- A nation-wide population-based study
- Article/chapterEnglish2023
Publisher, publication year, extent ...
Numbers
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LIBRIS-ID:oai:gup.ub.gu.se/326210
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https://gup.ub.gu.se/publication/326210URI
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https://doi.org/10.1016/j.ejso.2023.01.023DOI
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https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-104118URI
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https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-204795URI
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-501317URI
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https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-193370URI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:152384513URI
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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Funding agencies:Lund Medical Faculty (ALF)Skåne County Council's Research and Development FoundationHillevi Fries Research FoudationJohanna Hagstrand and Sigfrid Linners Research FoundationNystroms America scholarship
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Funding Agencies|Swedish Cancer Society [CAN 2019/62, CAN 2020/0709]; Swedish Research Council [2021-00859]; Lund Medical Faculty (ALF); Skkne County Councils Research and Development Foundation; Hillevi Fries Research Foudation; Johanna Hagstrand and Sigfrid Linners Research Foundation; Nystroms America scholarship; Swedish Society of Medicine
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Introduction: We aimed to compare short term outcomes after robot assisted radical cystectomy (RARC) and open radical cystectomy (ORC) for urinary bladder cancer in a large population.Materials and methods: We included all patients without distant metastases who underwent either RARC or ORC with ileal conduit between 2011 and 2019 registered in the Bladder cancer data Base Sweden (BladderBaSe) 2.0. Primary outcome was unplanned readmissions within 90 days, and secondary out-comes within 90 days of surgery were reoperations, Clavien 3-5 complications, total days alive and out of hospital, and mortality. The analysis was carried out using multivariate regression models.Results: Out of 2905 patients, 832 were operated with RARC and 2073 with ORC. Robotic procedures were to a larger extent performed during later years, at high volume centers (47% vs 17%), more often for organ-confined disease (82% vs. 72%) and more frequently in patients with high socioeconomic status (26% vs. 21%). Patients operated with RARC were more commonly readmitted (29% vs. 25%). In multi -variable analysis RARC was associated with decreased risk of Clavien 3-5 complications (OR 0.58, 95% CI 0.47-0.72), reoperations (OR 0.53, 95% CI 0.39-0.71) and had more days alive and out of hospital (mean difference 3.7 days, 95% CI 2.4-5.0).Conclusion: This study illustrates the "real-world" effects of a gradual and nation-wide introduction of RARC. Patients operated with RARC had fewer major complications and reoperations but were more frequently readmitted compared to ORC. The observed differences were largely due to more wound related complications among patients treated with ORC.(c) 2023 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
Subject headings and genre
Added entries (persons, corporate bodies, meetings, titles ...)
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Belozerov, A.Uppsala universitet,Institutionen för kirurgiska vetenskaper,Uppsala Univ, Sweden
(author)
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Bill-Axelson, AnnaUppsala universitet,Urologkirurgi,Uppsala Univ, Sweden(Swepub:uu)anbil030
(author)
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Garmo, H.Regional Cancer Centre, Uppsala University Hospital, Uppsala, Sweden,Uppsala Univ Hosp, Reg Canc Ctr, Uppsala, Sweden.
(author)
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Hagberg, O.Institution of Translational Medicine, Lund University, Malmö, Sweden,Lund Univ, Inst Translat Med, Malmö, Sweden.
(author)
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Aljabery, FirasLinköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Urologiska kliniken i Östergötland(Swepub:liu)firab05
(author)
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Gardmark, T.Karolinska Institutet
(author)
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Jahnson, StaffanLinköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Urologiska kliniken i Östergötland(Swepub:liu)staja74
(author)
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Jerlström, Tomas,1969-Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Urology,Örebro Univ, Fac Med & Hlth, Sch Med Sci, Dept Urol, Örebro, Sweden.(Swepub:oru)tjm
(author)
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Malmström, Per-UnoUppsala universitet,Urologkirurgi,Uppsala Univ, Sweden(Swepub:uu)perunoms
(author)
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Sherif, AmirUmeå universitet,Urologi och andrologi,Umeå Univ, Dept Surg & Perioperat Sci, Urol & Androl, Umeå, Sweden.(Swepub:umu)amsh0008
(author)
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Ströck, VivekaGothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för urologi,Institute of Clinical Sciences, Department of Urology,Department of Urology, Sahlgrenska University Hospital and Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden,Sahlgrens Univ Hosp, Dept Urol, Gothenburg, Sweden.;Univ Gothenburg, Inst Clin Sci, Sahlgrenska Acad, Gothenburg, Sweden.(Swepub:gu)xstrvi
(author)
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Söderkvist, KarinUmeå universitet,Onkologi,Umeå Univ, Dept Radiat Sci Oncol, Umeå, Sweden.(Swepub:umu)kansom97
(author)
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Ullen, A.Karolinska Institutet
(author)
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Holmberg, LarsUppsala universitet,Endokrinkirurgi,Kings Coll London, Sch Canc & Pharmaceut Sci, London, England.,Uppsala Univ, Sweden; Kings Coll London, England(Swepub:uu)larsholmb
(author)
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Häggström, ChristelUppsala universitet,Umeå universitet,Institutionen för folkhälsa och klinisk medicin,Department of Surgical Sciences, Uppsala University, Uppsala, Sweden,Endokrinkirurgi,Umeå Univ, Northern Registry Ctr, Dept Publ Hlth & Clin Med, Umeå, Sweden.,Uppsala Univ, Sweden; Umea Univ, Sweden(Swepub:uu)chrha650
(author)
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Liedberg, F.Institution of Translational Medicine, Lund University, Malmö, Sweden; Department of Urology, Skåne University Hospital, Malmö, Sweden,Lund Univ, Inst Translat Med, Malmö, Sweden.;Skane Univ Hosp, Dept Urol, Malmö, Sweden.
(author)
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Uppsala universitetUrologkirurgi
(creator_code:org_t)
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In:Ejso: Elsevier BV49:4, s. 868-8740748-79831532-2157
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Belozerov, A.
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Garmo, H.
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Hagberg, O.
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Aljabery, Firas
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Gardmark, T.
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Jahnson, Staffan
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Ströck, Viveka
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