Evidence map›Paper›PMID 41174255›Full record

SynthesisCurrent oncology reports2025

Impact of Social Determinants of Health on Post-operative Outcomes Following Robotic Radical Prostatectomy.

Faris Najdawi, Samuel Lassiter, Alina Gandrabur, Ryan W Dobbs, Mohammed Shahait

Abstract readSystematic Review
In one paragraph

Synthesis in Current oncology reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

5 authors.

Faris NajdawiDivision of Urology, Cook County Health and Hospitals System, Chicago, IL, United States.
Samuel LassiterDivision of Urology, Cook County Health and Hospitals System, Chicago, IL, United States.
Alina GandraburDivision of Urology, Cook County Health and Hospitals System, Chicago, IL, United States.
Ryan W DobbsDivision of Urology, Cook County Health and Hospitals System, Chicago, IL, United States.
Mohammed ShahaitDepartment of Urology, University of California at Irvine, 19200 Jamboree Road Suite 5100, Irvine, CA, United States. Mshahait@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSocial determinants of health are increasingly recognized as key contributors to disparities in healthcare access and outcomes. With robotic-assisted radical prostatectomy now widely adopted as the preferred surgical approach for localized prostate cancer, this systematic review evaluates how individual social determinants of health influence access to robotic surgery and postoperative outcomes. MATERIALS AND

methodsThis review adhered to PRISMA guidelines and was registered with PROSPERO (CRD420256270179). A comprehensive search of PubMed and EBSCO identified studies examining social determinants of health in patients undergoing robotic prostatectomy. Extracted data included patient demographics, social determinants of health variables, and perioperative outcomes. Risk of bias was assessed using the Cochrane Risk of Bias Tool and the Newcastle-Ottawa Scale.

resultsEighteen studies met inclusion criteria. Commonly assessed variable included socioeconomic status, race/ethnicity, insurance, education, occupation, and geographic location. Lower socioeconomic status was linked to decreased robotic prostatectomy access, treatment at low-volume or non-robotic centers, and worse outcomes. Racial and ethnic disparities were consistent; non-White patients were less likely to receive definitive therapy and more likely to undergo surgery by low-volume providers. Rural patients experienced reduced access to robotic surgery and lower rates of pelvic lymph node dissection. Lower education levels were associated with delayed continence and reduced return-to-work capacity.

conclusionsSocial determinants of health significantly impact access to robotic prostatectomy and postoperative outcomes. Urologists and policymakers should integrate awareness of these factors into patient counseling and institutional planning. Future research should explore mechanisms underlying these disparities to inform equity-driven strategies in prostate cancer care.

Indexed as

ProstatectomyProstatic NeoplasmsRobotic Surgical ProceduresSocial Determinants of HealthHealthcare DisparitiesHealth Services AccessibilityHumansMaleTreatment OutcomeProstatectomyRobotic-assistedSocial determinants of health

Identifiers

PMID41174255
PMCPMC12743695

What OpenQuestion holds

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LicenceCC BY
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.