Evidence map›Paper›PMID 30953271›Full record

ArticleJournal of robotic surgery2020

Risk factors of positive surgical margins after robot-assisted radical prostatectomy in high-volume center: results in 732 cases.

Antonio Benito Porcaro, Marco Sebben, Paolo Corsi, Alessandro Tafuri, Tania Processali, Marco Pirozzi, Nelia Amigoni, Riccardo Rizzetto, Giovanni Cacciamani, Arianna Mariotto and 5 more

Abstract read
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In one paragraph

Article in Journal of robotic surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. [Risk factors of positive surgical margin and multifocal positive surgical margin after robot-assisted radical prostatectomy].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2026
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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

15 authors.

Antonio Benito PorcaroDepartment of Urology, University of Verona, Verona, Italy. drporcaro@yahoo.com.
Marco SebbenDepartment of Urology, University of Verona, Verona, Italy.
Paolo CorsiDepartment of Urology, University of Verona, Verona, Italy.
Alessandro TafuriDepartment of Urology, University of Verona, Verona, Italy.
Tania ProcessaliDepartment of Urology, University of Verona, Verona, Italy.
Marco PirozziDepartment of Urology, University of Verona, Verona, Italy.
Nelia AmigoniDepartment of Urology, University of Verona, Verona, Italy.
Riccardo RizzettoDepartment of Urology, University of Verona, Verona, Italy.
Giovanni CacciamaniDepartment of Urology, University of Verona, Verona, Italy.
Arianna MariottoDepartment of Urology, University of Verona, Verona, Italy.
Alberto DiminuttoDepartment of Urology, University of Verona, Verona, Italy.
Matteo BrunelliDepartment of Pathology, University of Verona, Verona, Italy.
Vincenzo De MarcoDepartment of Urology, University of Verona, Verona, Italy.
Salvatore SiracusanoDepartment of Urology, University of Verona, Verona, Italy.
Walter ArtibaniDepartment of Urology, University of Verona, Verona, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of the study was to evaluate clinical, pathological and peri-operative factors associated with the risk of positive surgical margins (PSM) after robot-assisted radical prostatectomy (RARP) in a high-volume center. The study is a retrospective analysis of prospectively collected data. We excluded cases who were under androgen deprivation or had prior treatments. The population included negative cases (control group) and PSM subjects (study groups). The logistic regression model assessed the independent association of factors with the risk of PSM. From January 2013 to December 2017, 732 patients underwent RARP. Extended pelvic lymph node dissection was performed in 342 cases (46.7%). Overall, 192 cases (26.3%) had PSM. Independent factors associated with the risk of focal PSM were body mass index (odds ratio, OR = 0.936; p = 0.021), percentage of biopsy-positive cores (BPC; OR = 1.012; p = 0.004), pathological extracapsular extension (OR = 2.702; p < 0.0001), seminal vesicle invasion (OR = 2.889; p < 0.0001) and high-volume surgeon (OR = 0.607; p = 0.006). In high-volume centers, features related to host, tumor biology and surgeon are independent factors associated with the risk of PSM after RARP, which are decreased by the high-volume surgeon. The inverse association between BMI and PSM risk needs further clinical research. These issues should be discussed when counseling patients.

Indexed as

Margins of ExcisionHumansMaleProstatectomyRisk FactorsRobotic Surgical ProceduresPositive surgical marginsProstate cancerProstate cancer tumor-grade groupsRadical prostatectomyRobotic surgery

Identifiers

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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.