Evidence map›Paper›PMID 37931286›Full record

ArticleCanadian Urological Association journal = Journal de l'Association des urologues du Canada2024

The impact of robotic surgery access on the management of patients with clinical stage I kidney tumors.

Francis Lemire, MengQi Zhang, Patrick Anderson, Antonio Finelli, Ricardo A Rendon, Simon Tanguay, Rahul Bansal, Bimal Bhindi, Alan I So, Frédéric Pouliot and 4 more

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Canadian Urological Association journal = Journal de l'Association des urologues du Canada, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 34% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

14 authors at 10 institutions in 1 country.

Francis LemireOttawa Hospital Research Institute and the University of Ottawa, Ottawa, ON, Canada.
MengQi ZhangOttawa Hospital Research Institute and the University of Ottawa, Ottawa, ON, Canada.
Patrick AndersonOttawa Hospital Research Institute and the University of Ottawa, Ottawa, ON, Canada.
Antonio FinelliPrincess Margaret Cancer Centre, University Health Network and University of Toronto, Toronto, ON, Canada.
Ricardo A RendonDalhousie University and Queen Elizabeth II Health Sciences Centre, Halifax, NS, Canada.
Simon TanguayMcGill University and McGill University Health Centre, Montreal, QC, Canada.
Rahul BansalMcMaster University, Hamilton, ON, Canada.
Bimal BhindiSouthern Alberta Institute of Urology, University of Calgary, Calgary, AB, Canada.
Alan I SoUniversity of British Columbia, Vancouver, BC, Canada.
Frédéric PouliotCentre Hospitalier Universitaire de Québec, Université Laval, Quebec City, QC, Canada.
Lucas DeanUniversity of Alberta, Edmonton, AB, Canada.
Ranjeeta MallickOttawa Hospital Research Institute and the University of Ottawa, Ottawa, ON, Canada.
Luke T LavalléeOttawa Hospital Research Institute and the University of Ottawa, Ottawa, ON, Canada.
Rodney H BreauOttawa Hospital Research Institute and the University of Ottawa, Ottawa, ON, Canada.
Ottawa Hospital · CACentre hospitalier universitaire de Québec · CADalhousie University · CAMcGill University Health Centre · CAMcMaster University · CAUniversity Health Network · CAUniversity of Alberta · CAUniversity of British Columbia · CAUniversity of Calgary · CAUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRobotic surgery is used in the treatment of kidney tumors. We aimed to determine if robotic access was associated with initial choice of management for patients with a clinical stage I kidney mass.

methodsPatients with a clinical stage I kidney mass were identified from the Canadian Kidney Cancer information system (CKCis) cohort. Sites were classified by year and access to robotic surgery. Associations between robotic access and initial management were determined using logistic regression. Univariable and multivariable analyses were performed, adjusting for tumor size and stage, and presented as relative risks (RR ) or adjusted RR (aRR) and 95% confidence intervals (CI).

resultsOverall, 4160 patients were included. Among patients treated with surgery, the proportion of partial nephrectomy compared to radical nephrectomy was significantly higher in robotic sites (77.3% for robotic sites vs. 65.9% for non-robotic sites; RR 1.17, 95% CI 1.12-1.23, p<0.0001; aRR 1.12, 95% CI 1.08-1.17, p<0.0001). Patients receiving partial nephrectomy at sites with robotic access were more likely to receive a minimally invasive approach compared to patients at non-robotic sites (61.4% vs. 50.9%, RR 1.21, 95% CI 1.12-1.30; aRR 1.16, 95% CI 1.08-1.25, p<0.0001). The proportion of patients managed by active surveillance was not significantly different between robotic (405, 16.9%) and non-robotic (258, 14.7%) sites (RR 1.15, 95% CI 0.99-1.32; aRR 0.97, 95% CI 0.84-1.12).

conclusionsAccess to robotic kidney surgery was associated with increased use of partial nephrectomy and minimally invasive partial nephrectomy. Use of active surveillance was similar at robotic and non-robotic institutions. Limitations of this study include lack of data on perioperative complications and cancer recurrence.

Identifiers

PMID37931286
PMCPMC10841563
OpenAlexW4387906707

What OpenQuestion holds

Textmetadata
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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.