{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T08:52:41Z","timestamp":1781599961977,"version":"3.54.5"},"reference-count":13,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T00:00:00Z","timestamp":1781568000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T00:00:00Z","timestamp":1781568000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Chronic Diseases and Translational Medicine"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Brazil's Unified Health System (Sistema \u00danico de Sa\u00fade, SUS) represents one of the world's largest universal health systems and provides a unique real\u2010world platform for integrating prevention, diagnosis, treatment, and survivorship across the cancer continuum. While One Health frameworks have traditionally focused on infectious diseases, environmental exposures, and planetary health, their application to surgical oncology and health\u2010system innovation remains insufficiently explored. This article proposes that the SUS offers a valuable model for operationalizing One Health and population health principles in prostate cancer care by connecting environmental, social, biological, and healthcare system determinants across the patient journey. The recent incorporation of robot\u2010assisted radical prostatectomy (RARP) into the SUS represents a critical milestone in this evolution. Beyond the adoption of an advanced surgical technology, this initiative illustrates the capacity of a universal health system to evaluate, implement, and monitor complex innovations while balancing effectiveness, equity, sustainability, and population\u2010level impact. The Brazilian experience highlights the emergence of a learning health system in which real\u2010world evidence, implementation science, surgical quality assessment, and health policy interact to guide innovation at the national scale. In this context, RARP serves as a case study of how technological advances can be integrated into publicly funded healthcare while generating evidence relevant to diverse populations and healthcare settings. By bridging concepts from Surgical Public Health, population health, health\u2010systems science, implementation science, and One Health, the SUS provides a distinctive framework for understanding how surgical innovation can contribute to resilient and equitable cancer care. As translational oncology increasingly incorporates environmental, societal, and biological determinants of disease, Brazil offers important lessons on the governance, evaluation, and dissemination of high\u2010complexity surgical technologies within universal health systems. The insights emerging from this experience may help inform future strategies to optimize prostate cancer care and strengthen health\u2010system resilience globally.<\/jats:p>","DOI":"10.1002\/cdt3.70060","type":"journal-article","created":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T08:06:11Z","timestamp":1781597171000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["From Surgical Innovation to Population Impact: Robot\u2010Assisted Radical Prostatectomy and the Evolution of Surgical Public Health in Brazil's Unified Health System"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2092-414X","authenticated-orcid":false,"given":"Leonardo Oliveira","family":"Reis","sequence":"first","affiliation":[{"name":"UroScience, School of Medical Sciences University of Campinas (UNICAMP) Campinas S\u00e3o Paulo Brazil"},{"name":"ImmunOncology, School of Life Sciences Pontifical Catholic University of Campinas (PUC\u2010Campinas) Campinas S\u00e3o Paulo Brazil"},{"name":"INCT UroGen, National Institute of Science Technology and Innovation in Genitourinary Cancer Campinas S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,16]]},"reference":[{"key":"e_1_2_17_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/10732748251411011"},{"key":"e_1_2_17_3_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1677-5538.IBJU.2026.9907"},{"key":"e_1_2_17_4_1","doi-asserted-by":"publisher","DOI":"10.32604\/or.2024.052179"},{"key":"e_1_2_17_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)31243-7"},{"key":"e_1_2_17_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(25)00627-0"},{"key":"e_1_2_17_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11912-025-01728-5"},{"key":"e_1_2_17_8_1","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-23-0405"},{"key":"e_1_2_17_9_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1677-5538.IBJU.2024.0470"},{"key":"e_1_2_17_10_1","volume-title":"Relat\u00f3rio Final n\u00b0 1030\u2014Prostatectomia Radical Assistida por Rob\u00f4 para o Tratamento de Pacientes com C\u00e2ncer de Pr\u00f3stata Clinicamente Localizado ou Localmente Avan\u00e7ado","author":"Comiss\u00e3o Nacional de Incorpora\u00e7\u00e3o de Tecnologias no SUS (CONITEC)","year":"2025"},{"key":"e_1_2_17_11_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1677-5538.IBJU.2025.9918"},{"key":"e_1_2_17_12_1","doi-asserted-by":"publisher","DOI":"10.2147\/IJGM.S583804"},{"key":"e_1_2_17_13_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.70045"},{"key":"e_1_2_17_14_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1677-5538.IBJU.2025.9914"}],"container-title":["Chronic Diseases and Translational Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cdt3.70060","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/cdt3.70060","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cdt3.70060","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T08:06:12Z","timestamp":1781597172000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/cdt3.70060"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,16]]},"references-count":13,"alternative-id":["10.1002\/cdt3.70060"],"URL":"https:\/\/doi.org\/10.1002\/cdt3.70060","archive":["Portico"],"relation":{},"ISSN":["2095-882X","2589-0514"],"issn-type":[{"value":"2095-882X","type":"print"},{"value":"2589-0514","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,16]]},"assertion":[{"value":"2026-03-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"cdt3.70060"}}