ArticleInternational journal of urology : official journal of the Japanese Urological Association2022
Are there disparities in access to robot-assisted laparoscopic surgery among pediatric urology patients? US institutional experience.
Article in International journal of urology : official journal of the Japanese Urological Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Two decades of robotic pediatric urology: a single-surgeon evolution from adoption to excellence.Journal of robotic surgery · 2026Review
- Global research trends in robot-assisted pediatric urological surgery: a visualized bibliometric analysis.Journal of robotic surgery · 2026Article
- Association of race and 30-day postoperative complications after urologic oncology surgery.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2025Article
- Measuring hospital inpatient Procedure Access Inequality in the United States.Health affairs scholar · 2024Article
- Racial disparities in complications following elective colon cancer resection: Impact of laparoscopic versus robotic approaches.American journal of surgery · 2024Article
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4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
objectiveLiterature suggests access to robotic surgery varies by race and payer status. We seek to investigate whether disparities exist in robot-assisted laparoscopic surgery among the pediatric urology population at our tertiary academic medical center and, if so, to find plausible reasons why.
methodsRetrospective analysis identified patients who underwent open or robot-assisted laparoscopic surgery by a single surgeon at a tertiary care center between 2008 and 2019. Univariate and multivariate analyses determined the relationship of patient demographic and socioeconomic factors to procedure approach.
resultsAmong 356 patients, race, age, American Society of Anesthesiologists status, and year of surgery were significant by univariate analysis. Insurance status was not significant (P = 0.066). Multivariate analysis indicated that age, American Society of Anesthesiologists status, and year of surgery were statistically significant (P < 0.001, P = 0.005, P < 0.001). By multivariate logistic regression, Black and Hispanic patient race were not significant with an odds ratio of 0.60 (0.35-1.02) (P = 0.061). In 60.2% of open cases, open approach selection was attributable to complex pathology, limitations of robotic approach, and surgeon's robot-assisted laparoscopic learning curve.
conclusionsOptimal procedure approach was determined by case complexity and surgeon's robot-assisted laparoscopic learning curve and was independent of patient race and payer status. This study did not find racial or socioeconomic disparities in robotic surgery within pediatric urology at our tertiary medical center, inconsistent with previous literature.
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