Evidence map›Paper›PMID 36280600›Full record

ArticleWorld journal of urology2022

Robotic versus open cystectomy with ileal conduit for the management of neurogenic bladder: a comparative study.

Jeanne Beirnaert, Davy Benarroche, Ugo Pinar, Morgan Roupret, Véronique Phé, Christophe Vaessen, Jerome Parra, Emmanuel Chartier-Kastler, Thomas Seisen

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 5 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 3 pooled it
2.0field-weighted citation impact, top 14% 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

5 citing papers in PubMed, 3 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Article
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

9 authors at 2 institutions in 2 countries.

Jeanne BeirnaertAPHP, Sorbonne University, GRC 5, Predictive Onco-Urology, Pitié-SalpêtrièreHôpital, Urology, 75013, Paris, France.
Davy BenarrocheAPHP, Sorbonne University, GRC 5, Predictive Onco-Urology, Pitié-SalpêtrièreHôpital, Urology, 75013, Paris, France.
Ugo PinarAPHP, Sorbonne University, GRC 5, Predictive Onco-Urology, Pitié-SalpêtrièreHôpital, Urology, 75013, Paris, France.ORCID http://orcid.org/0000-0001-6135-1005
Morgan RoupretAPHP, Sorbonne University, GRC 5, Predictive Onco-Urology, Pitié-SalpêtrièreHôpital, Urology, 75013, Paris, France.
Véronique PhéAPHP, Sorbonne University, Hôpital Tenon, Service d'Urologie, 75020, Paris, France.
Christophe VaessenAPHP, Sorbonne University, GRC 5, Predictive Onco-Urology, Pitié-SalpêtrièreHôpital, Urology, 75013, Paris, France.
Jerome ParraAPHP, Sorbonne University, GRC 5, Predictive Onco-Urology, Pitié-SalpêtrièreHôpital, Urology, 75013, Paris, France.
Emmanuel Chartier-KastlerAPHP, Sorbonne University, GRC 5, Predictive Onco-Urology, Pitié-SalpêtrièreHôpital, Urology, 75013, Paris, France.
Thomas SeisenAPHP, Sorbonne University, GRC 5, Predictive Onco-Urology, Pitié-SalpêtrièreHôpital, Urology, 75013, Paris, France. thomas.seisen@aphp.fr.
Sorbonne Université · FRUniversité Libre de Bruxelles · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCystectomy associated with non-continent ileal diversion is a common surgery in patients with neurogenic bladder. Few data are available, especially for the robotic approach. Our purpose was to compare open cystectomy (OC) and robot-assisted radical cystectomy (RARC) with ileal conduit, regarding peri- and post-operative outcomes.

methodsWe included each patient who underwent cystectomy and ileal conduit for neurogenic bladder in a referral-center between January 2017 and November 2021. Data were retrospectively analyzed. Median follow-up was 16.6 months [IQR: 5; 41]. All patients had neurogenic bladder with failure of conservative treatment and/or impacted Quality of Life (QoL). Open cystectomy with non-continent ileal diversion and robot-assisted cystectomy with intra-corporeal non-continent ileal diversion were compared. Primary endpoint was postoperative complications. Secondary endpoints were length of hospital stay (LOS), surgery duration, blood loss and ureteral anastomosis stricture.

resultsA total of 123 patients were included, n = 85 (69.1%) undergoing OC and n = 38 (30.9%) RARC. Significant differences were observed for: operative time (OC 266.9 ± 64 vs. RARC 205.8 ± 55.5 min, p < 0.001), blood loss (OC 737.7 ± 515.8 vs. RARC 245.8 ± 169.6 ml, p < 0.001), delay until feeding resumption (OC 7.1 ± 4.7 vs. RARC 5.5 ± 2.9 days, p = 0.05) and mean LOS (OC 21.6 ± 13.9 vs. RARC 16.2 ± 7.6 days, p = 0.03). In RARC group, there were 10.5% complications Clavien-Dindo > 2 whereas 23.8% complications underwent in the OC group (p = 0.1).

conclusionRARC is a safe approach for management of neurological bladder showing significantly better perioperative outcomes.

Indexed as

RoboticsRobotic Surgical ProceduresUrinary Bladder NeoplasmsUrinary Bladder, NeurogenicUrinary DiversionConstriction, PathologicCystectomyHumansPostoperative ComplicationsQuality of LifeRetrospective StudiesTreatment OutcomeCystectomyFunctional resultsIntraoperative complicationsNeurogenic bladderRobotics

Identifiers

PMID36280600
OpenAlexW4307233171

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.