Abstract:
OBJECTIVES:To evaluate the financial implications of how the costs of new minimally invasive surgery such as laparoscopic robotic prostatectomy (LRP) and cryosurgical ablation of the prostate (CAP) technologies compare with those of conventional surgery. METHODS:From January 2002 to July 2005, 452 consecutive patients underwent surgical treatment for clinically localized (Stage T1-T2) prostate cancer. The distribution of patients among the surgical procedures was as follows: group 1, radical retropubic prostatectomy (RRP) (n = 197); group 2, radical perineal prostatectomy (RPP) (n = 60); group 3, LRP (n = 137); and group 4, CAP (n = 58). The total direct hospital costs and grand total hospital costs were analyzed for each type of surgery. RESULTS:The mean length of stay in the CAP group was significantly lower (0.16 +/- 0.14 days) than that for RRP (2.79 +/- 1.46 days), RPP (2.87 +/- 1.43 days), and LRP (2.15 +/- 1.48 days; P <0.0005). The direct surgical costs were less for the RRP (2471 dollars +/- 636 dollars) and RPP (2788 dollars +/- 762 dollars) groups than for the technology-dependent procedures: LRP (3441 dollars +/- 545 dollars) and CAP (5702 dollars +/- 1606 dollars; P <0.0005). The total hospital cost differences, including pathologic assessment costs, were less for LRP (10,047 dollars +/- 107 dollars, median 9343 dollars) and CAP (9195 dollars +/- 1511 dollars, median 8796 dollars) than for RRP (10,704 dollars +/- 3468 dollars, median 9724 dollars) or RPP (10,536 dollars +/- 3088 dollars, median 9251 dollars), with significant differences (P <0.05) between the minimally invasive technique and open surgery groups. CONCLUSIONS:In our study, despite the relatively increased surgical expense of CAP compared with conventional surgical prostatectomy (RRP or RPP) and LRP, the overall direct costs were offset by the significantly lower nonoperative hospital costs. The cost advantages associated with CAP included a shorter length of stay in the hospital and the absence of pathologic costs and the need for blood transfusion.
journal_name
Urologyjournal_title
Urologyauthors
Mouraviev V,Nosnik I,Sun L,Robertson CN,Walther P,Albala D,Moul JW,Polascik TJdoi
10.1016/j.urology.2006.10.025subject
Has Abstractpub_date
2007-02-01 00:00:00pages
311-4issue
2eissn
0090-4295issn
1527-9995pii
S0090-4295(06)02439-3journal_volume
69pub_type
杂志文章相关文献
UROLOGY文献大全abstract:OBJECTIVES:To assess the safety and effectiveness of the "inside-out" transobturator tension-free vaginal tape procedure for the management of occult stress urinary incontinence (SUI) in clinically continent women undergoing prolapse repair. METHODS:A total of 117 consecutive continent women (mean age and parity 66.8 ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2010.04.070
更新日期:2010-12-01 00:00:00
abstract:OBJECTIVES:To examine the transition to robot-assisted laparoscopic partial nephrectomy (RALPN) from pure laparoscopic partial nephrectomy (LPN) and investigate the learning curve (LC). RALPN has emerged as a minimally invasive alternative to nephron-sparing surgery. METHODS:A total of 150 consecutive patients were id...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2011.04.065
更新日期:2011-10-01 00:00:00
abstract::A subfertile male with a history of left cryptorchism underwent scrotal ultrasound that revealed stippled calcifications, without associated mass, in the right testicle. Six months later, while on a regimen of clomiphene citrate, a testicular tumor became palpable. This was sonographically confirmed to be surrounding ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(90)80202-x
更新日期:1990-12-01 00:00:00
abstract:OBJECTIVES:To determine whether antimicrobial prophylaxis could prevent infections after transrectal needle biopsy of the prostate using automated biopsy devices. METHODS:We conducted a prospective, randomized, double-blind, multicenter trial in which a total of 537 patients received either oral ciprofloxacin 500 mg o...
journal_title:Urology
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1016/s0090-4295(98)00296-9
更新日期:1998-10-01 00:00:00
abstract:OBJECTIVE:To assess the clinical features, additional abnormalities, and renal consequences of children with horseshoe kidney (HSK). METHODS:The medical records of 41 children with HSK followed in our pediatric nephrology clinic between the years of 2004 and 2014 were retrospectively reviewed. RESULTS:There were 22 g...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2014.10.010
更新日期:2015-02-01 00:00:00
abstract::Cavernosal smooth muscle relaxation, one of the primary events in penile erection, is initiated by the synthesis and release of nitric oxide (NO) from the neurons of the cavernosa. The present study was undertaken to determine whether or not serum levels of NO metabolites rise during an erection. Since NO is rapidly c...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(93)90271-b
更新日期:1993-11-01 00:00:00
abstract:OBJECTIVES:There is scant literature on the frequency of high-grade prostatic intraepithelial neoplasia (PIN) in needle biopsy specimens. These data have implications as to how often pathologists should be expected to diagnose these lesions on needle biopsy and impact on the feasibility of cancer chemoprevention trials...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/S0090-4295(96)00622-X
更新日期:1997-03-01 00:00:00
abstract:OBJECTIVES:To evaluate the clinical parameters associated with the recovery of ejaculation after nerve-sparing postchemotherapy retroperitoneal lymph node dissection (PC-RPLND) for nonseminomatous germ cell tumor. METHODS:We queried our institutional database for all patients who had undergone nerve-sparing PC-RPLND f...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2008.08.501
更新日期:2009-02-01 00:00:00
abstract:OBJECTIVE:To investigate the effect of low-dose human chorionic gonadotropin (HCG) administration on structural changes in the lower urinary tract in boys with urinary incontinence in the setting of bladder exstrophy-epispadias complex (BEEC). PATIENTS AND METHODS:We prospectively evaluated 30 patients (median age 7.5...
journal_title:Urology
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.urology.2016.12.034
更新日期:2017-03-01 00:00:00
abstract:OBJECTIVES:To (1) determine if patient age and total prostate-specific antigen (PSA) levels could enhance the ability of percent free PSA to distinguish prostate cancer from benign prostate disease within the 4.0 to 20 ng/mL total PSA range; (2) define the probability of prostate cancer based on patient age, total PSA,...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(98)00205-2
更新日期:1998-09-01 00:00:00
abstract:OBJECTIVES:Subepithelial hydroxyapatite calcification of renal papilla is thought to be involved in the formation of calcium oxalate monohydrate (COM) papillary calculi. To assess the mechanism of formation, we sought to correlate the fine structure of papillary renal calculi with specific pathophysiologic conditions a...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2010.02.022
更新日期:2010-12-01 00:00:00
abstract:OBJECTIVE:To compare the postprocedural oral pain scale and other patient reported oral morbidities for nonclosure vs closure of buccal mucosal graft (BMG) harvest sites through systematic review and meta-analysis of comparative studies. METHODS:A systematic literature search was performed in September 2018. Nonrandom...
journal_title:Urology
pub_type: 杂志文章,meta分析
doi:10.1016/j.urology.2018.12.008
更新日期:2019-03-01 00:00:00
abstract::Twenty-two prepubertal patients with cryptorchid testes after having previous inguinal surgery were referred. These included 17 patients in whom orchidopexy had been unsuccessful. Five patients had prior surgery for hernia and/or hydrocele resulting in surgical entrapment of the testis. Five patients had bilateral dis...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(93)90379-o
更新日期:1993-10-01 00:00:00
abstract:OBJECTIVE:To evaluate the safety and efficacy of mass circumcision performed using a plastic clamp. METHODS:A total of 2013 males, including infants, children, adolescents, and adults were circumcised during a 7-day period by using a plastic clamp technique. Complications were analyzed retrospectively in regard to 4 d...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2010.12.018
更新日期:2011-07-01 00:00:00
abstract::Nifedipine, a calcium channel blocker, was tested for its in vivo effect on the ureter and kidney during acute obstruction. There was no discernible effect on peristalsis but glomerular filtration rate was improved. Thus, nifedipine would not be expected to decrease renal colic from obstruction. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(93)90516-d
更新日期:1993-05-01 00:00:00
abstract::We report a case of an "extra-renal" calculus and associated perinephric abscess treated by endourologic techniques. The calculus could have fallen into the perinephric tissues at the time of open renal surgery. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(89)90391-9
更新日期:1989-03-01 00:00:00
abstract:OBJECTIVES:To assess the capacity of several clinical and needle biopsy pathologic parameters to predict insignificant and advanced prostate carcinoma (CaP) in radical prostatectomy tissue from men enrolled in a prostate-specific antigen screening program. METHODS:We captured multiple clinical variables and measures o...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2004.04.008
更新日期:2004-09-01 00:00:00
abstract:OBJECTIVE:To compare the risk of mortality among men treated for benign prostatic hyperplasia (BPH) with 5 alpha-reductase inhibitors (5ARI) to those treated with alpha-blockers (AB) in community practice settings. METHODS:We employed a retrospective matched cohort study in 4 regions of an integrated healthcare system...
journal_title:Urology
pub_type: 杂志文章,多中心研究
doi:10.1016/j.urology.2018.05.033
更新日期:2018-09-01 00:00:00
abstract::Hemorrhagic cystitis is a recognized acute complication of cyclophosphamide (Cytoxan) therapy in the treatment of malignant disease. More recently, lower dose, long-term cyclophosphamide therapy has been used in the treatment of autoimmune diseases including rheumatoid arthritis. In 3 patients hemorrhagic cystitis dev...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(79)90526-0
更新日期:1979-12-01 00:00:00
abstract::Trimethoprim recently has been released by the Food and Drug Administration (FDA) exclusively for the treatment of acute symptomatic uncomplicated bacterial urinary tract infections. The compound compares favorably with alternative standard agents, such as ampicillin and cephalexin, for the therapy of women with acute...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(81)90190-4
更新日期:1981-05-01 00:00:00
abstract:OBJECTIVES:Visual laser ablation of the prostate (VLAP) is a relatively new option for relief of urinary outlet obstruction secondary to benign prostatic hyperplasia. There is currently no consensus regarding the optimum use of antibiotic prophylaxis in VLAP. This study was designed to evaluate two dosage regimens of a...
journal_title:Urology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0090-4295(94)80189-4
更新日期:1994-12-01 00:00:00
abstract::Complete eversion and prolapse of the urinary bladder is rare. We report a case occurring in an eighty-two-year-old female. We believe only 3 previous cases have been reported, and only 1 of these occurred in an adult. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(83)90310-2
更新日期:1983-12-01 00:00:00
abstract:OBJECTIVE:To investigate the expression of Jade-1 and β-catenin and their effect in the development of renal cell carcinoma (RCC). METHODS:The expression of Jade-1 and β-catenin in 11 normal kidney tissue specimens (normal group) and 60 RCC specimens (RCC group) was determined using real-time polymerase chain reaction...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2012.02.024
更新日期:2012-08-01 00:00:00
abstract::The effect of radiation combined with heat on three human prostatic carcinoma cell lines growing in vitro was investigated. Cells were exposed to different radiation doses followed by heat treatment at 43 degrees C for one hour. Heat treatment, given ten minutes after radiation, significantly enhanced the radiation re...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(91)80025-3
更新日期:1991-07-01 00:00:00
abstract:OBJECTIVES:Elevated tumor markers after primary chemotherapy for metastatic testis cancer are usually an indication of persistent cancer. Subsequent treatment has usually been salvage chemotherapy. This article examines the possibility that selected patients can achieve long-term disease-free survival with surgery alon...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/S0090-4295(97)00458-5
更新日期:1997-12-01 00:00:00
abstract:OBJECTIVE:To assess efficacy and safety of liposomal bupivacaine (LB) infiltration of the buccal mucosal graft (BMG) harvest site in alleviating pain by evaluating the postoperative narcotic usage, pain score, and morbidities. PATIENTS AND METHODS:Single-blinded randomized controlled trial of 43 adult patients for BMG...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2020.06.067
更新日期:2020-11-01 00:00:00
abstract:OBJECTIVE:To elucidate a hypothetical link between retinoic acid (RA) signaling and minocycline for targeting prostate carcinoma (PCA). RA signaling has been implicated in growth-inhibition of malignant PCA, and intracellular RA homeostasis has been investigated as a potential therapeutic target. Minocycline is a tetra...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2013.10.029
更新日期:2014-02-01 00:00:00
abstract:OBJECTIVE:To study the prevalence of fluoroquinolone-resistant Escherichia coli before transrectal ultrasound (TRUS)-guided prostate biopsy and prospectively analyze the rates of infective complications after biopsy in patients receiving fluoroquinolone prophylaxis. E. coli is the pathogen most commonly associated with...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2011.07.1392
更新日期:2011-12-01 00:00:00
abstract:OBJECTIVES:To determine whether the administration of the nonsteroidal antiandrogen bicalutamide reduces the risk of an increase in chromogranin A (CgA) levels in patients with prostate cancer who experienced biochemical failure after radical retropubic prostatectomy (RRP) compared with pharmacologic castration therapy...
journal_title:Urology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/j.urology.2003.10.043
更新日期:2004-03-01 00:00:00
abstract::A case of testicular torsion is described in a sixty-four-year-old man. Although unusual in this age group, the diagnosis of testicular torsion should be considered in older patients presenting with unilateral testicular pain. Early recognition and surgical intervention may reverse testicular ischemia and avert unnece...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(86)90314-6
更新日期:1986-04-01 00:00:00