ArticleJU open plus2026
Surgical Team Composition and Outcomes After Radical Prostatectomy for Prostate Cancer.
Article in JU open plus, 2026. 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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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.
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Authors and funding
8 authors.
Funding
Abstract
Introduction: Physician assistants (PAs) and nurse practitioners (NPs) are increasingly integrated into surgical teams. Although their training varies, existing literature often considers PAs and NPs interchangeable when assessing their impact. The aim of this study was to measure the effects of PA vs NP team composition on surgical outcomes in men with prostate cancer. Methods: We performed a retrospective cohort study using a 20% national sample of traditional Medicare beneficiaries undergoing radical prostatectomy between January 2010 and December 2020. The cohort included patients treated by independent urology groups with at least 1 PA or NP. Groups were stratified into 3 mutually exclusive categories: PA only, NP only, and both PA and NP. Generalized estimating equations measured the association between provider composition and surgical outcomes (ie, postoperative complications, prolonged length of hospitalization, and readmission within 90 days), adjusting for patient-level and group-level variables. Results: Over the study period, 424 independent urology groups with at least 1 PA or NP managed 8975 men undergoing radical prostatectomy. Patient age, race, and comorbidity were similar across team compositions. After adjustment, there was no association between team composition and complications, prolonged length of hospitalization, or readmission ( Conclusion: Among independent urology practices performing radical prostatectomy, outcomes did not differ between practices employing only PAs, only NPs, or both PAs and NPs. These findings suggest that employing PAs, NPs, or a combination is not associated with differences in postoperative outcomes.
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