Same-day-discharge Robot-assisted Radical Prostatectomy: An Annual Countrywide Analysis - Institut Curie Accéder directement au contenu
Article Dans Une Revue European Urology Open Science Année : 2022

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

Annabelle Grabia
  • Fonction : Auteur
Charles Dariane
Alain Ruffion
Charles-Edouard Lequeu
  • Fonction : Auteur

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 (p < 0.001). No difference in readmission rate (7.9% vs 5.1%; p = 0.141) was observed for SDD versus non-SDD centers. Direct stay costs were estimated at €1457 in SDD centers compared to €2021 in non-SDD centers. The main limitation is the lack of detailed patient characteristics and readmission causes. This annual nationwide analysis suggests that SDD RARP remains infrequently used in routine practice in France despite being associated with comparable short-term outcomes after RARP and potential cost benefits. Patient summary: 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.
Fichier principal
Vignette du fichier
1-s2.0-S2666168321033929-main.pdf (278.19 Ko) Télécharger le fichier
Origine : Publication financée par une institution

Dates et versions

hal-03521579 , version 1 (11-01-2022)

Identifiants

Citer

Guillaume Ploussard, Annabelle Grabia, Eric Barret, Jean-Baptiste Beauval, Laurent Brureau, et al.. Same-day-discharge Robot-assisted Radical Prostatectomy: An Annual Countrywide Analysis. European Urology Open Science, 2022, 36, pp.23 - 25. ⟨10.1016/j.euros.2021.12.002⟩. ⟨hal-03521579⟩
1305 Consultations
61 Téléchargements

Altmetric

Partager

Gmail Facebook X LinkedIn More