A propensity-score matched comparison of perioperative and early renal functional outcomes of robotic versus open partial nephrectomy
To compare the perioperative and early renal functional outcomes of RPN with OPN for kidney tumors. A total of 209 RPN or OPN patients with availability of preoperative cross-sectional imaging since 2009 at our center were included. To adjust for potential baseline confounders propensity-score match...
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| Veröffentlicht in: | PloS one 2014-04, Vol.9 (4), p.e94195-e94195 |
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| creator | Wu, Zhenjie Li, Mingmin Qu, Le Ye, Huamao Liu, Bing Yang, Qing Sheng, Jing Xiao, Liang Lv, Chen Yang, Bo Gao, Xu Gao, Xiaofeng Xu, Chuanliang Hou, Jianguo Sun, Yinghao Wang, Linhui |
| description | To compare the perioperative and early renal functional outcomes of RPN with OPN for kidney tumors.
A total of 209 RPN or OPN patients with availability of preoperative cross-sectional imaging since 2009 at our center were included. To adjust for potential baseline confounders propensity-score matching was performed, which resulted in 94 OPNs matched to 51 RPNs. Perioperative and early renal functional outcomes were compared.
In propensity-score matched analysis, RPN procedures were well tolerated and resulted in significant decreases in postoperative analgesic time (24 vs. 48 hr, p |
| doi_str_mv | 10.1371/journal.pone.0094195 |
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A total of 209 RPN or OPN patients with availability of preoperative cross-sectional imaging since 2009 at our center were included. To adjust for potential baseline confounders propensity-score matching was performed, which resulted in 94 OPNs matched to 51 RPNs. Perioperative and early renal functional outcomes were compared.
In propensity-score matched analysis, RPN procedures were well tolerated and resulted in significant decreases in postoperative analgesic time (24 vs. 48 hr, p<0.001) and visual analog pain scale (3 vs. 4, p<0.001). Besides, the RPN patients had a significantly shorter LOS (9 vs. 11 days, p = 0.008) and less EBL (100 vs. 200 ml, p<0.001), but median operative time was significantly longer (229 vs. 182 min, p<0.001). Ischemia time, transfusion rates, complication rates, percentage eGFR decline and CKD upstaging were equivalent after RPN versus OPN. In multivariable logistic regression analysis, RPN patients were less likely to have a prolonged LOS (odds ratio [OR]: 0.409; p = 0.016), while more likely to experience a longer operative time (OR: 4.296; p = 0.001). However, the statistical significance for the protective effect of RPN versus OPN in EBL was not confirmed by examining the risk of EBL≥400 ml (OR: 0.488; p = 0.212).
When adjusted for potential selection biases, RPN offers comparable perioperative and early renal functional outcomes to those of OPN, with the added advantage of improved postoperative pain control and a shorter LOS.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0094195</identifier><identifier>PMID: 24710511</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Analgesics ; Analysis ; Body mass index ; Cohort Studies ; Comparative analysis ; Epidermal growth factor receptors ; Female ; Health aspects ; Hospitals ; Humans ; Ischemia ; Kidney cancer ; Kidney Function Tests ; Kidney Neoplasms - physiopathology ; Kidney Neoplasms - surgery ; Kidney transplantation ; Kidneys ; Laparoscopy ; Male ; Medical imaging ; Medicine and Health Sciences ; Methods ; Middle Aged ; Nephrectomy ; Pain ; Patients ; Perioperative Period ; Propensity Score ; Regression Analysis ; Robotic surgery ; Robotic Surgical Procedures ; Robotics ; Robots ; Statistical analysis ; Surgeons ; Surgery ; Surgical outcomes ; Time Factors ; Transfusion ; Treatment Outcome ; Tumors ; Urology</subject><ispartof>PloS one, 2014-04, Vol.9 (4), p.e94195-e94195</ispartof><rights>COPYRIGHT 2014 Public Library of Science</rights><rights>2014 Wu et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2014 Wu et al 2014 Wu et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-d7d7f3f2bb338d28f8ad2ce837cee91a566555b0204bff2c0385c33b1fa4ad8f3</citedby><cites>FETCH-LOGICAL-c692t-d7d7f3f2bb338d28f8ad2ce837cee91a566555b0204bff2c0385c33b1fa4ad8f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3977998/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3977998/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24710511$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Coppola, Domenico</contributor><creatorcontrib>Wu, Zhenjie</creatorcontrib><creatorcontrib>Li, Mingmin</creatorcontrib><creatorcontrib>Qu, Le</creatorcontrib><creatorcontrib>Ye, Huamao</creatorcontrib><creatorcontrib>Liu, Bing</creatorcontrib><creatorcontrib>Yang, Qing</creatorcontrib><creatorcontrib>Sheng, Jing</creatorcontrib><creatorcontrib>Xiao, Liang</creatorcontrib><creatorcontrib>Lv, Chen</creatorcontrib><creatorcontrib>Yang, Bo</creatorcontrib><creatorcontrib>Gao, Xu</creatorcontrib><creatorcontrib>Gao, Xiaofeng</creatorcontrib><creatorcontrib>Xu, Chuanliang</creatorcontrib><creatorcontrib>Hou, Jianguo</creatorcontrib><creatorcontrib>Sun, Yinghao</creatorcontrib><creatorcontrib>Wang, Linhui</creatorcontrib><title>A propensity-score matched comparison of perioperative and early renal functional outcomes of robotic versus open partial nephrectomy</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>To compare the perioperative and early renal functional outcomes of RPN with OPN for kidney tumors.
A total of 209 RPN or OPN patients with availability of preoperative cross-sectional imaging since 2009 at our center were included. To adjust for potential baseline confounders propensity-score matching was performed, which resulted in 94 OPNs matched to 51 RPNs. Perioperative and early renal functional outcomes were compared.
In propensity-score matched analysis, RPN procedures were well tolerated and resulted in significant decreases in postoperative analgesic time (24 vs. 48 hr, p<0.001) and visual analog pain scale (3 vs. 4, p<0.001). Besides, the RPN patients had a significantly shorter LOS (9 vs. 11 days, p = 0.008) and less EBL (100 vs. 200 ml, p<0.001), but median operative time was significantly longer (229 vs. 182 min, p<0.001). Ischemia time, transfusion rates, complication rates, percentage eGFR decline and CKD upstaging were equivalent after RPN versus OPN. In multivariable logistic regression analysis, RPN patients were less likely to have a prolonged LOS (odds ratio [OR]: 0.409; p = 0.016), while more likely to experience a longer operative time (OR: 4.296; p = 0.001). However, the statistical significance for the protective effect of RPN versus OPN in EBL was not confirmed by examining the risk of EBL≥400 ml (OR: 0.488; p = 0.212).
When adjusted for potential selection biases, RPN offers comparable perioperative and early renal functional outcomes to those of OPN, with the added advantage of improved postoperative pain control and a shorter LOS.</description><subject>Adult</subject><subject>Analgesics</subject><subject>Analysis</subject><subject>Body mass index</subject><subject>Cohort Studies</subject><subject>Comparative analysis</subject><subject>Epidermal growth factor receptors</subject><subject>Female</subject><subject>Health aspects</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Ischemia</subject><subject>Kidney cancer</subject><subject>Kidney Function Tests</subject><subject>Kidney Neoplasms - physiopathology</subject><subject>Kidney Neoplasms - surgery</subject><subject>Kidney transplantation</subject><subject>Kidneys</subject><subject>Laparoscopy</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Medicine and Health Sciences</subject><subject>Methods</subject><subject>Middle Aged</subject><subject>Nephrectomy</subject><subject>Pain</subject><subject>Patients</subject><subject>Perioperative Period</subject><subject>Propensity Score</subject><subject>Regression Analysis</subject><subject>Robotic surgery</subject><subject>Robotic Surgical Procedures</subject><subject>Robotics</subject><subject>Robots</subject><subject>Statistical analysis</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>Time Factors</subject><subject>Transfusion</subject><subject>Treatment Outcome</subject><subject>Tumors</subject><subject>Urology</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk12L1DAUhoso7rr6D0QLgujFjEnTNO2NMCx-DCws-HUb0uRkJkPbdJN0cH6A_9t0p7tMZS8kFw2nz_uek5OcJHmJ0RIThj_s7OA60Sx728ESoSrHFX2UnOOKZIsiQ-Txyf4seeb9DiFKyqJ4mpxlOcOIYnye_FmlvbM9dN6Ew8JL6yBtRZBbUKm0bS-c8bZLrU57cCaCTgSzh1R0KgXhmkPqIFaR6qGTwdhxa4cQleBHkbO1DUame3B-iJGYKI2ewUSug37rQAbbHp4nT7RoPLyYvhfJz8-fflx-XVxdf1lfrq4WsqiysFBMMU10VteElCordSlUJqEkTAJUWNCioJTWKEN5rXUmESmpJKTGWuRClZpcJK-Pvn1jPZ866DmmmBBKcsIisT4Syood751phTtwKwy_DVi34WP5sgHOtKAKx3qYRrH5SEis6qIUJdMZ1fXo9XHKNtQtKAldcKKZmc7_dGbLN3bPScVYVZXR4N1k4OzNAD7w1ngJTSM6sMNt3XlOikhH9M0_6MOnm6iNiAcwnbYxrxxN-YowSkuS4yJSyweouBS0Rsbnpk2MzwTvZ4LIBPgdNmLwnq-_f_t_9vrXnH17wm5BNGHrbTOMD83PwfwISme9d6Dvm4wRH6flrht8nBY-TUuUvTq9oHvR3XiQvxWpE2s</recordid><startdate>20140401</startdate><enddate>20140401</enddate><creator>Wu, 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propensity-score matched comparison of perioperative and early renal functional outcomes of robotic versus open partial nephrectomy</title><author>Wu, Zhenjie ; Li, Mingmin ; Qu, Le ; Ye, Huamao ; Liu, Bing ; Yang, Qing ; Sheng, Jing ; Xiao, Liang ; Lv, Chen ; Yang, Bo ; Gao, Xu ; Gao, Xiaofeng ; Xu, Chuanliang ; Hou, Jianguo ; Sun, Yinghao ; Wang, Linhui</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-d7d7f3f2bb338d28f8ad2ce837cee91a566555b0204bff2c0385c33b1fa4ad8f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Analgesics</topic><topic>Analysis</topic><topic>Body mass index</topic><topic>Cohort Studies</topic><topic>Comparative analysis</topic><topic>Epidermal growth factor receptors</topic><topic>Female</topic><topic>Health aspects</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Ischemia</topic><topic>Kidney cancer</topic><topic>Kidney Function Tests</topic><topic>Kidney Neoplasms - physiopathology</topic><topic>Kidney Neoplasms - surgery</topic><topic>Kidney transplantation</topic><topic>Kidneys</topic><topic>Laparoscopy</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Medicine and Health Sciences</topic><topic>Methods</topic><topic>Middle Aged</topic><topic>Nephrectomy</topic><topic>Pain</topic><topic>Patients</topic><topic>Perioperative Period</topic><topic>Propensity Score</topic><topic>Regression Analysis</topic><topic>Robotic surgery</topic><topic>Robotic Surgical Procedures</topic><topic>Robotics</topic><topic>Robots</topic><topic>Statistical analysis</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Surgical outcomes</topic><topic>Time Factors</topic><topic>Transfusion</topic><topic>Treatment Outcome</topic><topic>Tumors</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wu, 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nephrectomy</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2014-04-01</date><risdate>2014</risdate><volume>9</volume><issue>4</issue><spage>e94195</spage><epage>e94195</epage><pages>e94195-e94195</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>To compare the perioperative and early renal functional outcomes of RPN with OPN for kidney tumors.
A total of 209 RPN or OPN patients with availability of preoperative cross-sectional imaging since 2009 at our center were included. To adjust for potential baseline confounders propensity-score matching was performed, which resulted in 94 OPNs matched to 51 RPNs. Perioperative and early renal functional outcomes were compared.
In propensity-score matched analysis, RPN procedures were well tolerated and resulted in significant decreases in postoperative analgesic time (24 vs. 48 hr, p<0.001) and visual analog pain scale (3 vs. 4, p<0.001). Besides, the RPN patients had a significantly shorter LOS (9 vs. 11 days, p = 0.008) and less EBL (100 vs. 200 ml, p<0.001), but median operative time was significantly longer (229 vs. 182 min, p<0.001). Ischemia time, transfusion rates, complication rates, percentage eGFR decline and CKD upstaging were equivalent after RPN versus OPN. In multivariable logistic regression analysis, RPN patients were less likely to have a prolonged LOS (odds ratio [OR]: 0.409; p = 0.016), while more likely to experience a longer operative time (OR: 4.296; p = 0.001). However, the statistical significance for the protective effect of RPN versus OPN in EBL was not confirmed by examining the risk of EBL≥400 ml (OR: 0.488; p = 0.212).
When adjusted for potential selection biases, RPN offers comparable perioperative and early renal functional outcomes to those of OPN, with the added advantage of improved postoperative pain control and a shorter LOS.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>24710511</pmid><doi>10.1371/journal.pone.0094195</doi><oa>free_for_read</oa></addata></record> |
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| issn | 1932-6203 1932-6203 |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; NCBI_PubMed Central（免费）; PLoS_OA刊; Free Full-Text Journals in Chemistry; EZB Electronic Journals Library |
| subjects | Adult Analgesics Analysis Body mass index Cohort Studies Comparative analysis Epidermal growth factor receptors Female Health aspects Hospitals Humans Ischemia Kidney cancer Kidney Function Tests Kidney Neoplasms - physiopathology Kidney Neoplasms - surgery Kidney transplantation Kidneys Laparoscopy Male Medical imaging Medicine and Health Sciences Methods Middle Aged Nephrectomy Pain Patients Perioperative Period Propensity Score Regression Analysis Robotic surgery Robotic Surgical Procedures Robotics Robots Statistical analysis Surgeons Surgery Surgical outcomes Time Factors Transfusion Treatment Outcome Tumors Urology |
| title | A propensity-score matched comparison of perioperative and early renal functional outcomes of robotic versus open partial nephrectomy |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-01T09%3A20%3A59IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20propensity-score%20matched%20comparison%20of%20perioperative%20and%20early%20renal%20functional%20outcomes%20of%20robotic%20versus%20open%20partial%20nephrectomy&rft.jtitle=PloS%20one&rft.au=Wu,%20Zhenjie&rft.date=2014-04-01&rft.volume=9&rft.issue=4&rft.spage=e94195&rft.epage=e94195&rft.pages=e94195-e94195&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0094195&rft_dat=%3Cgale_plos_%3EA375583416%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1513353437&rft_id=info:pmid/24710511&rft_galeid=A375583416&rft_doaj_id=oai_doaj_org_article_7fa5d1f3f7f04190ac1db68a87f25fb7&rfr_iscdi=true |