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Article Dans Une Revue European Urology Open Science Année : 2021

A 5-Year Contemporary Nationwide Evolution of the Radical Prostatectomy Landscape

G. Ploussard
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A. Ruffion
F. Rozet
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Résumé

Unlabelled - 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% ( = 0.006). LOS and complication and readmission rates were significantly lower ( < 0.001) in the LRP cohort at each time point. National trends confirmed that RARP progressively replaced ORP, with a stable number of annual RPs over time. Greater centralisation and better early postoperative outcomes were observed with laparoscopy. Patient summary - We reviewed French data for patients undergoing removal of the prostate for prostate cancer between 2015 and 2019. We found that robot-assisted minimally invasive surgery has increased over time and the length of hospital stays has decreased. Rates of complications and readmission were lower with minimally invasive surgery.
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Dates et versions

hal-03579726 , version 1 (18-02-2022)

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Paternité - Pas d'utilisation commerciale - Pas de modification

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Citer

G. Ploussard, A. Grabia, J.-B. Beauval, E. Barret, L. Brureau, et al.. A 5-Year Contemporary Nationwide Evolution of the Radical Prostatectomy Landscape. European Urology Open Science, 2021, 34, pp.1-4. ⟨10.1016/j.euros.2021.09.007⟩. ⟨hal-03579726⟩
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