Evidence map›Paper›PMID 32065277›Full record

ArticleWorld journal of urology2022

Same-day discharge surgery for robot-assisted radical prostatectomy in the era of ERAS and prehabilitation pathways: a contemporary, comparative, feasibility study.

Guillaume Ploussard, Christophe Almeras, Jean-Baptiste Beauval, Jean-Romain Gautier, Guillaume Loison, Ambroise Salin, Christophe Tollon

Abstract read
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In one paragraph

Article in World journal of urology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
8.2field-weighted citation impact, top 2% 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

27 citing papers in PubMed, 57 citations in OpenAlex.

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  10. Predictors of failed same-day discharge in patients undergoing robot-assisted radical prostatectomy in a Canadian universal healthcare system.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2024
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  11. Article
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  13. First Canadian experience with same-day discharge after robot-assisted radical prostatectomy.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2023
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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

7 authors at 2 institutions in 1 country.

Guillaume PloussardDepartment of Urology, La Croix du Sud Hospital, Toulouse, 52, chemin de Ribaute, 31130, Quint Fonsegrives, France. g.ploussard@gmail.com.ORCID http://orcid.org/0000-0002-6004-2152
Christophe AlmerasDepartment of Urology, La Croix du Sud Hospital, Toulouse, 52, chemin de Ribaute, 31130, Quint Fonsegrives, France.
Jean-Baptiste BeauvalDepartment of Urology, La Croix du Sud Hospital, Toulouse, 52, chemin de Ribaute, 31130, Quint Fonsegrives, France.
Jean-Romain GautierDepartment of Urology, La Croix du Sud Hospital, Toulouse, 52, chemin de Ribaute, 31130, Quint Fonsegrives, France.
Guillaume LoisonDepartment of Urology, La Croix du Sud Hospital, Toulouse, 52, chemin de Ribaute, 31130, Quint Fonsegrives, France.
Ambroise SalinDepartment of Urology, La Croix du Sud Hospital, Toulouse, 52, chemin de Ribaute, 31130, Quint Fonsegrives, France.
Christophe TollonDepartment of Urology, La Croix du Sud Hospital, Toulouse, 52, chemin de Ribaute, 31130, Quint Fonsegrives, France.
Lyon Genou Centre Albert Trillat · FRUniversité Paris-Sud · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the feasibility of same-day discharge (SDD) after robot-assisted radical prostatectomy (RARP) in the context of enhanced recovery after surgery (ERAS) and prehabilitation pathways. MATERIALS AND

methodsFor 1 year, we prospectively assessed the feasibility of SDD RARP in the context of ERAS and prehabilitation pathways. SDD patients were compared to overnight patients operated during the same period by the same surgeon. Primary outcomes were complication and 90-day readmission rates.

resultsOf the overall cohort, 51.9% were discharged home the day of surgery. Both cohorts were comparable in terms of pre-operative and intra-operative characteristics. There was a not significant trend towards shorter operative time in the SDD cohort (93.7 versus 105.2 min, p = 0.077). Mean blood loss was comparable between both cohorts. No significant difference in terms of complication (p = 0.606; 16.0% versus 11.1%) and readmission rates (< 4%) was noted. There was a not significant trend towards faster continence recovery for patients included in the SDD cohort, compared with those in the inpatient cohort. The overall cost per patient was reduced by 10.8% with SDD surgery with no increased cost due to emergency visits or readmissions

conclusionsImplementation of SDD RARP in the context of ERAS and prehabilitation pathways is safe, reduces cost and does not compromise the post-operative course. Proportion of patients undergoing SDD continuously increased to reach 60% of the surgeon cohort at the end of the study period. The trend suggesting a faster continence recovery after SDD has to be confirmed in a larger cohort.

Indexed as

Enhanced Recovery After SurgeryRoboticsRobotic Surgical ProceduresFeasibility StudiesHumansMalePatient DischargePreoperative ExerciseProstatectomyTreatment OutcomeComplicationEnhanced recovery after surgeryOutpatientPrehabilitationProstate cancerRadical prostatectomy

Identifiers

PMID32065277
OpenAlexW3007016957

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Registered trials

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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.