The volume-outcome relationship in robotic protectectomy: does center volume matter? Results of a national cohort study.
Seth J ConcorsDouglas R MurkenPaul T HernandezNajjia N MahmoudE Carter PaulsonPublished in: Surgical endoscopy (2019)
This series suggests a volume-outcome relationship association; patients who have robot-assisted proctectomies performed at low-volume centers are more likely to have poorer overall survival, positive margins, inadequate lymph node harvest, and require conversion to open surgery. While these data demonstrate the increased adoption of robot-assisted proctectomy, an understanding of the appropriateness of this intervention is still lacking. As with any new intervention, further information from ongoing randomized controlled trials is needed to better clarify the role of RP in order to optimize patient outcomes.
Keyphrases
- robot assisted
- minimally invasive
- randomized controlled trial
- lymph node
- end stage renal disease
- ejection fraction
- newly diagnosed
- chronic kidney disease
- peritoneal dialysis
- quality improvement
- healthcare
- study protocol
- neoadjuvant chemotherapy
- clinical trial
- health information
- prognostic factors
- sentinel lymph node
- social media
- early stage