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  • 1
    In: BJU International, October 2011, Vol.108(7), pp.E163-E163
    Description: To authenticate to the full-text of this article, please visit this link: http://dx.doi.org/10.1111/j.1464-410X.2011.10617.x
    Keywords: Tumors ; Bladder Cancer;
    ISSN: 1464-4096
    E-ISSN: 1464-410X
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  • 2
    Language: English
    In: Cancer, Jan 1, 2012, Vol.118(1), p.8(4)
    Keywords: Bladder Cancer -- Care And Treatment ; Neoadjuvant Therapy -- Usage
    ISSN: 0008-543X
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  • 3
    In: BJU International, April 2014, Vol.113(4), pp.516-517
    Description: Byline: Shahrokh F. Shariat, Tobias Klatte ***** No abstract is available for this article. *****
    Keywords: Cystectomy -- Methods ; Lymph Node Excision -- Methods ; Urinary Bladder Neoplasms -- Therapy;
    ISSN: 1464-4096
    E-ISSN: 1464-410X
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  • 4
    Language: English
    In: Cancer, 01 January 2012, Vol.118(1), pp.8-11
    Description: A retrospective study of neoadjuvant gemcitabine plus cisplatin in the current issue of highlights the activity of this regimen and its low frequency of employment. Directions for the further development of neoadjuvant therapy for bladder cancer are discussed.
    Keywords: Medicine;
    ISSN: 0008-543X
    E-ISSN: 1097-0142
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  • 5
    Language: English
    In: The Journal of Urology, January 2014, Vol.191(1), pp.9-10
    Description: To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.juro.2013.10.056 Byline: Tobias Klatte, Shahrokh F. Shariat Author Affiliation: Department of Urology, Medical University of Vienna, Vienna General Hospital, Vienna, Austria
    Keywords: Medicine
    ISSN: 0022-5347
    E-ISSN: 1527-3792
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  • 6
    Language: English
    In: BJU International, 06/2011, Vol.107(11), pp.1844-1844
    Description: To authenticate to the full-text of this article, please visit this link: http://dx.doi.org/10.1111/j.1464-410X.2011.10347.x
    Keywords: Medicine;
    ISSN: BJU International
    E-ISSN: 14644096
    E-ISSN: 1464410X
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  • 7
    In: BJU International, September 2011, Vol.108(6b), pp.976-983
    Description: To authenticate to the full-text of this article, please visit this link: http://dx.doi.org/10.1111/j.1464-410X.2011.10468.x Byline: Richard Lee (1), Bilal Chughtai (1), Michael Herman (1), Shahrokh F. Shariat (1), Douglas S. Scherr (1) Keywords: costs; cost analysis; cystectomy; economics; medical; robotics; urinary bladder neoplasms Abstract: What's known on the subject? and What does the study add? The cost performance of RC has been studied in single institution series, each with its own particular clinical pathway and perioperative parameters. Given the relatively new technique, groups have reported different outcomes based on their unique experience. Most groups have demonstrated an increased materials cost associated with RC but a lower LOS. The study systematically examines and summarizes the cost performance data of RC vs. OC. It reviews all relevant studies and presents them in a succinct overview of the current peer-reviewed literature. OBJECTIVE To systematically review and compare the economic burden of open radical cystectomy (ORC) vs robot-assisted laparoscopic radical cystectomy (RALRC) with pelvic lymph node dissection and urinary diversion. PATIENTS AND METHODS A Medline search was conducted to identify English language articles regarding RC with urinary diversion. The resulting articles were then further restricted by the terms 'laparoscopic', 'robotic', or 'robotic-assisted'.In all, three articles were identified. Data from each of these articles were then collected on cost performance in addition to relevant clinical variables, such as length of stay (LOS), operative duration, and complication rates. When possible, data were subdivided by ileal conduit (IC), continent cutaneous diversion (CCD), and orthotopic neobladder (ON) subgroups. Direct costs resulting from ORC or RALRC with accompanying hospitalization were identified. The indirect costs of complications were considered. RESULTS Despite an increased materials cost, RALRC was less expensive than ORC when the cost of complications was considered. RALRC was less expensive than ORC for IC and CCD, but the cost advantage deteriorated for ON. The largest cost drivers cited in the published data were LOS, operative durations, and daily hospitalizations costs. RALRC demonstrated shorter LOS compared with ORC, although this effect was insufficient to offset the increased cost of robotic surgery. Complications materially affected cost performance. CONCLUSIONS Despite an increased materials cost, RALRC can be more cost efficient than ORC as a treatment for bladder cancer when the impact of complications are considered. This effect is most pronounced for patients undergoing IC. Author Affiliation: (1)James Buchanan Brady Foundation, Department of Urology, Weill Medical College of Cornell University, New York, NY, USA Article History: Accepted for publication 4 May 2011 Article note: Richard Lee, James Buchanan Brady Foundation, Department of Urology, Weill Medical College of Cornell University, 525 E. 68th St., F9 West, New York, NY 10065, USA. e-mail: ril9010@med.cornell.edu
    Keywords: Costs ; Cost Analysis ; Cystectomy ; Economics ; Medical ; Robotics ; Urinary Bladder Neoplasms
    ISSN: 1464-4096
    E-ISSN: 1464-410X
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  • 8
    Language: English
    In: The Journal of Urology, May 2014, Vol.191(5), pp.1209-1217
    Description: For the minimally invasive treatment of small renal tumors, laparoscopic cryoablation has emerged as an alternative procedure to minimally invasive partial nephrectomy (laparoscopic, robot-assisted laparoscopic) for selected patients, but there are still limited data regarding its safety and oncologic efficacy. We compare perioperative and oncologic outcomes of laparoscopic cryoablation and laparoscopic partial nephrectomy/robot-assisted laparoscopic partial nephrectomy. We searched the literature published until September 2013 from MEDLINE®, Web of Science® and major conference proceedings. We included studies comparing laparoscopic cryoablation and laparoscopic partial nephrectomy/robot-assisted laparoscopic partial nephrectomy if they reported oncologic or perioperative outcomes. Overall 13 retrospective, nonrandomized, observational studies met our inclusion criteria. According to the modified NOS (Newcastle-Ottawa Scale) 7 studies (53%) were considered to be of higher quality. Compared with laparoscopic partial nephrectomy/robot-assisted laparoscopic partial nephrectomy, laparoscopic cryoablation was associated with significantly shorter operative times (weighted mean difference [WMD] 35.45 minutes), lower estimated blood loss (WMD 130.11 ml), shorter length of stay (WMD 1.22 days), and a lower risk of total (RR 1.82), urological (RR 1.99) and nonurological complications (RR 2.33). Patients undergoing laparoscopic cryoablation had a significantly increased risk of local (RR 9.39) and metastatic tumor progression (RR 4.68). This analysis provides fair evidence that oncologic outcomes are substantially worse for laparoscopic cryoablation than for laparoscopic partial nephrectomy/robot-assisted laparoscopic partial nephrectomy, but laparoscopic cryoablation may be associated with improved perioperative outcomes. Therefore, surgical resection may be encouraged in the majority of cases. Balancing cancer control with the risk of perioperative complications is crucial for patient counseling and selection of the appropriate procedure. Prospective, randomized controlled studies with long-term followup are needed to confirm our findings.
    Keywords: Cryosurgery ; Laparoscopy ; Robotics ; Nephrectomy ; Postoperative Complications ; Medicine
    ISSN: 0022-5347
    E-ISSN: 1527-3792
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  • 9
    Language: English
    In: The Journal of Urology, February 2014, Vol.191(2), pp.557-559
    Description: To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.juro.2013.07.103 Byline: Mark W. Ball, Jeffrey K. Mullins, Jonathan I. Epstein, Alan W. Partin, Patrick C. Walsh Author Affiliation: Department of Urology, The James Buchanan Brady Urological Institute & Department of Urology, The Johns Hopkins University School of Medicine, Baltimore, Maryland
    Keywords: Medicine
    ISSN: 0022-5347
    E-ISSN: 1527-3792
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  • 10
    Language: English
    In: The Journal of Urology, August 2012, Vol.188(2), pp.358-360
    Keywords: Medicine
    ISSN: 0022-5347
    E-ISSN: 1527-3792
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