Minimally Invasive Versus Open Approach for Cystectomy: Trends in the Utilization and Demographic or Clinical Predictors Using the National Cancer Database

Bachman, Andrew; Parker, Alexander A.; Shaw, M.; Cross, Brian W.; Stratton, Kelly; Cookson, Michael S.; Patel, Sanjay G.

doi:10.1016/j.urology.2017.02.018

Cited by 34 publications

(13 citation statements)

References 24 publications

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“…Callegari et al Opioid prescription patterns among U.S. urologists 7 © 2021 Canadian Urological Association minimally invasive procedures, which has been well documented in the urologic literature. 36,37 Teasing apart the effects of such trends on indications for opioid use from the effects of regional and national awareness campaigns is an important avenue for future research. It is also possible that the crucial need to reduce opioid prescribing has been an impetus for the quick adoption of minimally invasive procedures with faster recovery times and fewer postoperative pain management considerations.…”

Section: Cuaj -Original Researchmentioning

confidence: 99%

Opioid prescription patterns among urologists as compiled from within Medicare

Callegari

Jella

Mahran

et al. 2021

CUAJ

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Introduction: We aimed to evaluate opioid prescribing patterns of urologists across the United States (U.S.) and the District of Columbia (D.C.) using publicly available data from Medicare Part D. Our secondary analysis was to identify any loco-regional trends that may exist within the U.S. Methods: We queried publicly reported information from the Part D Prescriber database, which is compiled from beneficiaries enrolled within the Medicare Part D prescription drug program. Only providers with the specialty description of urologist were included within this study. Results: Between 2013 and 2017, a five-year average of 452 901 opioid claims by 9640 urologists — amounting to $5 357 114 (USD) and comprising 3.78% of all claims made — were identified. The state of Maine featured the highest percentage of opioid claims in relation to all claims (5.81%). West Virginia had the greatest average total opioid claims per provider (90), while Michigan featured the highest average proportion of opioid claims per provider (10.63%). The fewest opioid claims were processed within the Mid-Atlantic and New England regions. Conclusions: A multitude of factors likely contributes to variability between states. Urologists should be increasingly aware of their individual prescription tendencies and use available drug monitoring programs in order to reduce unnecessary prescriptions, all while providing more targeted and appropriate pain management.

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Section: Cuaj -Original Researchmentioning

confidence: 99%

Opioid prescription patterns among urologists as compiled from within Medicare

Callegari

Jella

Mahran

et al. 2021

CUAJ

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“…With regard to PLND during minimally-invasive approaches to RC, the same oncologic principles should be adhered to as in open surgery. Utilization of robotic RC has increased considerably, with a recent National Cancer Data Base analysis showing increase in frequency from 26% in 2010 to 39% in 2013 (42). Desai (45,46).…”

Section: When To Perform a Plnd?mentioning

confidence: 99%

The evolving role of lymphadenectomy for bladder cancer: why, when, and how

2020

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Radical cystectomy (RC) represents a standard treatment for non-metastatic muscle-invasive and select high-risk non-muscle invasive bladder cancer. Lymphadenectomy performed at time of RC identifies nodal metastases in up to 25% of patients despite normal imaging. There has been an increasing utilization of pelvic lymph node dissection (PLND) with RC since 1950, and in fact lymph node dissection is now recommended in contemporary National Comprehensive Cancer Network (NCCN) guidelines. Benefits of removing of nodal disease include improved staging, guidance for adjuvant treatment, and potentially improved oncologic outcomes. Advantages of dissection have been suggested among both node-negative and node-positive patients. Numerous studies have attempted to define the optimal dissection characteristics of lymphadenectomy with regard to nodal yield and anatomic boundaries of dissection. The ideal extent of lymphadenectomy remains uncertain due to the retrospective and non-randomized nature of the majority of existing reports, which are thereby limited by significant confounding and selection bias. Two randomized controlled trials have investigated this issue, one of which LEA AUO AB 25/02 recently reported its outcomes, demonstrating no significant improvement in 5-year outcomes with an extended dissection.Meanwhile, the Southwest Oncology Group 1011 trial has completed enrollment and data are maturing.While current data preclude definitive recommendations, herein we review the why, when, and how to perform a PLND for bladder cancer.

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“…Moreover, surgeons cannot touch the operating area directly, and they will lose the tactile perception caused by direct contact. And the force information between the surgical instrument and the patient's tissues will be distorted; therefore, it is difficult for surgeons to exert suitable forces when performing delicate operations (Bachman et al, 2017;Bellon et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Master-slave control and evaluation of force sensing for robot-assisted minimally invasive surgery

Niu

et al. 2020

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Purpose Existing robot-assisted minimally invasive surgery (RMIS) system lacks of force feedback, and it cannot provide the surgeon with interaction forces between the surgical instruments and patient’s tissues. This paper aims to restore force sensation for the RMIS system and evaluate effect of force sensing in a master-slave manner. Design/methodology/approach This paper presents a four-DOF surgical instrument with modular joints and six-axis force sensing capability and proposes an incremental position mode master–slave control strategy based on separated position and orientation to reflect motion of the end of master manipulator to the end of surgical instrument. Ex-vivo experiments including tissue palpation and blunt dissection are conducted to verify the effect of force sensing for the surgical instrument. An experiment of trajectory tracking is carried out to test precision of the control strategy. Findings Results of trajectory tracking experiment show that this control strategy can precisely reflect the hand motion of the operator, and the results of the ex-vivo experiments including tissue palpation and blunt dissection illustrate that this surgical instrument can measure the six-axis interaction forces successfully for the RMIS. Originality/value This paper addresses the important role of force sensing and force feedback in RMIS, clarifies the feasibility to apply this instrument prototype in RMIS for force sensing and provides technical support of force feedback for further clinical application.

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Minimally Invasive Versus Open Approach for Cystectomy: Trends in the Utilization and Demographic or Clinical Predictors Using the National Cancer Database

Cited by 34 publications

References 24 publications

Opioid prescription patterns among urologists as compiled from within Medicare

Opioid prescription patterns among urologists as compiled from within Medicare

The evolving role of lymphadenectomy for bladder cancer: why, when, and how

Master-slave control and evaluation of force sensing for robot-assisted minimally invasive surgery

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