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Retzius-Sparing Robot-Assisted Radical Prostatectomy
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Distance to Treatment With Radical Cystectomy in a Rural State: Long Car Rides, Equivalent Outcomes.

Randie E White1, Joshua A Linscott1, Matthew T Hayn1

  • 1Maine Medical Center, Portland, Maine.

Urology Practice
|August 30, 2023
PubMed
Summary
This summary is machine-generated.

Radical cystectomy travel distance did not affect early outcomes. However, longer travel may impact surgical timing and readmission location for bladder cancer patients.

Keywords:
cystectomypostoperative complicationstime-to-treatmenturinary bladder neoplasms

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Area of Science:

  • Urology
  • Surgical Oncology
  • Public Health

Background:

  • Radical cystectomy (bladder removal) offers better outcomes at high-volume centers, potentially increasing patient travel distances.
  • Understanding the impact of travel distance on clinical outcomes is crucial for optimizing patient care pathways.

Purpose of the Study:

  • To evaluate the association between travel distance and clinical outcomes following radical cystectomy.
  • To assess the influence of travel distance on complications, readmissions, mortality, and treatment timing.

Main Methods:

  • Retrospective review of 220 patients undergoing radical cystectomy (2015-2021).
  • Patients categorized by travel distance: <12.5 miles, 12.5-49.9 miles, and ≥50 miles.
  • Multivariable logistic regression analyzed outcomes; time-to-treatment was compared by distance.

Main Results:

  • Increased travel distance did not significantly impact early postoperative outcomes or 90-day mortality.
  • Patients traveling ≥12.5 miles were more likely to be readmitted to outside hospitals for low-grade complications.
  • Time to radical cystectomy increased for patients traveling >12.5 miles without neoadjuvant chemotherapy.

Conclusions:

  • Longer travel distances for radical cystectomy do not appear to compromise early postoperative results.
  • Travel distance may influence access to care, affecting readmission site and potentially delaying time to surgery.