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A 5-Year Contemporary Nationwide Evolution of the Radical Prostatectomy Landscape
- Source :
- European Urology Open Science, Vol 34, Iss , Pp 1-4 (2021)
- Publication Year :
- 2021
- Publisher :
- Elsevier, 2021.
-
Abstract
- The evolution in the past decade of recommendations for prostate cancer (PCa) management, from screening to surgical treatment, may have affected the radical prostatectomy (RP) landscape. However, comprehensive data at a national level remain scarce. We extracted 5-yr data for RP patients in France from the central database of the national health care system. The primary endpoints were surgical approach (open [ORP], laparoscopic [LRP], and robot-assisted RP [RARP]), length of stay (LOS), and complication and readmission rates. The annual number of RPs was stable during the study period. The proportion of RARPs increased from 39.8% in 2015 to 52.6% in 2019, whereas the proportion of ORPs decreased from 34.4% to 24.5%. LOS continuously decreased over time irrespective of the surgical approach. The proportion of centres in the highest quartile of hospital volume increased from 22.0% to 28.3% (p = 0.006). LOS and complication and readmission rates were significantly lower (p
Details
- Language :
- English
- ISSN :
- 26661683
- Volume :
- 34
- Issue :
- 1-4
- Database :
- Directory of Open Access Journals
- Journal :
- European Urology Open Science
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.47a6246ad1bc468e8ec97d6b3648172c
- Document Type :
- article
- Full Text :
- https://doi.org/10.1016/j.euros.2021.09.007