Evidence map›Paper›PMID 26782345›Full record

ArticleEuropean urology2016

Work Disability After Robot-assisted or Open Radical Prostatectomy: A Nationwide, Population-based Study.

Anna Plym, Flaminia Chiesa, Margaretha Voss, Lars Holmberg, Eva Johansson, Pär Stattin, Mats Lambe

Abstract read
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In one paragraph

Article in European urology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
2.8field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Work after prostate cancer: a systematic review.Journal of cancer survivorship : research and practice · 2019
    Pooled it
  3. Open vs. robotic prostatectomy using VersiusJournal of robotic surgery · 2026
    Observational
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Robotic surgery improves transfusion rate and perioperative outcomes using a broad implementation process and multiple surgeon learning curves.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2019
    Article
  10. Article
  11. Observational
  12. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Anna PlymDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden. Electronic address: anna.plym@ki.se.
Flaminia ChiesaDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Margaretha VossDepartment for Analysis and Forecast, Swedish Social Insurance Agency, Stockholm, Sweden; Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Lars HolmbergRegional Cancer Centre, Uppsala University Hospital, Uppsala, Sweden; King's College London, School of Medicine, Division of Cancer Studies, Cancer Epidemiology Group, London, UK.
Eva JohanssonDepartment of Surgical Sciences, Uppsala University Hospital, Uppsala, Sweden.
Pär StattinDepartment of Surgical and Perioperative Sciences, Urology and Andrology, Umeå University, Umeå, Sweden; Department of Urology, Uppsala University Hospital, Uppsala, Sweden.
Mats LambeDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden; Regional Cancer Centre, Uppsala University Hospital, Uppsala, Sweden.
Karolinska Institutet · SEUppsala University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRobot-assisted radical prostatectomy (RARP) has been associated with reduced bleeding and shorter hospital stays than open retropubic radical prostatectomy (RRP), but it is unclear whether these differences translate into shorter absence from work.

objectiveTo investigate short- and long-term rates of work disability following RARP and RRP. DESIGN, SETTING, AND

participantsWe conducted a nationwide population-based cohort study of 2571 men of working age treated with RARP or RRP between 2007 and 2009 identified in the National Prostate Cancer Register of Sweden. Information about physician-certified sick leave and disability pension was retrieved from the Swedish Social Insurance Agency through 2012. OUTCOME MEASUREMENTS AND STATISTICAL ANALYSIS: We used Cox regression to calculate time to return to work (RTW, or duration of sick leave) after surgery and used generalised estimating equations to analyse days lost from work (because of sick leave and disability pension) after RTW. RESULTS AND LIMITATIONS: Men treated with RARP returned to work after a median of 35 d, whereas the corresponding time for RRP was 48 d (p<0.001). The difference was seen early; within the first month, men treated with RARP returned to work nearly four times faster than men treated with RRP (adjusted relative RTW rate 3.76; 95% confidence interval [CI], 3.04-4.66). During a median of 3.6 yr after return to work, men treated with RARP lost fewer days from work per person-year than men treated with RRP-12 d versus 15 d-but the association was not statistically significant (p=0.10). The adjusted rate ratio was 1.08 (95% CI, 0.82-1.42). One limitation is the nonrandomised design of this study.

conclusionsRARP was associated with a faster RTW compared with RRP, but the surgical method did not influence long-term rates of work disability in terms of days lost from work after RTW. PATIENT SUMMARY: We compared disease-related absence from work between two surgical methods for the removal of the prostate. Robot-assisted surgery was associated with a faster return to work compared with open surgery but did not influence absence from work in a long-term perspective.

Indexed as

Robotic Surgical ProceduresCohort StudiesHumansInsurance, DisabilityMaleMiddle AgedProstatectomyProstatic NeoplasmsReturn to WorkSick LeaveSwedenTime FactorsDisability pensionProstate cancerProstatectomyRetropubic radical prostatectomyReturn to workRobot-assisted radical prostatectomySick leaveSwedenWork disability

Identifiers

PMID26782345
OpenAlexW2248358897

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.