Facility-level analysis of robot utilization across disciplines in the National Cancer Database View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-04

AUTHORS

Richard J. Fantus, Andrew Cohen, Christopher B. Riedinger, Kristine Kuchta, Chi H. Wang, Katharine Yao, Sangtae Park

ABSTRACT

To evaluate trends in contemporary robotic surgery across multiple organ sites as they relate to robotic prostatectomy volume. We queried the National Cancer Database for patients who underwent surgery from 2010 to 2013 for prostate, kidney, bladder, corpus uteri, uterus, cervix, colon, sigmoid, rectum, lung and bronchus. The trend between volumes of robotic surgery for each organ site was analyzed using the Cochran-Armitage test. Multivariable models were then created to determine independent predictors of robotic surgery within each organ site by calculating the odds ratio with 95% CI. Among the 566,399 surgical cases analyzed, 35.1% were performed using robot assistance. Institutions whose robotic prostatectomy volume was in the top 75 percentile compared to the bottom 25 percentile performed a larger percentage of robotic surgery on the following sites: kidney 32.6 vs. 28.8%, bladder 23.6 vs. 18.6%, uterus 52.5 vs. 47.7%, cervix 43.5 vs. 39.2%, colon 3.2 vs. 2.9%, rectum 10.7 vs. 8.9%, and lung 7.3 vs. 6.8% (all p < 0.0001). It appears that increased trends toward robotic surgery in urology have lead to increased robotic utilization within other surgical fields. Future analysis in benign utilizations of robotic surgery as well as outcome data comparing robotic to open approaches are needed to better understand the ever-evolving nature of minimally invasive surgery within the United States. More... »

PAGES

293-299

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11701-018-0855-9

DOI

http://dx.doi.org/10.1007/s11701-018-0855-9

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1105913005

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30062641


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