Journal article

Declining use of radical prostatectomy and pelvic lymphadenectomy despite more robotics: National population data over 15 years

Matthew J Roberts, Nathan Papa, Marlon Perera, Andre Joshi, Susan Scott, Damien Bolton, Nathan Lawrentschuk, John Yaxley

Asia-Pacific Journal of Clinical Oncology | WILEY | Published : 2020

Abstract

AIM: To describe national surgical patterns of prostate cancer (PCa) care considering radical prostatectomy with or without pelvic lymphadenectomy and consideration of robotic-assisted techniques. METHODS: Retrospective analysis of publicly accessible Medicare claims data was performed for the period 2001-2016 and included patients undergoing radical prostatectomy with or without pelvic lymphadenectomy relative to total and PCa-specific populations among men aged 45-84 years. Proportion of cases performed robotically was considered. RESULTS: Total procedures performed increased from 2001, peaked in 2009 and subsequently decreased until 2016. Since 2009, the age-specific rate of surgery in me..

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