Evidence map›Paper›PMID 36975474›Full record

ArticleCurrent oncology (Toronto, Ont.)2023

Is It Safe to Switch from a Standard Anterior to Retzius-Sparing Approach in Robot-Assisted Radical Prostatectomy?

Edward Lambert, Charlotte Allaeys, Camille Berquin, Pieter De Visschere, Sofie Verbeke, Ben Vanneste, Valerie Fonteyne, Charles Van Praet, Nicolaas Lumen

Open access · goldFull text read
In one paragraph

Article in Current oncology (Toronto, Ont.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 13% 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, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
  7. 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 3 institutions in 2 countries.

Edward LambertERN eUROGEN Accredited Centre, Department of Urology, Ghent University Hospital, 9000 Ghent, Belgium.
Charlotte AllaeysERN eUROGEN Accredited Centre, Department of Urology, Ghent University Hospital, 9000 Ghent, Belgium.
Camille BerquinERN eUROGEN Accredited Centre, Department of Urology, Ghent University Hospital, 9000 Ghent, Belgium.
Pieter De VisschereDepartment of Radiology and Nuclear Medicine, Ghent University Hospital, 9000 Ghent, Belgium.
Sofie VerbekeDepartment of Pathology, Ghent University Hospital, 9000 Ghent, Belgium.ORCID 0000-0002-5402-8581
Ben VannesteDepartment of Radiation Oncology, Ghent University Hospital, 9000 Ghent, Belgium.
Valerie FonteyneDepartment of Radiation Oncology, Ghent University Hospital, 9000 Ghent, Belgium.
Charles Van PraetERN eUROGEN Accredited Centre, Department of Urology, Ghent University Hospital, 9000 Ghent, Belgium.
Nicolaas LumenERN eUROGEN Accredited Centre, Department of Urology, Ghent University Hospital, 9000 Ghent, Belgium.
Ghent University Hospital · BEEuropean Association of Urology · NLMaastricht University Medical Centre · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRetzius-sparing robot-assisted radical prostatectomy (RS-RARP) has been shown to lead to better outcomes regarding early continence compared to standard anterior RARP (SA-RARP). The goal of this study was to assess the feasibility and safety of implementing RS-RARP in a tertiary center with experience in SA-RARP.

methodsFrom February 2020, all newly diagnosed non-metastatic prostate cancer patients for whom RARP was indicated were evaluated for RS-RARP. Data from the first 100 RS-RARP patients were prospectively collected and compared with data from the last 100 SA-RARP patients. Patients were evaluated for Clavien Dindo grade ≥3a complications, urinary continence after 2 and 6 weeks, 3, 6 and 12 months, erectile function, positive surgical margins (PSMs) and biochemical recurrence (BCR).

resultsThere was no significant difference in postoperative complications at Clavien-Dindo grade ≥3a (SA-RARP: 6, RS-RARP: 4;

conclusionsThe transition from SA-RARP to RS-RARP can be safely performed by surgeons proficient in SA-RARP. Continence results after RS-RARP were significantly better at any time point. A higher proportion of PSMs was observed, although it did not result in a worse BCR-free survival.

Indexed as

RoboticsRobotic Surgical ProceduresHumansMaleMargins of ExcisionProstateProstatectomyTreatment Outcomebiochemical recurrenceerectile dysfunctionradical prostatectomyRetzius-sparingrobotic surgeryurinary continence

Identifiers

PMID36975474
PMCPMC10047447
OpenAlexW4327947375

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read91
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.