AUA 2017: Trends in surgical approach and outcomes for radical cystectomy: a contemporary population-based analysis

Boston, MA ( This population based analysis using the Premier Healthcare Database identified 71,844 patients undergoing RC from 2003-2015. Of these, 9218 underwent RARC. There was an increase from 0.1% to 33.9% usage rate for RARC during the study period. Furthermore, major complication rates rose to 19.6% in 2011 before plateauing off. The study also identified older age, male gender, married status, private insurance, high volume hospital settings, as well as some regional differences in the use of RARC.

This study serves as a nice example of correctly using population based data to extract broad trends in urologic practice patterns. The relative slow adoption of RARC may be related to the steeper learning curve owing to the higher surgical expertise required for the construction of the urinary diversions. Despite this, more than 1/3 of RC performed in 2015 were with the assistance of the robotic instrument. That older men are more likely to undergo RARC is somewhat surprising. However, this may be related to the better recovery course following minimally invasive procedures.

Presented by: Jeffrey Leow

Written By: Roger Li MD Urologic Oncology Fellow, Department of Urology, UT MD Anderson Cancer Center, Houston, TX
Ashish M. Kamat MD Wayne B. Duddlesten Professor, Department of Urology, UT MD Anderson Cancer Center, Houston TX

at the 2017 AUA Annual Meeting - May 12 - 16, 2017 – Boston, Massachusetts, USA