Does the presence of robotic surgery affect demographics in patients choosing to undergo radical prostatectomy? A multi-center contemporary analysis
We report on differences in patient demographics in those men choosing to undergo radical prostatectomy in a UK center where there is no influence of robotic surgery and in those choosing radical prostatectomy in a US center where there is a strong robotic influence. Demographic and pathologic data...
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| Veröffentlicht in: | Journal of robotic surgery 2010-09, Vol.4 (3), p.155-160 |
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| creator | Cheetham, Philippa J. Lee, Daniel J. Rose-Morris, Anna Brewster, Simon F. Badani, Ketan K. |
| description | We report on differences in patient demographics in those men choosing to undergo radical prostatectomy in a UK center where there is no influence of robotic surgery and in those choosing radical prostatectomy in a US center where there is a strong robotic influence. Demographic and pathologic data were prospectively recorded in parallel for 78 consecutive men undergoing robot-assisted radical prostatectomy in a tertiary care academic US center and 69 consecutive men concurrently undergoing open radical prostatectomy in a similar UK center. Although average patient age was significantly younger in the US cohort (58.8 years, range 43.1–77.6 vs. 62.2 years, range 51.7–70.5;
P
= 0.002), the US cohort encompassed a wider age range and older patients than the UK cohort. Average preoperative prostate-specific antigen (PSA) was significantly lower in the US group (6.0, range 2.0–6.0 vs. 8.60, range 4.6–12.6;
P
|
| doi_str_mv | 10.1007/s11701-010-0200-4 |
| format | Article |
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P
= 0.002), the US cohort encompassed a wider age range and older patients than the UK cohort. Average preoperative prostate-specific antigen (PSA) was significantly lower in the US group (6.0, range 2.0–6.0 vs. 8.60, range 4.6–12.6;
P
< 0.01). Biopsy Gleason score, clinical stage, final pathology Gleason score, pathologic staging and positive margin rate were not significantly different between the two groups. Blood loss and transfusion rate were significantly lower in the US group. 16.7% of men in the US cohort had overall positive surgical margins compared to 29% in the UK group (
P
= 0.07). This data confirms our belief that patient age ranges are different in a setting influenced by robotic surgery. Although pathologic parameters were similar, the age distribution of robotic surgery patients was much wider, suggesting robotics attracts men previously reluctant to undergo surgery in the open setting or to pursue active surveillance protocols. Larger studies are needed to verify this finding.</description><identifier>ISSN: 1863-2483</identifier><identifier>EISSN: 1863-2491</identifier><identifier>DOI: 10.1007/s11701-010-0200-4</identifier><identifier>PMID: 27638755</identifier><language>eng</language><publisher>London: Springer-Verlag</publisher><subject>Age ; Biopsy ; Comorbidity ; Demographics ; Divorce ; Family medical history ; Marital status ; Medicine ; Medicine & Public Health ; Minimally Invasive Surgery ; Missing data ; Morbidity ; Original Article ; Patients ; Prostate cancer ; Robotic surgery ; Robotics ; Surgeons ; Surgery ; Urological surgery ; Urology</subject><ispartof>Journal of robotic surgery, 2010-09, Vol.4 (3), p.155-160</ispartof><rights>Springer-Verlag London Ltd 2010</rights><rights>Springer-Verlag London Ltd 2010.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-3cbaa922f191ea0b2ef9fd1b9c33d27dd5db5b7f47c3b0bd82f599386d593a7b3</citedby><cites>FETCH-LOGICAL-c372t-3cbaa922f191ea0b2ef9fd1b9c33d27dd5db5b7f47c3b0bd82f599386d593a7b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11701-010-0200-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2918713022?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,777,781,21369,21370,27905,27906,33511,33512,33725,33726,41469,42538,43640,43786,51300,64364,64366,64368,72218</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27638755$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cheetham, Philippa J.</creatorcontrib><creatorcontrib>Lee, Daniel J.</creatorcontrib><creatorcontrib>Rose-Morris, Anna</creatorcontrib><creatorcontrib>Brewster, Simon F.</creatorcontrib><creatorcontrib>Badani, Ketan K.</creatorcontrib><title>Does the presence of robotic surgery affect demographics in patients choosing to undergo radical prostatectomy? A multi-center contemporary analysis</title><title>Journal of robotic surgery</title><addtitle>J Robotic Surg</addtitle><addtitle>J Robot Surg</addtitle><description>We report on differences in patient demographics in those men choosing to undergo radical prostatectomy in a UK center where there is no influence of robotic surgery and in those choosing radical prostatectomy in a US center where there is a strong robotic influence. Demographic and pathologic data were prospectively recorded in parallel for 78 consecutive men undergoing robot-assisted radical prostatectomy in a tertiary care academic US center and 69 consecutive men concurrently undergoing open radical prostatectomy in a similar UK center. Although average patient age was significantly younger in the US cohort (58.8 years, range 43.1–77.6 vs. 62.2 years, range 51.7–70.5;
P
= 0.002), the US cohort encompassed a wider age range and older patients than the UK cohort. Average preoperative prostate-specific antigen (PSA) was significantly lower in the US group (6.0, range 2.0–6.0 vs. 8.60, range 4.6–12.6;
P
< 0.01). Biopsy Gleason score, clinical stage, final pathology Gleason score, pathologic staging and positive margin rate were not significantly different between the two groups. Blood loss and transfusion rate were significantly lower in the US group. 16.7% of men in the US cohort had overall positive surgical margins compared to 29% in the UK group (
P
= 0.07). This data confirms our belief that patient age ranges are different in a setting influenced by robotic surgery. Although pathologic parameters were similar, the age distribution of robotic surgery patients was much wider, suggesting robotics attracts men previously reluctant to undergo surgery in the open setting or to pursue active surveillance protocols. Larger studies are needed to verify this finding.</description><subject>Age</subject><subject>Biopsy</subject><subject>Comorbidity</subject><subject>Demographics</subject><subject>Divorce</subject><subject>Family medical history</subject><subject>Marital status</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Minimally Invasive Surgery</subject><subject>Missing data</subject><subject>Morbidity</subject><subject>Original Article</subject><subject>Patients</subject><subject>Prostate cancer</subject><subject>Robotic surgery</subject><subject>Robotics</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Urological surgery</subject><subject>Urology</subject><issn>1863-2483</issn><issn>1863-2491</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp1kcuKFTEQhoMozjj6AG4k4MZNay7dJ52VDOMVBtzoOuRSOSdDd6dNpRfnPXxgczjjCIKrKqj__6uKj5CXnL3ljKl3yLlivGOcdUww1vWPyCUfd7ITveaPH_pRXpBniHeMDWqQ_Cm5EGonRzUMl-TXhwxI6wHoWgBh8UBzpCW7XJOnuJU9lCO1MYKvNMCc98Wuh-SRpoWutiZYKlJ_yBnTsqc1020JUPaZFhuSt1PLzVhtbf48H9_TazpvU02db0Yo1OdW5jUXe1qz2OmICZ-TJ9FOCC_u6xX58enj95sv3e23z19vrm87L5WonfTOWi1E5JqDZU5A1DFwp72UQagQhuAGp2KvvHTMhVHEQWs57sKgpVVOXpE359x2488NsJo5oYdpsgvkDQ0fBVej7kfdpK__kd7lrbR70QjNR8UlE6Kp-Fnl29NYIJq1pLm9ZjgzJ2TmjMw0ZOaEzPTN8-o-eXMzhAfHH0ZNIM4CbKOl8fi7-v-pvwFasaT4</recordid><startdate>20100901</startdate><enddate>20100901</enddate><creator>Cheetham, Philippa J.</creator><creator>Lee, Daniel J.</creator><creator>Rose-Morris, Anna</creator><creator>Brewster, Simon F.</creator><creator>Badani, Ketan K.</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>L6V</scope><scope>M0S</scope><scope>M7S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>7X8</scope></search><sort><creationdate>20100901</creationdate><title>Does the presence of robotic surgery affect demographics in patients choosing to undergo radical prostatectomy? A multi-center contemporary analysis</title><author>Cheetham, Philippa J. ; Lee, Daniel J. ; Rose-Morris, Anna ; Brewster, Simon F. ; Badani, Ketan K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-3cbaa922f191ea0b2ef9fd1b9c33d27dd5db5b7f47c3b0bd82f599386d593a7b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Age</topic><topic>Biopsy</topic><topic>Comorbidity</topic><topic>Demographics</topic><topic>Divorce</topic><topic>Family medical history</topic><topic>Marital status</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Minimally Invasive Surgery</topic><topic>Missing data</topic><topic>Morbidity</topic><topic>Original Article</topic><topic>Patients</topic><topic>Prostate cancer</topic><topic>Robotic surgery</topic><topic>Robotics</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Urological surgery</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cheetham, Philippa J.</creatorcontrib><creatorcontrib>Lee, Daniel J.</creatorcontrib><creatorcontrib>Rose-Morris, Anna</creatorcontrib><creatorcontrib>Brewster, Simon F.</creatorcontrib><creatorcontrib>Badani, Ketan K.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Engineering Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Engineering Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Engineering Collection</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of robotic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cheetham, Philippa J.</au><au>Lee, Daniel J.</au><au>Rose-Morris, Anna</au><au>Brewster, Simon F.</au><au>Badani, Ketan K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Does the presence of robotic surgery affect demographics in patients choosing to undergo radical prostatectomy? A multi-center contemporary analysis</atitle><jtitle>Journal of robotic surgery</jtitle><stitle>J Robotic Surg</stitle><addtitle>J Robot Surg</addtitle><date>2010-09-01</date><risdate>2010</risdate><volume>4</volume><issue>3</issue><spage>155</spage><epage>160</epage><pages>155-160</pages><issn>1863-2483</issn><eissn>1863-2491</eissn><abstract>We report on differences in patient demographics in those men choosing to undergo radical prostatectomy in a UK center where there is no influence of robotic surgery and in those choosing radical prostatectomy in a US center where there is a strong robotic influence. Demographic and pathologic data were prospectively recorded in parallel for 78 consecutive men undergoing robot-assisted radical prostatectomy in a tertiary care academic US center and 69 consecutive men concurrently undergoing open radical prostatectomy in a similar UK center. Although average patient age was significantly younger in the US cohort (58.8 years, range 43.1–77.6 vs. 62.2 years, range 51.7–70.5;
P
= 0.002), the US cohort encompassed a wider age range and older patients than the UK cohort. Average preoperative prostate-specific antigen (PSA) was significantly lower in the US group (6.0, range 2.0–6.0 vs. 8.60, range 4.6–12.6;
P
< 0.01). Biopsy Gleason score, clinical stage, final pathology Gleason score, pathologic staging and positive margin rate were not significantly different between the two groups. Blood loss and transfusion rate were significantly lower in the US group. 16.7% of men in the US cohort had overall positive surgical margins compared to 29% in the UK group (
P
= 0.07). This data confirms our belief that patient age ranges are different in a setting influenced by robotic surgery. Although pathologic parameters were similar, the age distribution of robotic surgery patients was much wider, suggesting robotics attracts men previously reluctant to undergo surgery in the open setting or to pursue active surveillance protocols. Larger studies are needed to verify this finding.</abstract><cop>London</cop><pub>Springer-Verlag</pub><pmid>27638755</pmid><doi>10.1007/s11701-010-0200-4</doi><tpages>6</tpages></addata></record> |
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| source | ProQuest Central (Alumni Edition); Springer Nature - Complete Springer Journals; ProQuest Central UK/Ireland; ProQuest Central |
| subjects | Age Biopsy Comorbidity Demographics Divorce Family medical history Marital status Medicine Medicine & Public Health Minimally Invasive Surgery Missing data Morbidity Original Article Patients Prostate cancer Robotic surgery Robotics Surgeons Surgery Urological surgery Urology |
| title | Does the presence of robotic surgery affect demographics in patients choosing to undergo radical prostatectomy? A multi-center contemporary analysis |
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