Observational studyBritish journal of cancer2018
Robot-assisted radical prostatectomy vs laparoscopic and open retropubic radical prostatectomy: functional outcomes 18 months after diagnosis from a national cohort study in England.
Observational study in British journal of cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Quality of life after robotic versus conventional minimally invasive cancer surgery: a systematic review and meta-analysis.Journal of robotic surgery · 2024Pooled it
- Standard vs delayed ligature of the dorsal vascular complex during robot-assisted radical prostatectomy: results from a randomized controlled trial.Journal of robotic surgery · 2019Trial
- Hugo™ RAS for robot-assisted radical prostatectomy: outcomes from a consecutive single-center study at a Hugo-exclusive institution.Journal of robotic surgery · 2026Article
- Global research trends and thematic evolution of nerve-sparing and functional recovery after robot-assisted radical prostatectomy for prostate cancer: a bibliometric and visualisation analysis.Journal of robotic surgery · 2026Article
- The Nerve-Sparing Quality (NSQ) Score: A Novel Intraoperative Scoring System for Assessing Nerve-Sparing Quality During Robot-Assisted Radical Prostatectomy-A Concept and Feasibility Study.Journal of clinical medicine · 2026Article
- Robotic versus laparoscopic radical prostatectomy: a large cohort study using the 24-hour pad test highlights the impact of continence definition on functional outcomes.Journal of robotic surgery · 2026Article
- Patient Reported Outcomes and Treatment-Associated Complications as a Consideration in Selecting Localized Prostate Cancer Management.Research and reports in urology · 2025Review
- Article
- Hospital volume and outcomes after radical prostatectomy: a national population-based study using patient-reported urinary continence and sexual function.Prostate cancer and prostatic diseases · 2023Article
- A Study of 57 Patients with Prostate Cancer to Compare Outcomes of Estimated Blood Loss and Postoperative Pain Between Robot-Assisted Laparoscopic Radical Prostatectomy and Standard Laparoscopic Radical Prostatectomy.Medical science monitor : international medical journal of experimental and clinical research · 2023Article
- Cost-utility analysis on robot-assisted and laparoscopic prostatectomy based on long-term functional outcomes.Scientific reports · 2022Article
- Implementation of patient-reported outcome measures into health care for men with localized prostate cancer.Nature reviews. Urology · 2022Review
- Annual nationwide analysis of costs and post-operative outcomes after radical prostatectomy according to the surgical approach (open, laparoscopic, and robotic).World journal of urology · 2022Article
- Patterns of adoption of robotic radical prostatectomy in the United States and England.Health services research · 2021Article
- Comparing the effect of positioning on cerebral autoregulation during radical prostatectomy: a prospective observational study.Journal of clinical monitoring and computing · 2021Observational
- Commentary: Treatment of prostate cancer.Current urology · 2021Article
- Surgeon heterogeneity significantly affects functional and oncological outcomes after radical prostatectomy in the Swedish LAPPRO trial.BJU international · 2021Article
- Functional Preservation and Oncologic Control following Robot-Assisted versus Laparoscopic Radical Prostatectomy for Intermediate- and High-Risk Localized Prostate Cancer: A Propensity Score Matched Analysis.Journal of oncology · 2021Article
- Observational
- Comparison of longitudinal health-related quality-of-life outcomes between anterior and posterior surgical approaches to robot-assisted radical prostatectomy.Journal of robotic surgery · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
backgroundRobot-assisted radical prostatectomy (RARP) has been rapidly adopted without robust evidence comparing its functional outcomes against laparoscopic radical prostatectomy (LRP) or open retropubic radical prostatectomy (ORP) approaches. This study compared patient-reported functional outcomes following RARP, LRP or ORP.
methodsAll men diagnosed with prostate cancer in England during April - October 2014 who underwent radical prostatectomy were identified from the National Prostate Cancer Audit and mailed a questionnaire 18 months after diagnosis. Group differences in patient-reported sexual, urinary, bowel and hormonal function (EPIC-26 domain scores) and generic health-related quality of life (HRQoL; EQ-5D-5L scores), with adjustment for patient and tumour characteristics, were estimated using linear regression.
resultsIn all, 2219 men (77.0%) responded; 1310 (59.0%) had RARP, 487 (21.9%) LRP and 422 (19.0%) ORP. RARP was associated with slightly higher adjusted mean EPIC-26 sexual function scores compared with LRP (3·5 point difference; 95% CI: 1.1-5.9, P=0.004) or ORP (4.0 point difference; 95% CI: 1.5-6.5, P=0.002), which did not meet the threshold for a minimal clinically important difference (10-12 points). There were no significant differences in other EPIC-26 domain scores or HRQoL.
conclusionsIt is unlikely that the rapid adoption of RARP in the English NHS has produced substantial improvements in functional outcomes for patients.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.