ArticleTranslational andrology and urology2025
Improving outcomes in robot-assisted urologic oncology surgery using a perioperative electronic health program.
Article in Translational andrology and urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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14 authors.
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Abstract
Background: Robotic surgery has demonstrated its ability to improve perioperative outcomes thanks to a minimally invasive approach. In addition, the implementation of a perioperative optimized pathway, including eHealth programs, may provide a synergistic effect and help facilitate recovery and reduce complications. The purpose of this study is to evaluate the impact of the BETTY COACHING program on the 90-day complication rate following robot-assisted oncologic urologic surgery. Methods: We conducted a study to evaluate the impact of the BETTY COACHING program, an app-based, multi-level perioperative digital pathway, on the 90-day complication rate following robot-assisted onco-urologic surgery. Patients were divided into two groups: one benefiting from our coaching program and the other receiving standard care without digital support. Data were analyzed from a prospectively maintained, multicenter registry. Secondary endpoints included hospital stay, readmission, number of days out of hospital, prolonged care at discharge, unplanned visits, and patient satisfaction. Results: A total of 196 consecutive patients undergoing radical prostatectomy, partial nephrectomy, or radical cystectomy were included in the analysis, with 98 patients in each group. Patients who followed our coaching program experienced significantly fewer post-operative complications [26.5% Conclusions: The addition of a digital optimized perioperative program improves 90-day outcomes after robot-assisted onco-urologic surgical procedures in terms of complications, readmission, prolonged care, and patient experience.
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