ArticleProstate cancer and prostatic diseases2025
Social determinants of health and surgical outcomes of minimally invasive radical prostatectomy: a national population-based study.
Article in Prostate cancer and prostatic diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.
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Who cites it
6 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Impact of Social Determinants of Health on Post-operative Outcomes Following Robotic Radical Prostatectomy.Current oncology reports · 2025Pooled it
- Comparison of single-port versus multi-port robotic assisted partial nephrectomy: a systematic review and meta-analysis of perioperative and oncological outcomes.Journal of robotic surgery · 2024Pooled it
- From association to action: strengthening research on social determinants of health.Prostate cancer and prostatic diseases · 2025Article
- Comparing post-treatment urinary and colorectal procedures in prostate cancer patients using population-based linked data.International urology and nephrology · 2025Article
- The impact of single-port robotic surgery: a survey among urology residents and fellows in the United States.Journal of robotic surgery · 2024Article
- Implementation of single-port robotic urologic surgery: experience at a large academic center.Journal of robotic surgery · 2024Article
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11 authors.
Funding
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Abstract
backgroundSocioeconomic determinants of health (SDOH) are often unvalued during surgery risk stratification; hence, they might be a major source of disparity that can jeopardize outcomes related to urological surgery. The aim of our study is to evaluate the impact of SDOH on postoperative outcomes following minimally invasive radical prostatectomy (MIRP).
methodsPatients who underwent MIRP between 2011 and 2021 were retrospectively analyzed by using PearlDiver-Mariner, an all-payer insurance claims database. International Classification of Diseases diagnosis and procedure codes were used to identify patient's characteristics, postoperative complications and SDOH. Outcomes were compared using multivariable regression models.
resultsOverall, 100,035 patients (mean age = 63.24 ± 7.07) underwent MIRP. The 60-day postoperative complication rate was 18%. Approximately 6% of patients reported at least one SDOH at baseline. SDOH were associated with higher odds of 60-day postoperative complications (OR:1.24, 95% CI:1.15-1.34), including urinary tract infection (OR:1.32, 95% CI:1.20-1.45) and acute kidney injury (OR:1.31, 95% CI:1.00-1.39). Postoperative urethral stricture (OR:1.37, 95% CI:0.92-1.98) did not reach statistical significance at multivariable analysis.
conclusionsPatients with SDOH have a significantly higher risk of postoperative complications following MIRP, especially urinary infection and acute kidney injury. These findings are multifactorial and should prompt identifying measures that might help prevent this large-scale phenomenon.
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