FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4386887204> ?p ?o ?g. }

• W4386887204 abstract "Importance Robotic-assisted cholecystectomy is rapidly being adopted into practice, partly based on the belief that it offers specific technical and safety advantages over traditional laparoscopic surgery. Whether robotic-assisted cholecystectomy is safer than laparoscopic cholecystectomy remains unclear. Objective To determine the uptake of robotic-assisted cholecystectomy and to analyze its comparative safety vs laparoscopic cholecystectomy. Design, Setting, and Participants This retrospective cohort study used Medicare administrative claims data for nonfederal acute care hospitals from January 1, 2010, to December 31, 2019. Participants included 1 026 088 fee-for-service Medicare beneficiaries 66 to 99 years of age who underwent cholecystectomy with continuous Medicare coverage for 3 months before and 12 months after surgery. Data were analyzed August 17, 2022, to June 1, 2023. Exposure Surgical technique used to perform cholecystectomy: robotic-assisted vs laparoscopic approaches. Main Outcomes and Measures The primary outcome was rate of bile duct injury requiring definitive surgical reconstruction within 1 year after cholecystectomy. Secondary outcomes were composite outcome of bile duct injury requiring less-invasive postoperative surgical or endoscopic biliary interventions, and overall incidence of 30-day complications. Multivariable logistic analysis was performed adjusting for patient factors and clustered within hospital referral regions. An instrumental variable analysis was performed, leveraging regional variation in the adoption of robotic-assisted cholecystectomy within hospital referral regions over time, to account for potential confounding from unmeasured differences between treatment groups. Results A total of 1 026 088 patients (mean [SD] age, 72 [12.0] years; 53.3% women) were included in the study. The use of robotic-assisted cholecystectomy increased 37-fold from 211 of 147 341 patients (0.1%) in 2010 to 6507 of 125 211 patients (5.2%) in 2019. Compared with laparoscopic cholecystectomy, robotic-assisted cholecystectomy was associated with a higher rate of bile duct injury necessitating a definitive operative repair within 1 year (0.7% vs 0.2%; relative risk [RR], 3.16 [95% CI, 2.57-3.75]). Robotic-assisted cholecystectomy was also associated with a higher rate of postoperative biliary interventions, such as endoscopic stenting (7.4% vs 6.0%; RR, 1.25 [95% CI, 1.16-1.33]). There was no significant difference in overall 30-day complication rates between the 2 procedures. The instrumental variable analysis, which was designed to account for potential unmeasured differences in treatment groups, also showed that robotic-assisted cholecystectomy was associated with a higher rate of bile duct injury (0.4% vs 0.2%; RR, 1.88 [95% CI, 1.14-2.63]). Conclusions and Relevance This cohort study’s finding of significantly higher rates of bile duct injury with robotic-assisted cholecystectomy compared with laparoscopic cholecystectomy suggests that the utility of robotic-assisted cholecystectomy should be reconsidered, given the existence of an already minimally invasive, predictably safe laparoscopic approach." @default.
• W4386887204 created "2023-09-21" @default.
• W4386887204 creator A5000058795 @default.
• W4386887204 creator A5019172957 @default.
• W4386887204 creator A5061375664 @default.
• W4386887204 creator A5069321101 @default.
• W4386887204 creator A5079205858 @default.
• W4386887204 date "2023-09-20" @default.
• W4386887204 modified "2023-09-29" @default.
• W4386887204 title "Comparative Safety of Robotic-Assisted vs Laparoscopic Cholecystectomy" @default.
• W4386887204 cites W108176453 @default.
• W4386887204 cites W1975854487 @default.
• W4386887204 cites W1991475333 @default.
• W4386887204 cites W1995410581 @default.
• W4386887204 cites W1996236143 @default.
• W4386887204 cites W2010235863 @default.
• W4386887204 cites W2057780602 @default.
• W4386887204 cites W2081310698 @default.
• W4386887204 cites W2105347888 @default.
• W4386887204 cites W2139351120 @default.
• W4386887204 cites W2158607620 @default.
• W4386887204 cites W2165144879 @default.
• W4386887204 cites W2203188107 @default.
• W4386887204 cites W2286256760 @default.
• W4386887204 cites W2299396190 @default.
• W4386887204 cites W2301907211 @default.
• W4386887204 cites W2485649905 @default.
• W4386887204 cites W2523539684 @default.
• W4386887204 cites W2754488131 @default.
• W4386887204 cites W2766292602 @default.
• W4386887204 cites W2766869780 @default.
• W4386887204 cites W2883046721 @default.
• W4386887204 cites W2889234374 @default.
• W4386887204 cites W2898811719 @default.
• W4386887204 cites W2898881288 @default.
• W4386887204 cites W2942980738 @default.
• W4386887204 cites W2959527159 @default.
• W4386887204 cites W2965545885 @default.
• W4386887204 cites W2972067093 @default.
• W4386887204 cites W2980685812 @default.
• W4386887204 cites W3000214625 @default.
• W4386887204 cites W3011063745 @default.
• W4386887204 cites W3047239340 @default.
• W4386887204 cites W3122149578 @default.
• W4386887204 cites W4229447298 @default.
• W4386887204 cites W4233002547 @default.
• W4386887204 cites W4236926243 @default.
• W4386887204 cites W4249639090 @default.
• W4386887204 doi "https://doi.org/10.1001/jamasurg.2023.4389" @default.
• W4386887204 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/37728932" @default.
• W4386887204 hasPublicationYear "2023" @default.
• W4386887204 type Work @default.
• W4386887204 citedByCount "0" @default.
• W4386887204 crossrefType "journal-article" @default.
• W4386887204 hasAuthorship W4386887204A5000058795 @default.
• W4386887204 hasAuthorship W4386887204A5019172957 @default.
• W4386887204 hasAuthorship W4386887204A5061375664 @default.
• W4386887204 hasAuthorship W4386887204A5069321101 @default.
• W4386887204 hasAuthorship W4386887204A5079205858 @default.
• W4386887204 hasBestOaLocation W43868872041 @default.
• W4386887204 hasConcept C126322002 @default.
• W4386887204 hasConcept C141071460 @default.
• W4386887204 hasConcept C159110408 @default.
• W4386887204 hasConcept C167135981 @default.
• W4386887204 hasConcept C2776135927 @default.
• W4386887204 hasConcept C2776641081 @default.
• W4386887204 hasConcept C2779777945 @default.
• W4386887204 hasConcept C2987287001 @default.
• W4386887204 hasConcept C61434518 @default.
• W4386887204 hasConcept C71924100 @default.
• W4386887204 hasConcept C77350462 @default.
• W4386887204 hasConceptScore W4386887204C126322002 @default.
• W4386887204 hasConceptScore W4386887204C141071460 @default.
• W4386887204 hasConceptScore W4386887204C159110408 @default.
• W4386887204 hasConceptScore W4386887204C167135981 @default.
• W4386887204 hasConceptScore W4386887204C2776135927 @default.
• W4386887204 hasConceptScore W4386887204C2776641081 @default.
• W4386887204 hasConceptScore W4386887204C2779777945 @default.
• W4386887204 hasConceptScore W4386887204C2987287001 @default.
• W4386887204 hasConceptScore W4386887204C61434518 @default.
• W4386887204 hasConceptScore W4386887204C71924100 @default.
• W4386887204 hasConceptScore W4386887204C77350462 @default.
• W4386887204 hasLocation W43868872041 @default.
• W4386887204 hasLocation W43868872042 @default.
• W4386887204 hasOpenAccess W4386887204 @default.
• W4386887204 hasPrimaryLocation W43868872041 @default.
• W4386887204 hasRelatedWork W1998253990 @default.
• W4386887204 hasRelatedWork W2008625682 @default.
• W4386887204 hasRelatedWork W2357159705 @default.
• W4386887204 hasRelatedWork W2375388138 @default.
• W4386887204 hasRelatedWork W2501683669 @default.
• W4386887204 hasRelatedWork W3015169455 @default.
• W4386887204 hasRelatedWork W3148324187 @default.
• W4386887204 hasRelatedWork W4232844502 @default.
• W4386887204 hasRelatedWork W4378780689 @default.
• W4386887204 hasRelatedWork W72756887 @default.
• W4386887204 isParatext "false" @default.
• W4386887204 isRetracted "false" @default.
• W4386887204 workType "article" @default.