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Surgeon Adoption of Minimally Invasive Radical Prostatectomy

机译:外科医生采用微创根治性前列腺切除术

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摘要

Introduction: Minimally invasive radical prostatectomy has become the most common surgical treatment for prostate cancer. In this study we describe patterns of minimally invasive radical prostatectomy adoption among surgeons who performed open radical prostatectomy before their first minimally invasive radical prostatectomy and those who did not.Methods: We performed a retrospective cohort study using the population based SEER (Surveillance, Epidemiology, and End Results)-Medicare data set. We identified all surgeons who performed minimally invasive radical prostatectomy in 2003 to 2010 in men with prostate cancer 66 years old or older. Surgeons were classified as "converters" if they performed open radical prostatectomy before their first minimally invasive radical prostatectomy or "de novos" if they had not. We estimated annual minimally invasive radical prostatectomy volume and the proportion of prostatectomies performed minimally invasively. We used logistic regression to identify predictors of minimally invasive radical prostatectomy discontinuation.
机译:简介:微创前列腺癌根治术已成为前列腺癌最常见的外科治疗方法。在这项研究中,我们描述了在首次进行微创根治性前列腺切除术之前和未进行过开放式根治性前列腺切除术的外科医生之间进行微创根治性前列腺切除术的方式。方法:我们采用基于人群的SEER进行了一项回顾性队列研究(监测,流行病学,和最终结果)-医疗保险数据集。我们确定了所有在2003年至2010年对66岁或以上的前列腺癌男性进行微创根治性前列腺切除术的外科医生。如果外科医生在首次进行微创根治性前列腺切除术之前进行了开放式根治性前列腺切除术,则被分类为“转换者”;否则,则被分类为“从头”。我们估计了年度微创前列腺癌根治术的量和微创手术的比例。我们使用逻辑回归来确定微创根治性前列腺切除术停药的预测因素。

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