Evidence map›Paper›PMID 42532638›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

Acute outcomes with robotic versus laparoscopic and open hysterectomy for endometrial cancer: a retrospective cohort study from Alberta, Canada.

Huong Luu, Karen J B Martins, Jeanelle Sabourin, Caitlin A Jago, Erica L W Lester, Phuong Uyen Nguyen, Tyler Williamson, Scott W Klarenbach

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Huong LuuFrom the Real World Evidence Unit, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Luu, Martins, Klarenbach); the Department of Obstetrics and Gynaecology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Sabourin); the Department of Obstetrics and Gynaecology, Cumming School of Medicine, University of Calgary, Calgary, Alta. (Jago); the Department of Surgery, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Lester); the Centre for Health Informatics Cumming School of Medicine, University of Calgary, Calgary, Alta. (Nguyen, Williamson); the Alberta Children's Hospital Research Institute, Libin Cardiovascular Institute, O'Brien Institute for Public Health, Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Alta. (Williamson); the Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Klarenbach).
Karen J B MartinsFrom the Real World Evidence Unit, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Luu, Martins, Klarenbach); the Department of Obstetrics and Gynaecology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Sabourin); the Department of Obstetrics and Gynaecology, Cumming School of Medicine, University of Calgary, Calgary, Alta. (Jago); the Department of Surgery, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Lester); the Centre for Health Informatics Cumming School of Medicine, University of Calgary, Calgary, Alta. (Nguyen, Williamson); the Alberta Children's Hospital Research Institute, Libin Cardiovascular Institute, O'Brien Institute for Public Health, Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Alta. (Williamson); the Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Klarenbach).
Jeanelle SabourinFrom the Real World Evidence Unit, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Luu, Martins, Klarenbach); the Department of Obstetrics and Gynaecology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Sabourin); the Department of Obstetrics and Gynaecology, Cumming School of Medicine, University of Calgary, Calgary, Alta. (Jago); the Department of Surgery, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Lester); the Centre for Health Informatics Cumming School of Medicine, University of Calgary, Calgary, Alta. (Nguyen, Williamson); the Alberta Children's Hospital Research Institute, Libin Cardiovascular Institute, O'Brien Institute for Public Health, Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Alta. (Williamson); the Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Klarenbach).
Caitlin A JagoFrom the Real World Evidence Unit, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Luu, Martins, Klarenbach); the Department of Obstetrics and Gynaecology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Sabourin); the Department of Obstetrics and Gynaecology, Cumming School of Medicine, University of Calgary, Calgary, Alta. (Jago); the Department of Surgery, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Lester); the Centre for Health Informatics Cumming School of Medicine, University of Calgary, Calgary, Alta. (Nguyen, Williamson); the Alberta Children's Hospital Research Institute, Libin Cardiovascular Institute, O'Brien Institute for Public Health, Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Alta. (Williamson); the Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Klarenbach).
Erica L W LesterFrom the Real World Evidence Unit, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Luu, Martins, Klarenbach); the Department of Obstetrics and Gynaecology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Sabourin); the Department of Obstetrics and Gynaecology, Cumming School of Medicine, University of Calgary, Calgary, Alta. (Jago); the Department of Surgery, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Lester); the Centre for Health Informatics Cumming School of Medicine, University of Calgary, Calgary, Alta. (Nguyen, Williamson); the Alberta Children's Hospital Research Institute, Libin Cardiovascular Institute, O'Brien Institute for Public Health, Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Alta. (Williamson); the Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Klarenbach).
Phuong Uyen NguyenFrom the Real World Evidence Unit, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Luu, Martins, Klarenbach); the Department of Obstetrics and Gynaecology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Sabourin); the Department of Obstetrics and Gynaecology, Cumming School of Medicine, University of Calgary, Calgary, Alta. (Jago); the Department of Surgery, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Lester); the Centre for Health Informatics Cumming School of Medicine, University of Calgary, Calgary, Alta. (Nguyen, Williamson); the Alberta Children's Hospital Research Institute, Libin Cardiovascular Institute, O'Brien Institute for Public Health, Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Alta. (Williamson); the Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Klarenbach).
Tyler WilliamsonFrom the Real World Evidence Unit, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Luu, Martins, Klarenbach); the Department of Obstetrics and Gynaecology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Sabourin); the Department of Obstetrics and Gynaecology, Cumming School of Medicine, University of Calgary, Calgary, Alta. (Jago); the Department of Surgery, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Lester); the Centre for Health Informatics Cumming School of Medicine, University of Calgary, Calgary, Alta. (Nguyen, Williamson); the Alberta Children's Hospital Research Institute, Libin Cardiovascular Institute, O'Brien Institute for Public Health, Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Alta. (Williamson); the Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Klarenbach).
Scott W KlarenbachFrom the Real World Evidence Unit, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Luu, Martins, Klarenbach); the Department of Obstetrics and Gynaecology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Sabourin); the Department of Obstetrics and Gynaecology, Cumming School of Medicine, University of Calgary, Calgary, Alta. (Jago); the Department of Surgery, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Lester); the Centre for Health Informatics Cumming School of Medicine, University of Calgary, Calgary, Alta. (Nguyen, Williamson); the Alberta Children's Hospital Research Institute, Libin Cardiovascular Institute, O'Brien Institute for Public Health, Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Alta. (Williamson); the Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alta. (Klarenbach) swk@ualberta.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe sought to compare real-world outcomes of robotic hysterectomy (RH) with laparoscopic (LH) and open (OH) hysterectomy among adults living with endometrial cancer in Alberta, Canada.

methodsWe used administrative data to identify adults living with endometrial cancer who underwent a total hysterectomy (2012 to 2022) in Alberta. We applied generalized linear regression models and adjusted for confounders using propensity score overlap weighting. We presented predicted means and estimated probabilities with 95% confidence intervals (CIs).

resultsWe included 4555 patients. In adjusted analyses, patients who underwent RH had a shorter length of hospital stay (1.2 [95% CI 1.2 to 1.3] d) than those who underwent LH (2.0 [95% CI 1.9 to 2.1] d) or OH (3.7 [95% CI 3.6 to 3.8] d). Duration of surgery for RH was shorter than LH (172 [95% CI 169 to 174] min v. 186 [95% CI 183 to 189] min), and longer than OH (173 [95% CI 171 to 175] min v. 169 [95% CI 167 to 171] min). Compared with patients who underwent OH, those who underwent RH had reduced probabilities of blood transfusions (2.2% [95% CI 1.3% to 3.9%] v. 6.6% [95% CI 4.8% to 9.0%]), perioperative complications (12.7% [95% CI 10.2% to 15.8%] v. 20.5% [95% CI 17.3% to 24.0%]), infections (16.5% [95% CI 13.6% to 19.8%] v. 33.8% [95% CI 30.0% to 37.9%]), and 30-day acute care readmissions (11.7% [95% CI 9.2% to 14.6%] v. 17.9% [95% CI 14.9% to 21.3]); no differences were observed in comparisons with LH.

conclusionAmong adults living with endometrial cancer in Alberta, RH was associated with a shorter length of hospital stay than LH and OH; we also noted fewer blood transfusions, complications, infections, and readmissions for RH compared with OH but not LH. Findings can be used in the context of surgical volumes and outcomes, along with other considerations, to guide decisions.

Indexed as

Endometrial NeoplasmsHysterectomyLaparoscopyRobotic Surgical ProceduresAdultAgedAlbertaFemaleHumansLength of StayMiddle AgedOperative TimePostoperative ComplicationsRetrospective StudiesTreatment Outcome

Identifiers

PMID42532638
PMCPMC13437072

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.