Robotic-assisted simple prostatectomy versus open simple prostatectomy: a New York statewide analysis of early adoption
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ORIGINAL ARTICLE
Robotic‑assisted simple prostatectomy versus open simple prostatectomy: a New York statewide analysis of early adoption and outcomes between 2009 and 2017 Krishna T. Ravivarapu1 · Olamide Omidele1 · John Pfail1 · Nir Tomer1 · Alexander C. Small1 · Michael A. Palese1 Received: 4 September 2020 / Accepted: 25 September 2020 © Springer-Verlag London Ltd., part of Springer Nature 2020
Abstract The factors driving early adoption of robotic-assisted simple prostatectomy (RASP) for large gland BPH have not yet been identified. This study aims to determine the patient, provider, and facility level differences and predictors in undergoing RASP versus OSP. This population-based cohort study used data from the all-payer New York State Statewide Planning and Research Cooperative System (SPARCS) database. Patient, provider, and facility characteristics for each cohort were analyzed, and a multivariate analysis was conducted to identify predictive factors associated with undergoing RASP versus OSP. From 2009 to 2017, 1881 OSP and 216 RASP cases were identified. RASP utilization increased from 2.6% of all cases in 2009 to 16.8% in 2017. Patient demographics were similar between both cohorts. Median length of stay was shorter for RASP patients (3 vs. 4 days, p 7 days) (p
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