Same-day-discharge Robot-assisted Radical Prostatectomy: An Annual Countrywide Analysis.

Cost Laparoscopy Outpatient Prostate cancer Radical prostatectomy Readmission Volume

Journal

European urology open science
ISSN: 2666-1683
Titre abrégé: Eur Urol Open Sci
Pays: Netherlands
ID NLM: 101771568

Informations de publication

Date de publication:
Feb 2022
Historique:
accepted: 03 12 2021
entrez: 10 1 2022
pubmed: 11 1 2022
medline: 11 1 2022
Statut: epublish

Résumé

There are no countrywide data regarding the utilization of same-day-discharge (SDD) surgery for robot-assisted radical prostatectomy (RARP). We aimed to evaluate the annual number of SDD RARP procedures in France and to compare postoperative outcomes in SDD versus non-SDD centers. Data for all 9651 patients undergoing RARP in France in 2020 were extracted from the central database of the national healthcare system. Endpoints were length of hospital stay, patient age, center volume, lymph node dissection, and the hospital readmission rate. Overall, 184 SDD cases (1.9%) were reported in 14.2% of RARP centers. The annual RARP and SDD RARP caseload ranged from 41 to 485, and from one to 47, respectively, in SDD centers. SDD was significantly associated with higher-volume centers ( We evaluated the use of robot-assisted removal of the prostate (RARP) with same-day hospital discharge in France for men with prostate cancer. In 2020, only 1.9% of the 9651 RARP procedures involved same-day discharge, even though the data show that this approach has lower costs and comparable safety.

Identifiants

pubmed: 35005649
doi: 10.1016/j.euros.2021.12.002
pii: S2666-1683(21)03392-9
pmc: PMC8715288
doi:

Types de publication

Journal Article

Langues

eng

Pagination

23-25

Informations de copyright

© 2021 The Author(s).

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Auteurs

Guillaume Ploussard (G)

Department of Urology, La Croix du Sud Hôpital, Quint Fonsegrives, France.

Annabelle Grabia (A)

Department of Public Health, PMSI, Ramsay Santé, Paris, France.

Eric Barret (E)

Department of Urology, Institut Mutualiste Montsouris, Paris, France.

Jean-Baptiste Beauval (JB)

Department of Urology, La Croix du Sud Hôpital, Quint Fonsegrives, France.

Laurent Brureau (L)

Department of Urology, CHU de Pointe-à-Pitre, Pointe-à-Pitre, France.

Gilles Créhange (G)

Department of Radiotherapy, Institut Curie, Paris, France.

Charles Dariane (C)

Department of Urology, Hôpital Européen Georges-Pompidou, APHP, Paris University, Paris, France.

Gaëlle Fiard (G)

Department of Urology, Grenoble Alpes University Hospital, Université Grenoble Alpes, Grenoble, France.

Gaëlle Fromont (G)

Department of Pathology, CHRU Tours, France.

Mathieu Gauthé (M)

INSERM UMR 1153, Unité de Recherche Clinique en Économie de la Santé, Paris, France.

Romain Mathieu (R)

Department of Urology, CHU Rennes, Rennes, France.

Raphaële Renard-Penna (R)

Department of Radiology, Pitie-Salpetriere Hospital, APHP, Sorbonne University, Paris, France.

Guilhem Roubaud (G)

Department of Medical Oncology, Institut Bergonié, Bordeaux, France.

Alain Ruffion (A)

Service d'Urologie, Centre Hospitalier Lyon Sud, Hospices Civils de Lyon, Lyon, France.
Centre d'Innovation en Cancérologie de Lyon, Faculté de Médecine Lyon Sud, Université Lyon 1, Lyon, France.

Paul Sargos (P)

Department of Radiotherapy, Institut Bergonié, Bordeaux, France.

Morgan Rouprêt (M)

GRC 5 Predictive Onco-Uro, Department of Urology, Pitie-Salpetriere Hospital, APHP, Sorbonne University, Paris, France.

Charles-Edouard Lequeu (CE)

Department of Public Health, PMSI, Ramsay Santé, Paris, France.

Classifications MeSH