Evidence map›Paper›PMID 39115647›Full record

ArticleJournal of robotic surgery2024

Outcomes of open versus robotic partial nephrectomy: a 20-year single institution experience.

Harrison Love, Courtney Yong, James E Slaven, Ashorne K Mahenthiran, Chinade Roper, Morgan Black, William Zhang, Elise Patrick, Kelly DeMichael, Troy Wesson and 6 more

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Journal of robotic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. Review
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

16 authors.

Harrison Love *Department of Urology, Indiana University School of Medicine, 535 N Barnhill Dr, Indianapolis, IN, 46202, USA.
Courtney Yong *Department of Urology, Indiana University School of Medicine, 535 N Barnhill Dr, Indianapolis, IN, 46202, USA.
James E SlavenDepartment of Biostatistics and Health Data Science, Indiana University, Indianapolis, IN, USA.
Ashorne K MahenthiranDepartment of Urology, Indiana University School of Medicine, 535 N Barnhill Dr, Indianapolis, IN, 46202, USA.
Chinade RoperIndiana University School of Medicine, Indianapolis, IN, USA.
Morgan BlackIndiana University School of Medicine, Indianapolis, IN, USA.
William ZhangIndiana University School of Medicine, Indianapolis, IN, USA.
Elise PatrickIndiana University School of Medicine, Indianapolis, IN, USA.
Kelly DeMichaelIndiana University School of Medicine, Indianapolis, IN, USA.
Troy WessonIndiana University School of Medicine, Indianapolis, IN, USA.
Sean O'BrienIndiana University School of Medicine, Indianapolis, IN, USA.
Rowan FarrellIndiana University School of Medicine, Indianapolis, IN, USA.
Thomas GardnerDepartment of Urology, Indiana University School of Medicine, 535 N Barnhill Dr, Indianapolis, IN, 46202, USA.
Timothy A MastersonDepartment of Urology, Indiana University School of Medicine, 535 N Barnhill Dr, Indianapolis, IN, 46202, USA.
Ronald S BorisDepartment of Urology, Indiana University School of Medicine, 535 N Barnhill Dr, Indianapolis, IN, 46202, USA.
Chandru P SundaramDepartment of Urology, Indiana University School of Medicine, 535 N Barnhill Dr, Indianapolis, IN, 46202, USA. sundaram@iupui.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Robotic assisted partial nephrectomy (RPN) has emerged in urologic practice for the management of appropriately sized renal masses. We provide a 20-year comparison of the outcomes of open partial nephrectomy (OPN) versus RPN for renal cell carcinoma (RCC) at our institution. An IRB-approved retrospective review was conducted of RCC patients at a single institution from 2000 to 2022 who underwent RPN or OPN. In addition to demographics, procedural details including ischemia and operative time were collected. Oncologic outcomes were evaluated through Kaplan-Meier statistical analysis to determine recurrence-free survival (RFS), cancer-specific survival (CSS), and overall survival (OS) analysis. 849 patients underwent RPN while 385 underwent OPN. 61% were male with average age of 58.8 ± 12.8 years. Operative time was shorter in the open group (184 vs 200 min, p = 0.002), as was ischemia time (16 vs 19 min, p = 0.047). However, after 2012, RPN became more common than OPN with improving ischemia time. RPN patients had significantly improved RFS (HR 0.45, p = 0.0004) and OS (HR 0.51, p = 0.0016) when controlled for T-stage and margin status. More > pT1 masses were managed with OPN than RPN (11.2 vs 5.4%, p < 0.0001). At our institution, RPN had an increasing incidence with reduced ischemia time compared to OPN over the last 10 years. While higher stage renal masses were more often managed with OPN, selective use of RPN does offer improved oncologic outcomes. Further investigation is needed to evaluate optimization of the selection of RPN versus OPN in the nephron-sparing management of renal masses.

Indexed as

Carcinoma, Renal CellKidney NeoplasmsNephrectomyRobotic Surgical ProceduresAgedFemaleHumansMaleMiddle AgedOperative TimeRetrospective StudiesTreatment OutcomeOpen partial nephrectomyRobotic partial nephrectomyRobotic surgeryUrologic oncologyUrology

Identifiers

PMID39115647

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.