Models of assessment of comparative outcomes of robot-assisted surgery: Best evidence regarding the superiority or inferiority of robot-assisted radical prostatectomy - Abstract

The widespread dissemination of robot-assisted radical prostatectomy (RARP) occurred despite the absence of high-level evidence supporting its safety and efficacy in patients with clinically localized prostate cancer.

This study aims at systematically evaluating the models adopted in scientific reports assessing the comparative effectiveness of RARP versus open radical prostatectomy (ORP). Although several retrospective observational studies have assessed the comparative effectiveness of RARP and ORP, currently no published randomized data are available to comprehensively evaluate this issue. Furthermore, well-designed prospective investigations are needed to ultimately assess the benefits of RARP compared with other treatment modalities in patients with clinically localized prostate cancer.

Written by:
Gandaglia G, Trinh QD.   Are you the author?
Division of Oncology, Unit of Urology, Urological Research Institute, San Raffaele Scientific Institute, IRCCS Ospedale San Raffaele, Vita-Salute San Raffaele University, Via Olgettina 57, Milan 20132, Italy; Division of Urologic Surgery and Center for Surgery and Public Health, Brigham and Women's Hospital, Dana-Farber Cancer Institute, Harvard Medical School, 45 Francis St, ASB II-3, Boston, MA 02115, USA.

Reference: Urol Clin North Am. 2014 Nov;41(4):597-606.
doi: 10.1016/j.ucl.2014.07.014

PubMed Abstract
PMID: 25306171 Prostate Cancer Section