MP44-14 DIFFERENCES IN SURGICAL APPROACH TO NEPHRECTOMY BASED ON FELLOWSHIP-TRAINING STATUS: A STUDY OF THE AMERICAN BOARD OF UROLOGY CASE LOGS

• DOI: 10.1097/01.ju.0001009508.69111.d0.14
• Publication Date: 2024-04-15T21:33:57Z
• Authors: Natalie Passarelli; Alexa Steckler; Borivoj Golijanin; Rongqi Zhang; Elias Hyams

You have accessJournal of UrologyKidney Cancer: Localized: Surgical Therapy III (MP44)1 May 2024MP44-14 DIFFERENCES IN SURGICAL APPROACH TO NEPHRECTOMY BASED ON FELLOWSHIP-TRAINING STATUS: A STUDY OF THE AMERICAN BOARD UROLOGY CASE LOGS Natalie Passarelli, Alexa Steckler, Borivoj Golijanin, Rongqi Zhang, and Elias Hyams PassarelliNatalie Passarelli , StecklerAlexa Steckler GolijaninBorivoj Golijanin ZhangRongqi Zhang HyamsElias View All Author Informationhttps://doi.org/10.1097/01.JU.0001009508.69111.d0.14AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: While fellowship training can augment skills in robotic-assisted laparoscopic (RAL) surgery, more urologists are acquiring RAL within residency as these procedures become common. Nephrectomy be performed via open, laparoscopic, or approaches; thus, this procedure used assess whether may not associated with surgical approach. This study evaluates the relationship between status chosen approach for nephrectomy determine how practice patterns vary based on background. METHODS: CPT codes extirpative renal surgery were selected from American Board Urology case logs (2012-2022) including 50220, 50543, 50545, robot specific S2900. Nephrectomies done by each recorded, stratified physician status, compared using a Chi-squared test independence. RESULTS: total 26,261 nephrectomies performed. 7,788 (29.7%) trained urologist versus 18,473 (70.3%) non-fellowship urologists. Those 1,201 (15.4%) open 5,470 (70.2%) 1,117 (14.3%) robotic nephrectomies. Non-fellowship physicians 3,636 (13.8%) 14,265 (77.2%) 1,773 (9.6%) significantly higher rates (RALN) those without (p<0.0001). CONCLUSIONS: Most laparoscopically during period, however RALN at proportion. reflect augmented skill sets comfort surgery. As is taught frequently residency, favored approaches change time. Clinical cost implications background warrant further evaluation. Source Funding: N/A © 2024 Urological Association Education Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e736 Advertisement Copyright & Permissions© Inc.Metrics Information More articles author Expand PDF downloadLoading ...