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Contemporary Open and Robotic Radical Prostatectomy Practice Patterns Among Urologists in the United States

2012; Lippincott Williams & Wilkins; Volume: 187; Issue: 6 Linguagem: Inglês

10.1016/j.juro.2012.01.061

1527-3792

William T. Lowrance, James A. Eastham, Caroline Savage, Alexandra C. Maschino, Vincent P. Laudone, Christopher Dechet, Robert A. Stephenson, Peter T. Scardino, Jaspreet S. Sandhu,

Reconstructive Surgery and Microvascular Techniques

No AccessJournal of UrologyAdult Urology1 Jun 2012Contemporary Open and Robotic Radical Prostatectomy Practice Patterns Among Urologists in the United States William T. Lowrance, James A. Eastham, Caroline Savage, A.C. Maschino, Vincent P. Laudone, Christopher B. Dechet, Robert A. Stephenson, Peter T. Scardino, and Jaspreet S. Sandhu William T. LowranceWilliam T. Lowrance Department of Surgery, Urology Division, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah , James A. EasthamJames A. Eastham Urology Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York , Caroline SavageCaroline Savage Department of Epidemiology and Biostatistics, Memorial Sloan-Kettering Cancer Center, New York, New York , A.C. MaschinoA.C. Maschino Department of Epidemiology and Biostatistics, Memorial Sloan-Kettering Cancer Center, New York, New York , Vincent P. LaudoneVincent P. Laudone Urology Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York , Christopher B. DechetChristopher B. Dechet Department of Surgery, Urology Division, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah , Robert A. StephensonRobert A. Stephenson Department of Surgery, Urology Division, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah , Peter T. ScardinoPeter T. Scardino Urology Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York , and Jaspreet S. SandhuJaspreet S. Sandhu Urology Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York View All Author Informationhttps://doi.org/10.1016/j.juro.2012.01.061AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We describe current trends in robotic and open radical prostatectomy in the United States after examining case logs for American Board of Urology certification. Materials and Methods: American urologists submit case logs for initial board certification and recertification. We analyzed logs from 2004 to 2010 for trends and used logistic regression to assess the impact of urologist age on robotic radical prostatectomy use. Results: A total of 4,709 urologists submitted case logs for certification between 2004 and 2010. Of these logs 3,374 included 1 or more radical prostatectomy cases. Of the urologists 2,413 (72%) reported performing open radical prostatectomy only while 961 (28%) reported 1 or more robotic radical prostatectomies and 308 (9%) reported robotic radical prostatectomy only. During this 7-year period we observed a large increase in the number of urologists who performed robotic radical prostatectomy and a smaller corresponding decrease in those who performed open radical prostatectomy. Only 8% of patients were treated with robotic radical prostatectomy by urologists who were certified in 2004 while 67% underwent that procedure in 2010. Median age of urologists who exclusively performed open radical prostatectomy was 43 years (IQR 38–51) vs 41 (IQR 35–46) for those who performed only robotic radical prostatectomy. Conclusions: While the rate was not as high as the greater than 85% industry estimate, 67% of radical prostatectomies were done robotically among urologists who underwent board certification or recertification in 2010. 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Google Scholar © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byJeong S, Caveney M, Knorr J, Campbell R, Santana D, Weight C, Almassi N and Campbell S (2022) Cost-Effective and Readily Replicable Surgical Simulation Model Improves Trainee Performance in Benchtop Robotic Urethrovesical AnastomosisUrology Practice, VOL. 9, NO. 5, (504-511), Online publication date: 1-Sep-2022.Clements M, Tin A, Estes C, Jibara G, Desai P, Ehdaie B, Touijer K, Scardino P, Eastham J, Assel M, Vickers A, Simon B and Laudone V (2021) Characterization of Symptoms after Radical Prostatectomy and Their Relation to Postoperative ComplicationsJournal of Urology, VOL. 207, NO. 2, (367-374), Online publication date: 1-Feb-2022.Greenberg S, Washington S, Lonergan P, Cowan J, Baskin A, Nguyen H, Odisho A, Simko J and Carroll P (2021) Residual Benign Prostate Glandular Tissue after Radical Prostatectomy is Not Associated with the Development of Detectable Postoperative Serum Prostate Specific AntigenJournal of Urology, VOL. 206, NO. 3, (706-714), Online publication date: 1-Sep-2021.Keating K, Rohloff M, Cicic A, Dehaan A and Maatman T (2021) Are Postoperative Laboratory Studies Following Robotic Assisted Radical Prostatectomy Necessary?Urology Practice, VOL. 8, NO. 4, (510-514), Online publication date: 1-Jul-2021.Veccia A, Antonelli A, Grob B, Porpiglia F, Simeone C, Hampton L and Autorino R (2019) Impact of Robotic Surgery on Sick Leave and Return to Work in Patients Undergoing Radical Prostatectomy: An Evidence-Based AnalysisUrology Practice, VOL. 7, NO. 1, (47-52), Online publication date: 1-Jan-2020.Griebling T (2018) Re: Modified Frailty Index Associated with Clavien-Dindo IV Complications in Robot-Assisted Radical Prostatectomies: A Retrospective StudyJournal of Urology, VOL. 200, NO. 5, (923-924), Online publication date: 1-Nov-2018.Anderson C, Atoria C, Touijer K, Ehdaie B and Elkin E (2016) Surgeon Adoption of Minimally Invasive Radical ProstatectomyUrology Practice, VOL. 3, NO. 6, (505-510), Online publication date: 1-Nov-2016.Kaplan S (2016) Re: Perioperative Outcomes of Robotic and Laparoscopic Simple Prostatectomy: A European-American Multi-Institutional AnalysisJournal of Urology, VOL. 196, NO. 4, (1218-1221), Online publication date: 1-Oct-2016.Cole A, Leow J, Chang S, Chung B, Meyer C, Kibel A, Menon M, Nguyen P, Choueiri T, Reznor G, Lipsitz S, Sammon J, Sun M and Trinh Q (2016) Surgeon and Hospital Level Variation in the Costs of Robot-Assisted Radical ProstatectomyJournal of Urology, VOL. 196, NO. 4, (1090-1095), Online publication date: 1-Oct-2016.Goh A, Aghazadeh M, Mercado M, Hung A, Pan M, Desai M, Gill I and Dunkin B (2015) Multi-Institutional Validation of Fundamental Inanimate Robotic Skills TasksJournal of Urology, VOL. 194, NO. 6, (1751-1756), Online publication date: 1-Dec-2015.Weiner A, Murthy P, Richards K, Patel S and Eggener S (2015) Population Based Analysis of Incidence and Predictors of Open Conversion during Minimally Invasive Radical ProstatectomyJournal of Urology, VOL. 193, NO. 3, (826-831), Online publication date: 1-Mar-2015.Wang E, Yu J, Gross C, Smaldone M, Shah N, Trinh Q, Nguyen P, Sun M, Han L and Kim S (2014) Variation in Pelvic Lymph Node Dissection among Patients Undergoing Radical Prostatectomy by Hospital Characteristics and Surgical Approach: Results from the National Cancer DatabaseJournal of Urology, VOL. 193, NO. 3, (820-825), Online publication date: 1-Mar-2015.Karpman E, Brant W, Kansas B, Bella A, Jones L, Eisenhart E and Henry G (2014) Reservoir Alternate Surgical Implantation Technique: Preliminary Outcomes of Initial PROPPER Study of Low Profile or Spherical Reservoir Implantation in Submuscular Location or Traditional Prevesical SpaceJournal of Urology, VOL. 193, NO. 1, (239-244), Online publication date: 1-Jan-2015.Poon S, Silberstein J, Chen L, Ehdaie B, Kim P and Russo P (2013) Trends in Partial and Radical Nephrectomy: An Analysis of Case Logs from Certifying UrologistsJournal of Urology, VOL. 190, NO. 2, (464-469), Online publication date: 1-Aug-2013.Lowrance W, Southwick A, Maschino A and Sandhu J (2012) Contemporary Practice Patterns of Endoscopic Surgical Management for Benign Prostatic Hyperplasia Among Urologists in the United StatesJournal of Urology, VOL. 189, NO. 5, (1811-1816), Online publication date: 1-May-2013.Silberstein J, Poon S, Maschino A, Lowrance W, Garg T, Herr H, Donat S, Dalbagni G, Bochner B and Sandhu J (2012) Urinary Diversion Practice Patterns Among Certifying American UrologistsJournal of Urology, VOL. 189, NO. 3, (1042-1047), Online publication date: 1-Mar-2013.Abaza R (2012) Editorial CommentJournal of Urology, VOL. 188, NO. 6, (2210-2211), Online publication date: 1-Dec-2012. Volume 187Issue 6June 2012Page: 2087-2093 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.Keywordsprostatectomyphysician's practice patternsprostateprostatic neoplasmsroboticsMetrics Author Information William T. Lowrance Department of Surgery, Urology Division, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah More articles by this author James A. Eastham Urology Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York More articles by this author Caroline Savage Department of Epidemiology and Biostatistics, Memorial Sloan-Kettering Cancer Center, New York, New York More articles by this author A.C. Maschino Department of Epidemiology and Biostatistics, Memorial Sloan-Kettering Cancer Center, New York, New York More articles by this author Vincent P. Laudone Urology Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York More articles by this author Christopher B. Dechet Department of Surgery, Urology Division, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah More articles by this author Robert A. Stephenson Department of Surgery, Urology Division, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah More articles by this author Peter T. Scardino Urology Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York More articles by this author Jaspreet S. Sandhu Urology Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York Financial interest and/or other relationship with American Medical Systems. More articles by this author Expand All Advertisement PDF downloadLoading ...