The Impact of Surgical Practice on Oncological Outcomes in Robot-Assisted Radical Hysterectomy for Early-Stage Cervical Cancer, Spanish National Registry
dc.contributor.author | Fernández González, Sergi | |
dc.contributor.author | Ponce, Jordi | |
dc.contributor.author | Martínez Maestre, María Ángeles | |
dc.contributor.author | Barahona, Marc | |
dc.contributor.author | Gómez Hidalgo, Natalia R. | |
dc.contributor.author | Díaz Feijoo, Berta | |
dc.contributor.author | Casajuana, Andrea | |
dc.contributor.author | Gracia, Myriam | |
dc.contributor.author | Frías Gómez, Jon | |
dc.contributor.author | Benavente, Yolanda | |
dc.contributor.author | Costas, Laura | |
dc.contributor.author | Martí, Lola | |
dc.contributor.author | Melero, Lidia | |
dc.contributor.author | Silvan, Jose Manuel | |
dc.contributor.author | Beiro, Eva | |
dc.contributor.author | Lobo, Ignacio | |
dc.contributor.author | De la Rosa Fernández, Jesús Hilario | |
dc.contributor.author | Coronado, Pluvio J. | |
dc.contributor.author | Gil Moreno, Antonio | |
dc.date.accessioned | 2022-02-11T17:43:32Z | |
dc.date.available | 2022-02-11T17:43:32Z | |
dc.date.issued | 2022-01-29 | |
dc.identifier.citation | Cancers 14(3) : (2022) // Article ID 698 | es_ES |
dc.identifier.issn | 2072-6694 | |
dc.identifier.uri | http://hdl.handle.net/10810/55453 | |
dc.description.abstract | This study aimed to assess whether surgical practice had a significant impact on oncological outcomes among women who underwent robot-assisted radical hysterectomy for early-stage cervical cancer (≤IB1 or IIA1, FIGO 2009). The secondary objective was to audit the pre-surgical quality indicators (QI) proposed by the European Society of Gynaecological Oncology (ESGO). The top 5 of 10 centers in Spain and Portugal were included in the analysis. The hospitals were divided into group A (n = 118) and group B (n = 97), with recurrence rates of <10% and >10%, respectively. After balancing both groups using the propensity score, the ORs for all events were higher and statistically significant for group B (recurrences OR = 1.23, 95% CI = 1.13–1.15, p-value = 0.001; death OR = 1.10, 95% CI = 1.02–1.18, p-value = 0.012; disease-specific mortality ORr = 1.11, 95% CI = 1.04–1.19, p-value = 0.002). A higher surgical volume, higher participation in clinical trials, higher rate of MRI use for diagnosis, greater use of sentinel lymph node biopsies, and a favorable learning curve with low rates of early recurrences were observed among the centers with better oncological outcomes. These factors might have a significant impact on oncological outcomes not only after robot-assisted surgery, but also after laparoscopies and open surgeries in the treatment of cervical cancer. | es_ES |
dc.description.sponsorship | The authors thank Michael Maudsley for editing the manuscript. Special thanks to all Spanish and Portuguese hospitals (ROBOCER group) committed to supporting this work. Finally, thank CB06/02/0073 grant (Centro de Investigación Biomédica en Red: Epidemiología y Salud Pública CIBERESP); by the Agència de Gestió d’Ajuts Universitaris i de Recerca (AGAUR); CERCA Programme/Generalitat de Catalunya for institutional support, Grant number (2017SGR1085). | es_ES |
dc.language.iso | eng | es_ES |
dc.publisher | MDPI | es_ES |
dc.rights | info:eu-repo/semantics/openAccess | es_ES |
dc.rights.uri | http://creativecommons.org/licenses/by/3.0/es/ | |
dc.subject | early-stage cervical cancer | es_ES |
dc.subject | robotic surgery | es_ES |
dc.subject | radical hysterectomy | es_ES |
dc.subject | oncological outcome | es_ES |
dc.subject | recurrence | es_ES |
dc.subject | disease-free survival | es_ES |
dc.subject | surgical practice | es_ES |
dc.subject | surgery | es_ES |
dc.title | The Impact of Surgical Practice on Oncological Outcomes in Robot-Assisted Radical Hysterectomy for Early-Stage Cervical Cancer, Spanish National Registry | es_ES |
dc.type | info:eu-repo/semantics/article | es_ES |
dc.date.updated | 2022-02-11T14:46:21Z | |
dc.rights.holder | © 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). | es_ES |
dc.relation.publisherversion | https://www.mdpi.com/2072-6694/14/3/698 | es_ES |
dc.identifier.doi | 10.3390/cancers14030698 | |
dc.departamentoes | Especialidades médico-quirúrgicas | |
dc.departamentoeu | Medikuntza eta kirurgia espezialitateak |
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Except where otherwise noted, this item's license is described as © 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).