Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Robotic Partial Nephrectomy Outcomes Evaluated

BJU Int; ePub 2017 Dec 12; Xia, Pulido, et al

People with renal cell carcinoma (RCC) who undergo robot-assisted partial nephrectomy (RAPN) at higher volume hospitals appear to experience better perioperative outcomes and have lower rates of positive surgical margin, according to a study involving nearly 19,000 individuals. Participants with RCC underwent RAPN between 2010 and 2013. Investigators grouped cases into very low-, low-, medium-, high-, and very high-volume categories, and evaluated certain outcomes. Among the results:

  • There were no significant differences in 30- and 90-day mortality rates across groups.
  • Patients at very high-volume centers were 53% less likely to experience open conversion than those at very low-volume centers.
  • Patients at high-, medium-, and low-volume centers were also less likely to experience conversion (43%, 40%, and 12%, respectively)
  • Those at very high-, high-, medium-, and low-volume centers were less likely to experience prolonged length of stay (55%, 38%, 25%, and 7%, respectively).
  • They were also less likely to experience positive surgical margin (66%, 41%, 24%, and 24%, respectively).

Citation:

Xia L, Pulido J, Chelluri R, et al. Hospital volume and outcomes of robot-assisted partial nephrectomy. [Published online ahead of print December 12, 2017]. BJU Int. doi:10.1111/bju.14099

This Week's Must Reads

Predicting RCC Outcomes After Surgery , Eur Urol; ePub 2018 Feb 2; Leibovich, et al

Partial vs Radical Nephrectomy Impact on Survival , Eur Urol Focus; ePub 2018 Feb 2; Marchioni, et al

Robotic Partial Nephrectomy for Large Renal Masses , BJU Int; ePub 2018 Jan 22; Delto, Paulucci, et al

Trends Examined in the Reporting of RCC Subtypes, Hum Pathol; ePub 2018 Jan 12; Gansler, et al

VEGFR Therapy’s Role in Reducing RCC Progression , Curr Med Res Opin; ePub 2018 Feb 1; Tannir, et al

Must Reads in Renal Cell Carcinoma

Predicting RCC Outcomes After Surgery , Eur Urol; ePub 2018 Feb 2; Leibovich, et al

Partial vs Radical Nephrectomy Impact on Survival , Eur Urol Focus; ePub 2018 Feb 2; Marchioni, et al

Robotic Partial Nephrectomy for Large Renal Masses , BJU Int; ePub 2018 Jan 22; Delto, Paulucci, et al

Trends Examined in the Reporting of RCC Subtypes, Hum Pathol; ePub 2018 Jan 12; Gansler, et al

VEGFR Therapy’s Role in Reducing RCC Progression , Curr Med Res Opin; ePub 2018 Feb 1; Tannir, et al