{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T15:01:43Z","timestamp":1773673303120,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,3,28]],"date-time":"2025-03-28T00:00:00Z","timestamp":1743120000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To quantify improvements in adverse in\u2010hospital outcomes between historical and contemporary robot\u2010assisted radical cystectomy (RARC) versus historical and contemporary open RC (ORC).<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Methods<\/jats:title><jats:p>Within the National Inpatient Sample (2010\u20132019), RARC and ORC ileal conduit diversion patients were identified. Multivariable logistic and Poisson regression models were fitted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of RARC patients, 1343 (39%) were historical (2010\u20132014) and 2087 (61%) were contemporary (2015\u20132019). Of ORC patients, 5812 (54%) were historical and 5019 (46%) were contemporary. Versus historical counterparts, contemporary RARC patients exhibited significantly better adverse in\u2010hospital outcomes in 9 of 13 categories, with improvements ranging from \u221282% for intraoperative complications to \u221222% for cumulative postoperative complications. Similarly, versus historical, contemporary ORC patients also exhibited significantly better adverse in\u2010hospital outcomes in 9 of 13 categories, with improvements ranging from \u221272% for intraoperative complications to \u221212% for median length of stay (LOS). When contemporary RARC was compared to contemporary ORC, RARC adverse in\u2010hospital outcomes were better in 7 of 13 comparisons, with improvements ranging from \u221255% for blood transfusions to \u221218% for median LOS. Similarly, when historical RARC was compared to historical ORC, RARC adverse in\u2010hospital outcomes were better in 6 of 13 comparisons, with improvements ranging from \u221255% for blood transfusions to \u221215% for median LOS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The magnitude of the improvement in adverse in\u2010hospital outcomes was comparable between contemporary versus historical RARC (nine improved categories) and contemporary versus historical ORC (nine improved categories). However, contemporary RARC outperformed contemporary ORC in 7 of 13 categories of adverse in\u2010hospital outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jso.28108","type":"journal-article","created":{"date-parts":[[2025,3,30]],"date-time":"2025-03-30T20:14:47Z","timestamp":1743365687000},"page":"1651-1660","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Robot\u2010Assisted Versus Open Radical Cystectomy: Comparison of Adverse In\u2010Hospital Outcomes"],"prefix":"10.1002","volume":"131","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8585-3701","authenticated-orcid":false,"given":"Francesco","family":"Di Bello","sequence":"first","affiliation":[{"name":"Cancer Prognostics and Health Outcomes Unit, Division of Urology University of Montr\u00e9al Health Center Montr\u00e9al Qu\u00e9bec Canada"},{"name":"Department of Neurosciences, Science of Reproduction and Odontostomatology University of Naples Federico II Naples Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natali","family":"Rodriguez Pe\u00f1aranda","sequence":"additional","affiliation":[{"name":"Cancer Prognostics and Health Outcomes Unit, Division of Urology University of Montr\u00e9al Health Center Montr\u00e9al Qu\u00e9bec Canada"},{"name":"Department of Urology, Ospedale Policlinico e Nuovo Ospedale Civile S. 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