ArticleJournal of surgical oncology2023
Disparities in access to robotic technology and perioperative outcomes among patients treated with radical prostatectomy.
Article in Journal of surgical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- The impact of social determinants of health on access to partial nephrectomy, minimally invasive surgery, and robotic-assisted approaches for renal cell carcinoma.World journal of urology · 2026Pooled it
- Impact of Social Determinants of Health on Post-operative Outcomes Following Robotic Radical Prostatectomy.Current oncology reports · 2025Pooled it
- Systematic review of the ophthalmic complications of robotic-assisted laparoscopic prostatectomy.Journal of robotic surgery · 2024Pooled it
- A Nationwide Descriptive Analysis of Real-World Outcomes After Radical Prostatectomy in Japan Using the National Clinical Database.International journal of urology : official journal of the Japanese Urological Association · 2026Article
- Disparities in access to and outcomes of minimally invasive surgery: a scoping review.Surgical endoscopy · 2026Article
- Changes in PSA-Based Early Detection of Prostate Cancer over a 12-Year Period: Findings from the German KABOT Study.Healthcare (Basel, Switzerland) · 2026Article
- ROBO-SURG: perceived robotic outcomes and behavior in operative surgery - a global cross-sectional web survey of training, practice patterns, and perceived clinical outcomes : the protocol.Journal of robotic surgery · 2025Article
- Comparison of same-day discharge robotic-assisted radical prostatectomy in an ambulatory surgery center versus hospital setting.Journal of robotic surgery · 2025Article
- Clinical efficacy of robot-assisted thymectomy for large thymomas: a dual analysis of national and single-institution data.Journal of thoracic disease · 2025Article
- 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
- National adoption of robotic-assisted thoracoscopic surgery for oncologic lung resections.Journal of robotic surgery · 2025Article
- Initial experience with the novel modular robotic system Carina in urology: a prospective study on safety feasibility and surgical settings.Scientific reports · 2025Article
- Robotic Surgical Management of Complicated Diverticulitis.Current trauma reports · 2025Review
- Advancing minimally invasive hepato-pancreato-biliary surgery: barriers to adoption and equitable access.Surgical endoscopy · 2024Article
- Changing times: trends in risk classification, tumor upstaging, and positive surgical margins after radical prostatectomy - results from a contemporary National Cancer Database study.World journal of urology · 2024Article
- Patient Perception of Robotic-Assisted Total Joint Arthroplasty in a Hispanic Population.Arthroplasty today · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
backgroundMost radical prostatectomies are completed with robotic assistance. While studies have previously evaluated perioperative outcomes of robot-assisted radical prostatectomy (RARP), this study investigates disparities in access and clinical outcomes of RARP. STUDY
designThe National Cancer Database (NCDB) was used to identify patients who received radical prostatectomy for cancer between 2010 and 2017 with outcomes through 2018. RARP was compared to open radical prostatectomy (ORP). Odds of receiving RARP were evaluated while adjusting for covariates. Overall survival was evaluated using a propensity-score matched cohort.
resultsOverall, 354 752 patients were included with 297 676 (83.9%) receiving RARP. Patients who were non-Hispanic Black (82.8%) or Hispanic (81.3%) had lower rates of RARP than non-Hispanic White (84.0%) or Asian patients (87.7%, p < 0.001). Medicaid or uninsured patients were less likely to receive RARP (75.5%) compared to patients with Medicare or private insurance (84.4%, p < 0.001). Medicaid or uninsured status was associated with decreased odds of RARP in adjusted multivariable analysis (OR 0.61, 95% CI 0.49-0.76). RARP was associated with decreased perioperative mortality and improved overall survival compared to ORP.
conclusionPatients who were underinsured were less likely to receive RARP. Improved access to RARP may lead to decreased disparities in perioperative outcomes for prostate cancer.
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