PD55-10 OUTCOMES OF ROBOT-ASSISTED RADICAL CYSTECTOMY IN NORTH AMERICA VS EUROPE: RESULTS FROM THE INTERNATIONAL ROBOTIC CYSTECTOMY CONSORTIUM

You have accessJournal of UrologyBladder Cancer: Invasive V (PD55)1 Apr 2020PD55-10 OUTCOMES OF ROBOT-ASSISTED RADICAL CYSTECTOMY IN NORTH AMERICA VS EUROPE: RESULTS FROM THE INTERNATIONAL ROBOTIC CYSTECTOMY CONSORTIUM Ahmed Elsayed*, Zhe Jing, Jennifer Osei, Lee Richstone, Andrew Wagner, Bertram Yuh, Juan Palou, Eric Kim, Alexandre Mottrie, Thomas Maatman, Morgan Roupret, Ketan Badani, Derya Balbay, Ahmed Aboumohamed, Franco Gaboardi, Michael töckle, Prokar Dasgupta, Shamim Khan, Ashok Hemal, Peter Wiklund, Jihad Kaouk, James Peabody, Mani Menon, Ahmed Hussein, Khurshid Guru, and Carl Wijburg Ahmed Elsayed*Ahmed Elsayed* More articles by this author , Zhe JingZhe Jing More articles by this author , Jennifer OseiJennifer Osei More articles by this author , Lee RichstoneLee Richstone More articles by this author , Andrew WagnerAndrew Wagner More articles by this author , Bertram YuhBertram Yuh More articles by this author , Juan PalouJuan Palou More articles by this author , Eric KimEric Kim More articles by this author , Alexandre MottrieAlexandre Mottrie More articles by this author , Thomas MaatmanThomas Maatman More articles by this author , Morgan RoupretMorgan Roupret More articles by this author , Ketan BadaniKetan Badani More articles by this author , Derya BalbayDerya Balbay More articles by this author , Ahmed AboumohamedAhmed Aboumohamed More articles by this author , Franco GaboardiFranco Gaboardi More articles by this author , Michael töckleMichael töckle More articles by this author , Prokar DasguptaProkar Dasgupta More articles by this author , Shamim KhanShamim Khan More articles by this author , Ashok HemalAshok Hemal More articles by this author , Peter WiklundPeter Wiklund More articles by this author , Jihad KaoukJihad Kaouk More articles by this author , James PeabodyJames Peabody More articles by this author , Mani MenonMani Menon More articles by this author , Ahmed HusseinAhmed Hussein More articles by this author , Khurshid GuruKhurshid Guru More articles by this author , and Carl WijburgCarl Wijburg More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000965.010AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Utilization of robot-assisted radical cystectomy (RARC) has increased over the last decade. We sought to compare the outcomes between North American and European institutions. METHODS: We reviewed our prospectively maintained International Robotic Cystectomy Consortium database (2006-2019). Patients were divided according to the site of the institution (North America vs Europe). Data were reviewed. Kaplan Meier (KM) curves to depict recurrence free survival (RFS), disease specific survival (DSS), and overall survival (OS). Cochran-Armitage trend test used to investigate significant trend of NAC and intracorporeal urinary diversion (ICUD) over time. RESULTS: We identified 2957 patients, of which 1909 (65%) were in North America. North American patients were older (68 vs 66 years, p<0.01), had higher BMI (28 vs 27, p<0.01), included more patients with ASA ≥3 (63% vs 27%, p<0.01), and were more likely to receive NAC (23% vs 17%, p<0.01). European patients were more likely to receive ICUD (67% vs 44%, p<0.01), continent urinary diversion (26% vs 19%, p<0.01), had lower lymph node yield (15 vs 20, p<0.01), shorter operative time (368 vs 393 mins, p<0.01), and longer hospital stay (12 vs 7 days, p<0.01). North American patients had more overall complications (60% vs 55%, p=0.02) and 90-day mortality (4% vs 2 %, p<0.01). North American patients had a higher ≥pT3 (p<0.01), positive margins (p=0.03), and pN+ve (p=0.05). North American patients had more recurrences (24% vs 19%, p<0.01), and distant recurrences (18% vs 14%, p=0.02) (Table 1). There was a significant increase in NAC utilization among North American compared with European institutions (p<0.01), and significant increase of ICUD among both (p<0.01) (Fig1a). KM curves showed a significantly higher RFS (p=0.03) and OS (p<0.01) but similar DSS (p=0.59) rates for European compared to North American patients at 5 years (Fig1b). CONCLUSIONS: Utilization of NAC has significantly increased among North American institutions, but remained stable over time among European institutions. Source of Funding: Roswell Park Alliance Foundation © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e1186-e1186 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Ahmed Elsayed* More articles by this author Zhe Jing More articles by this author Jennifer Osei More articles by this author Lee Richstone More articles by this author Andrew Wagner More articles by this author Bertram Yuh More articles by this author Juan Palou More articles by this author Eric Kim More articles by this author Alexandre Mottrie More articles by this author Thomas Maatman More articles by this author Morgan Roupret More articles by this author Ketan Badani More articles by this author Derya Balbay More articles by this author Ahmed Aboumohamed More articles by this author Franco Gaboardi More articles by this author Michael töckle More articles by this author Prokar Dasgupta More articles by this author Shamim Khan More articles by this author Ashok Hemal More articles by this author Peter Wiklund More articles by this author Jihad Kaouk More articles by this author James Peabody More articles by this author Mani Menon More articles by this author Ahmed Hussein More articles by this author Khurshid Guru More articles by this author Carl Wijburg More articles by this author Expand All Advertisement PDF downloadLoading ...