A retrospective comparison of 90-day outcomes, length of stay, and readmissions between robotic-assisted and laparoscopic colectomy
Investigations generally assess 30 days of perioperative outcomes with robotic-assisted and laparoscopic colectomy. Outcomes beyond 30 days serve as a quality metric of surgical services and an assessment of 90 days of outcomes may have greater clinical utility. The purpose of this study was to asse...
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| Veröffentlicht in: | Journal of robotic surgery 2023-10, Vol.17 (5), p.2205-2209 |
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| creator | Pervaiz, Sahir S. D’Adamo, Christopher Mavanur, Arun Wolf, Joshua H. |
| description | Investigations generally assess 30 days of perioperative outcomes with robotic-assisted and laparoscopic colectomy. Outcomes beyond 30 days serve as a quality metric of surgical services and an assessment of 90 days of outcomes may have greater clinical utility. The purpose of this study was to assess 90 days of outcomes, length of stay (LOS), and readmissions among patients who underwent a robotic-assisted versus laparoscopic colectomy using a national database. Patients undergoing either robotic-assisted or laparoscopic colectomy were identified using Current Procedural Terminology (CPT) codes within PearlDiver, a national, inpatient records database from 2010 to 2019. Outcomes were defined using the National Surgical Quality Improvement Program (NSQIP) risk calculator and identified using International Classification of Disease (ICD) diagnosis codes. Categorical variables were compared using chi-square tests, and continuous variables were compared using paired
t
tests. Covariate-adjusted regression models were also constructed to evaluate these associations while accounting for potential confounders. A total of 82,495 patients were assessed in this study. At 90 days, patients of the laparoscopic colectomy cohort experienced a higher rate of complications than patients who underwent robotic-assisted colectomy (9.5 vs. 6.6%,
p
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| doi_str_mv | 10.1007/s11701-023-01642-7 |
| format | Article |
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t
tests. Covariate-adjusted regression models were also constructed to evaluate these associations while accounting for potential confounders. A total of 82,495 patients were assessed in this study. At 90 days, patients of the laparoscopic colectomy cohort experienced a higher rate of complications than patients who underwent robotic-assisted colectomy (9.5 vs. 6.6%,
p
< 0.001). There were no significant differences in LOS (6 vs. 6.5 days,
p
= 0.08) and readmissions (6.1 vs. 6.7%,
p
= 0.851) at 90 days. Patients undergoing robotic-assisted colectomy have a lower risk for morbidity at 90 days. Neither approach is superior for LOS nor 90 days of readmissions. Both techniques are effective minimally invasive procedures, yet patients may gain a greater risk benefit from robotic colectomy.</description><identifier>ISSN: 1863-2491</identifier><identifier>ISSN: 1863-2483</identifier><identifier>EISSN: 1863-2491</identifier><identifier>DOI: 10.1007/s11701-023-01642-7</identifier><identifier>PMID: 37277593</identifier><language>eng</language><publisher>London: Springer London</publisher><subject>Body mass index ; Cardiovascular disease ; Chronic obstructive pulmonary disease ; Comorbidity ; Continuity (mathematics) ; Diabetes ; Gender ; Heart attacks ; Heart failure ; Hypertension ; Intubation ; Kidney diseases ; Laparoscopy ; Medicaid ; Medicare ; Medicine ; Medicine & Public Health ; Minimally Invasive Surgery ; Morbidity ; Obesity ; Ostomy ; Patients ; Pneumonia ; Pulmonary embolisms ; Regression analysis ; Regression models ; Risk ; Robotic surgery ; Sepsis ; Surgery ; Terminology ; Thrombosis ; Tobacco ; Urology ; Ventilators</subject><ispartof>Journal of robotic surgery, 2023-10, Vol.17 (5), p.2205-2209</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag London Ltd., part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer-Verlag London Ltd., part of Springer Nature.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c370t-a3819e626f9a26c686191be058bd61c1151ac36ac15b40a1277d35ac55f27af33</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/s11701-023-01642-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2918717191?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,776,780,21368,21369,27903,27904,33509,33510,33723,33724,41467,42536,43638,43784,51297,64361,64363,64365,72215</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37277593$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pervaiz, Sahir S.</creatorcontrib><creatorcontrib>D’Adamo, Christopher</creatorcontrib><creatorcontrib>Mavanur, Arun</creatorcontrib><creatorcontrib>Wolf, Joshua H.</creatorcontrib><title>A retrospective comparison of 90-day outcomes, length of stay, and readmissions between robotic-assisted and laparoscopic colectomy</title><title>Journal of robotic surgery</title><addtitle>J Robotic Surg</addtitle><addtitle>J Robot Surg</addtitle><description>Investigations generally assess 30 days of perioperative outcomes with robotic-assisted and laparoscopic colectomy. Outcomes beyond 30 days serve as a quality metric of surgical services and an assessment of 90 days of outcomes may have greater clinical utility. The purpose of this study was to assess 90 days of outcomes, length of stay (LOS), and readmissions among patients who underwent a robotic-assisted versus laparoscopic colectomy using a national database. Patients undergoing either robotic-assisted or laparoscopic colectomy were identified using Current Procedural Terminology (CPT) codes within PearlDiver, a national, inpatient records database from 2010 to 2019. Outcomes were defined using the National Surgical Quality Improvement Program (NSQIP) risk calculator and identified using International Classification of Disease (ICD) diagnosis codes. Categorical variables were compared using chi-square tests, and continuous variables were compared using paired
t
tests. Covariate-adjusted regression models were also constructed to evaluate these associations while accounting for potential confounders. A total of 82,495 patients were assessed in this study. At 90 days, patients of the laparoscopic colectomy cohort experienced a higher rate of complications than patients who underwent robotic-assisted colectomy (9.5 vs. 6.6%,
p
< 0.001). There were no significant differences in LOS (6 vs. 6.5 days,
p
= 0.08) and readmissions (6.1 vs. 6.7%,
p
= 0.851) at 90 days. Patients undergoing robotic-assisted colectomy have a lower risk for morbidity at 90 days. Neither approach is superior for LOS nor 90 days of readmissions. Both techniques are effective minimally invasive procedures, yet patients may gain a greater risk benefit from robotic colectomy.</description><subject>Body mass index</subject><subject>Cardiovascular disease</subject><subject>Chronic obstructive pulmonary disease</subject><subject>Comorbidity</subject><subject>Continuity (mathematics)</subject><subject>Diabetes</subject><subject>Gender</subject><subject>Heart attacks</subject><subject>Heart failure</subject><subject>Hypertension</subject><subject>Intubation</subject><subject>Kidney diseases</subject><subject>Laparoscopy</subject><subject>Medicaid</subject><subject>Medicare</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Minimally Invasive Surgery</subject><subject>Morbidity</subject><subject>Obesity</subject><subject>Ostomy</subject><subject>Patients</subject><subject>Pneumonia</subject><subject>Pulmonary embolisms</subject><subject>Regression analysis</subject><subject>Regression models</subject><subject>Risk</subject><subject>Robotic surgery</subject><subject>Sepsis</subject><subject>Surgery</subject><subject>Terminology</subject><subject>Thrombosis</subject><subject>Tobacco</subject><subject>Urology</subject><subject>Ventilators</subject><issn>1863-2491</issn><issn>1863-2483</issn><issn>1863-2491</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp9kUtv1TAQhS0Eog_4AyyQJTYsavDY13ayrCqgSJXYwNpynElJlcTBdqjumj_OtLc8xIKVrZlvzpnRYewFyDcgpXtbAJwEIZUWEuxOCfeIHUNjtVC7Fh7_9T9iJ6XcSGmc0fCUHWmnnDOtPmY_znnGmlNZMdbxO_KY5jXksaSFp4G3UvRhz9NWqY7ljE-4XNevd61Sw_6Mh6UngdDPYyljWgrvsN4iLjynLtUxikD1UrG_J6dA2qnEtI6RnCbyTPP-GXsyhKng84f3lH15_-7zxaW4-vTh48X5lYjaySqCbqBFq-zQBmWjbSy00KE0TddbiAAGQtQ2RDDdTgagE3ttQjRmUC4MWp-y1wfdNadvG5bqaeuI0xQWTFvxqlFa6sZAQ-irf9CbtOWFtvOqhcaBI2-i1IGKdFTJOPg1j3PIew_S30XkDxF5isjfR-QdDb18kN66GfvfI78yIUAfgEKt5RrzH-__yP4EvFmdCw</recordid><startdate>20231001</startdate><enddate>20231001</enddate><creator>Pervaiz, Sahir S.</creator><creator>D’Adamo, Christopher</creator><creator>Mavanur, Arun</creator><creator>Wolf, Joshua H.</creator><general>Springer London</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>PRINS</scope><scope>PTHSS</scope><scope>7X8</scope></search><sort><creationdate>20231001</creationdate><title>A retrospective comparison of 90-day outcomes, length of stay, and readmissions between robotic-assisted and laparoscopic colectomy</title><author>Pervaiz, Sahir S. ; D’Adamo, Christopher ; Mavanur, Arun ; Wolf, Joshua H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c370t-a3819e626f9a26c686191be058bd61c1151ac36ac15b40a1277d35ac55f27af33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Body mass index</topic><topic>Cardiovascular disease</topic><topic>Chronic obstructive pulmonary disease</topic><topic>Comorbidity</topic><topic>Continuity (mathematics)</topic><topic>Diabetes</topic><topic>Gender</topic><topic>Heart attacks</topic><topic>Heart failure</topic><topic>Hypertension</topic><topic>Intubation</topic><topic>Kidney diseases</topic><topic>Laparoscopy</topic><topic>Medicaid</topic><topic>Medicare</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Minimally Invasive Surgery</topic><topic>Morbidity</topic><topic>Obesity</topic><topic>Ostomy</topic><topic>Patients</topic><topic>Pneumonia</topic><topic>Pulmonary embolisms</topic><topic>Regression analysis</topic><topic>Regression models</topic><topic>Risk</topic><topic>Robotic surgery</topic><topic>Sepsis</topic><topic>Surgery</topic><topic>Terminology</topic><topic>Thrombosis</topic><topic>Tobacco</topic><topic>Urology</topic><topic>Ventilators</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pervaiz, Sahir S.</creatorcontrib><creatorcontrib>D’Adamo, Christopher</creatorcontrib><creatorcontrib>Mavanur, Arun</creatorcontrib><creatorcontrib>Wolf, Joshua H.</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 (ProQuest)</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>ProQuest Central China</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>Pervaiz, Sahir S.</au><au>D’Adamo, Christopher</au><au>Mavanur, Arun</au><au>Wolf, Joshua H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A retrospective comparison of 90-day outcomes, length of stay, and readmissions between robotic-assisted and laparoscopic colectomy</atitle><jtitle>Journal of robotic surgery</jtitle><stitle>J Robotic Surg</stitle><addtitle>J Robot Surg</addtitle><date>2023-10-01</date><risdate>2023</risdate><volume>17</volume><issue>5</issue><spage>2205</spage><epage>2209</epage><pages>2205-2209</pages><issn>1863-2491</issn><issn>1863-2483</issn><eissn>1863-2491</eissn><abstract>Investigations generally assess 30 days of perioperative outcomes with robotic-assisted and laparoscopic colectomy. Outcomes beyond 30 days serve as a quality metric of surgical services and an assessment of 90 days of outcomes may have greater clinical utility. The purpose of this study was to assess 90 days of outcomes, length of stay (LOS), and readmissions among patients who underwent a robotic-assisted versus laparoscopic colectomy using a national database. Patients undergoing either robotic-assisted or laparoscopic colectomy were identified using Current Procedural Terminology (CPT) codes within PearlDiver, a national, inpatient records database from 2010 to 2019. Outcomes were defined using the National Surgical Quality Improvement Program (NSQIP) risk calculator and identified using International Classification of Disease (ICD) diagnosis codes. Categorical variables were compared using chi-square tests, and continuous variables were compared using paired
t
tests. Covariate-adjusted regression models were also constructed to evaluate these associations while accounting for potential confounders. A total of 82,495 patients were assessed in this study. At 90 days, patients of the laparoscopic colectomy cohort experienced a higher rate of complications than patients who underwent robotic-assisted colectomy (9.5 vs. 6.6%,
p
< 0.001). There were no significant differences in LOS (6 vs. 6.5 days,
p
= 0.08) and readmissions (6.1 vs. 6.7%,
p
= 0.851) at 90 days. Patients undergoing robotic-assisted colectomy have a lower risk for morbidity at 90 days. Neither approach is superior for LOS nor 90 days of readmissions. Both techniques are effective minimally invasive procedures, yet patients may gain a greater risk benefit from robotic colectomy.</abstract><cop>London</cop><pub>Springer London</pub><pmid>37277593</pmid><doi>10.1007/s11701-023-01642-7</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| source | ProQuest Central (Alumni Edition); SpringerLink Journals; ProQuest Central UK/Ireland; ProQuest Central |
| subjects | Body mass index Cardiovascular disease Chronic obstructive pulmonary disease Comorbidity Continuity (mathematics) Diabetes Gender Heart attacks Heart failure Hypertension Intubation Kidney diseases Laparoscopy Medicaid Medicare Medicine Medicine & Public Health Minimally Invasive Surgery Morbidity Obesity Ostomy Patients Pneumonia Pulmonary embolisms Regression analysis Regression models Risk Robotic surgery Sepsis Surgery Terminology Thrombosis Tobacco Urology Ventilators |
| title | A retrospective comparison of 90-day outcomes, length of stay, and readmissions between robotic-assisted and laparoscopic colectomy |
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