Differences in Patient Characteristics among Men Choosing Open or Robot-Assisted Radical Prostatectomy in Contemporary Practice - Analysis of Surveillance, Epidemiology, and End Results Database
| Autor: | Zhe Tian, Jonas Schiffmann, Jérémie Berdugo, Shahrokh F. Shariat, Ion Leva, Kevin C. Zorn, Pierre I. Karakiewicz, Hugues Widmer, Jean Baptiste Lattouf, Maxine Sun, Alexander Haese, Fred Saad, Alessandro Larcher, Francesco Montorsi, Markus Graefen |
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| Přispěvatelé: | Schiffmann, J1, Larcher, A, Sun, M, Tian, Z, Berdugo, J, Leva, I, Widmer, H, Lattouf, Jb, Zorn, K, Haese, A, Shariat, Sf, Saad, F, Montorsi, Francesco, Graefen, M, Karakiewicz, P. I. |
| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Databases Factual Urology medicine.medical_treatment 030232 urology & nephrology Patient characteristics computer.software_genre Logistic regression 03 medical and health sciences Prostate cancer 0302 clinical medicine Robotic Surgical Procedures Epidemiology Surveillance Epidemiology and End Results medicine Humans In patient Stage (cooking) Aged Aged 80 and over Prostatectomy Database business.industry Prostatic Neoplasms Patient Preference medicine.disease 030220 oncology & carcinogenesis business computer SEER Program |
| Zdroj: | Urologia internationalis. 98(1) |
| ISSN: | 1423-0399 |
| Popis: | Objective: To examine characteristics of robot-assisted (RARP) and open radical prostatectomy (ORP) patients. Patients and Methods: We relied on the Surveillance, Epidemiology, and End Results-Medicare-linked database and focused on prostate cancer patients between 2008 and 2009. In multivariable logistic regression analyses, we predicted RARP. Results: Of 5,915 patients, 3,476 (58.8%) underwent RARP and 2,439 (41.2%) ORP. Patients within intermediate (OR 1.4, p = 0.01) or highest (OR 1.5, p = 0.02) education strata and those treated by surgeons with a high volume (OR 2.2, p < 0.001) were more likely to undergo RARP. Conversely, those residing in rural areas (OR 0.7, p = 0.005) and those with clinical stage T2 or higher (OR 0.7, p = 0.006) were less likely to undergo RARP. Additionally, patients from the Southwest were less likely to undergo RARP (OR 0.4, p < 0.001), but those from the Northern Plains were more likely to undergo RARP (OR 1.4, p = 0.02) than their counterparts from the East. Finally, RARP patients were neither younger nor healthier than ORP patients. Conclusions: Several patient characteristics such as education, region of residence and population density affect the likelihood of RARP vs. ORP treatment. Similarly, clinical stage and surgeon characteristics also affect the assignment to one or other treatment modality. |
| Databáze: | OpenAIRE |
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