| Description |
1 online resource (81 pages) : color illustrations. |
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text txt rdacontent |
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computer c rdamedia |
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online resource cr rdacarrier |
| Series |
Evidence synthesis program |
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Evidence-based synthesis program (Series)
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| Note |
"August 2019." |
| Bibliography |
Includes bibliographical references. |
| Summary |
The adoption of robotic surgery continues to increase, although there remain questions concerning the utility of the robotic approach as compared to both laparoscopic and open surgery. One question that remains is whether the technical advantages of this approach translate into better clinical outcomes for patients - or at least similar. Recent studies have raised concerns that for some operations the oncologic outcomes may be worse. Further complicating the debate is the economics of the robotic platform and whether or not the benefits balance the tradeoff of increased costs. The robotic approach is widely used across urology, with over 125,000 procedures performed in 2017. In light of recent evidence questioning the utility of the robotic platform, it is important to re-visit the evidence surrounding the use of the robotic platform in urologic surgery, especially for long-term clinical and oncologic outcomes. And while the robotic approach has become the standard approach to prostatectomy, there are other urologic procedures - namely partial nephrectomy and cystectomy - where the introduction of the robotic approach is occurring, and an evidence synthesis is warranted. To help clinicians, patients, and policymakers decide between robotic and other surgical approaches in patients undergoing partial nephrectomy and cystectomy, we were asked to conduct a systematic review of the literature. |
| Funding |
Prepared for: Department of Veterans Affairs, Veterans Health Administration, Health Services Research & Development Service, Washington, DC 20420. Prepared by: Evidence Synthesis Program (ESP) Center, West Los Angeles VA Medical Center, Los Angeles, CA, Paul G. Shekelle, MD, PhD, Director |
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VA ESP 05-226 |
| Note |
Description based on online resource; title from PDF title page (viewed Oct. 22, 2020). |
| Subject |
Kidneys -- Surgery -- United States.
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Bladder -- Surgery -- United States.
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Robotics in medicine -- United States.
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Surgical robots -- United States.
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Nephrectomy -- methods |
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Cystectomy -- methods |
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Robotic Surgical Procedures |
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Bladder -- Surgery.
(OCoLC)fst00834082
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Kidneys -- Surgery.
(OCoLC)fst00987433
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Robotics in medicine. (OCoLC)fst01099025
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Surgical robots. (OCoLC)fst01741251
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United States. (OCoLC)fst01204155 https://id.oclc.org/worldcat/entity/E39PBJtxgQXMWqmjMjjwXRHgrq
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| Added Author |
Gibbons, Melinda Maggard, author.
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United States. Department of Veterans Affairs. Health Services Research and Development Service, sponsoring body.
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West Los Angeles VA Medical Center. Evidence-Based Synthesis Program Center, issuing body.
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| Standard No. |
NLM 101770388 |
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AU@ 000075697256 |
| Gpo Item No. |
0985-A-12 (online) |
| Sudoc No. |
VA 1.107/3:R 57 |
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