Disparities in access to hospitals with robotic surgery for patients with prostate cancer undergoing radical prostatectomy

Simon P. Kim, Stephen A. Boorjian, Nilay D. Shah, Christopher J. Weight, Jon C. Tilburt, Leona C. Han, R. Houston Thompson, Quoc Dien Trinh, Maxine Sun, James P. Moriarty, R. Jeffrey Karnes

Research output: Contribution to journalArticle

Abstract

Purpose: We described population level trends in radical prostatectomy for patients with prostate cancer by hospitals with robotic surgery, and assessed whether socioeconomic disparities exist in access to such hospitals. Materials and Methods: After merging the NIS (Nationwide Inpatient Sample) and the AHA (American Hospital Association) survey from 2006 to 2008, we identified 29,837 patients with prostate cancer who underwent radical prostatectomy. The primary outcome was treatment with radical prostatectomy at hospitals that have adopted robotic surgery. Multivariate logistic regression was used to identify patient and hospital characteristics associated with radical prostatectomy performed at hospitals with robotic surgery. Results: Overall 20,424 (68.5%) patients were surgically treated with radical prostatectomy at hospitals with robotic surgery, while 9,413 (31.5%) underwent radical prostatectomy at hospitals without robotic surgery. There was a marked increase in radical prostatectomy at hospital adopters from 55.8% in 2006 and 70.7% in 2007 to 76.1% in 2008 (p

Original languageEnglish (US)
Pages (from-to)514-520
Number of pages7
JournalJournal of Urology
Volume189
Issue number2
DOIs
StatePublished - Feb 2013
Externally publishedYes

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Robotics
Prostatectomy
Prostatic Neoplasms
American Hospital Association
Cancer Care Facilities
Inpatients
Logistic Models
Population

Keywords

  • healthcare disparities
  • prostatectomy
  • prostatic neoplasms
  • robotics

ASJC Scopus subject areas

  • Urology

Cite this

Kim, S. P., Boorjian, S. A., Shah, N. D., Weight, C. J., Tilburt, J. C., Han, L. C., ... Karnes, R. J. (2013). Disparities in access to hospitals with robotic surgery for patients with prostate cancer undergoing radical prostatectomy. Journal of Urology, 189(2), 514-520. https://doi.org/10.1016/j.juro.2012.09.033

Disparities in access to hospitals with robotic surgery for patients with prostate cancer undergoing radical prostatectomy. / Kim, Simon P.; Boorjian, Stephen A.; Shah, Nilay D.; Weight, Christopher J.; Tilburt, Jon C.; Han, Leona C.; Thompson, R. Houston; Trinh, Quoc Dien; Sun, Maxine; Moriarty, James P.; Karnes, R. Jeffrey.

In: Journal of Urology, Vol. 189, No. 2, 02.2013, p. 514-520.

Research output: Contribution to journalArticle

Kim, SP, Boorjian, SA, Shah, ND, Weight, CJ, Tilburt, JC, Han, LC, Thompson, RH, Trinh, QD, Sun, M, Moriarty, JP & Karnes, RJ 2013, 'Disparities in access to hospitals with robotic surgery for patients with prostate cancer undergoing radical prostatectomy', Journal of Urology, vol. 189, no. 2, pp. 514-520. https://doi.org/10.1016/j.juro.2012.09.033
Kim, Simon P. ; Boorjian, Stephen A. ; Shah, Nilay D. ; Weight, Christopher J. ; Tilburt, Jon C. ; Han, Leona C. ; Thompson, R. Houston ; Trinh, Quoc Dien ; Sun, Maxine ; Moriarty, James P. ; Karnes, R. Jeffrey. / Disparities in access to hospitals with robotic surgery for patients with prostate cancer undergoing radical prostatectomy. In: Journal of Urology. 2013 ; Vol. 189, No. 2. pp. 514-520.
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