Evidence map›Paper›PMID 29381463›Full record

ArticleCanadian Urological Association journal = Journal de l'Association des urologues du Canada2018

Long-term patient outcomes from the first year of a robotic surgery program using multi-surgeon implementation.

Joshua Montroy, Ehab Elzayat, Chris Morash, Brian Blew, Luke T Lavallée, Ilias Cagiannos, James Watterson, Jeffrey S Oake, Michael Fungkeefung, Calvin Thompson and 2 more

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Canadian Urological Association journal = Journal de l'Association des urologues du Canada, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 25% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. 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
  7. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Joshua MontroyThe Ottawa Hospital Research Institute, University of Ottawa; Ottawa, ON, Canada.
Ehab ElzayatDivision of Urology, Department of Surgery, The Ottawa Hospital, University of Ottawa; Ottawa, ON, Canada.
Chris MorashDivision of Urology, Department of Surgery, The Ottawa Hospital, University of Ottawa; Ottawa, ON, Canada.
Brian BlewDivision of Urology, Department of Surgery, The Ottawa Hospital, University of Ottawa; Ottawa, ON, Canada.
Luke T LavalléeThe Ottawa Hospital Research Institute, University of Ottawa; Ottawa, ON, Canada.
Ilias CagiannosDivision of Urology, Department of Surgery, The Ottawa Hospital, University of Ottawa; Ottawa, ON, Canada.
James WattersonDivision of Urology, Department of Surgery, The Ottawa Hospital, University of Ottawa; Ottawa, ON, Canada.
Jeffrey S OakeDivision of Urology, Department of Surgery, The Ottawa Hospital, University of Ottawa; Ottawa, ON, Canada.
Michael FungkeefungDepartment of Gynecology, The Ottawa Hospital, University of Ottawa; Ottawa, ON, Canada.
Calvin ThompsonDepartment of Anesthesiology and Pain Medicine, The Ottawa Hospital, University of Ottawa; Ottawa, ON, Canada.
Robert WeberDepartment of Nursing, The Ottawa Hospital; Ottawa, ON, Canada.
Rodney H BreauThe Ottawa Hospital Research Institute, University of Ottawa; Ottawa, ON, Canada.
Ottawa Hospital · CAUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThere is concern that surgical quality initially declines during the learning phase of robotic surgery. At our institution, we used a multi-surgeon programmatic approach to the introduction of robotic surgery. The purpose of this study was to evaluate outcomes of patients treated during the first year of our program.

methodsThis is a historical cohort of all radical prostatectomy patients during a one-year period. Baseline, perioperative, and long-term followup data were prospectively and retrospectively collected. Treatment failure was a composite of any postoperative radiation, androgen-deprivation, or prostate-specific antigen (PSA) ≥0.2.

resultsDuring the study period, 225 radical prostatectomy procedures were performed (104 robotic and 121 open). Baseline characteristics were similar between groups (p>0.05). All patients were continent and 74% were potent prior to surgery. Mean estimated blood loss (280 cc vs. 760 cc; p<0.001) and blood transfusion (0% vs. 8.3%; p=0.002) was lower in the robotic cohort. Non-transfusion complications were similar between groups (13% vs. 12%; p=0.7). Mean hospital stay was shorter in the robotic cohort (1.4 vs. 2.5 days). There was no difference in overall positive margin rate (38% vs. 43%; p=0.4) or treatment failure at a median followup of 3.5 years (p=0.4). Robotically treated patients were more often continent (89% vs. 77%; p=0.02) and potent (48% vs. 32%; p=0.02).

conclusionsUsing an inclusive multi-surgeon approach, robotic pros-tatectomy was introduced safely at a Canadian academic institution.

Identifiers

PMID29381463
PMCPMC5937409
OpenAlexW2771700277

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.